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Employers, use this form to verify that you viewed the employee’s original required document(s) to verify the employee or dependent(s) is eligible for benefit coverage, as administered by ETF.

This page is designed to support HR admins at the Universities of Wisconsin in assisting employees with My Insurance Benefits, an application within the My Benefits portal. Here, you’ll find everything you need— user guides to employer manuals, forms, and more—to help your team navigate and make the most of the new system.

This brochure is designed to assist you in understanding the administrative appeals process as it relates to ETF. It is not intended to substitute for the legal advice or assistance of an attorney.

Income Continuation Insurance (ICI) is an optional insurance that provides replacement income for disabilities that are considered short-term in nature, as well as those which may last for extended periods.

General and administrative information for employers about insurance benefits.

Physician report to verify eligibility for an income continuation insurance claim.

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Local Income Continuation Insurance Plan as of December 31, 2009.

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Local Income Continuation Insurance Plan as of December 31, 2008.

For UWs only: These procedures will walk employers through steps to take in My Insurance Benefits.

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Local Income Continuation Insurance Plan as of December 31, 2010.