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ET-4944
Form
Active Employee /
Retiree /
Other Benefit Recipient
(Updated June 18, 2024) The Group Insurance Board has set premium rates for 2025, while taking action to stabilize the reserve of the State of Wisconsin Group Health Insurance Program. The Board also approved health plan service areas for the 2025 plan year at its meeting yesterday.
The Group Insurance Board today examined the cost effectiveness of bariatric surgery and adding coverage of weight-loss drugs in the State of Wisconsin Group Health Insurance Program.
This form gives ETF and entities that perform contracted services for ETF permission to release your designated medical information to a person or entity specified by you.