The program offers term life insurance coverage up to 5 times an employee's yearly pay for State of Wisconsin employees and local government employees whose employer offers the plan. Employees may also insure their spouses and dependent children.
This chart is being provided based on information received by ETF from these employers. Employers and employees should communicate with each other about whether their sick leave may or may not transfer.
The Group Insurance Board has approved the Wisconsin Public Employer Group Life Insurance premium rates for local employees. Claims experience has been stable, resulting in no change to local employee premium rates for 2023.
Form for the member’s physician to complete if the member cannot manage property, finances or business affairs because of an impairment in the ability to receive and evaluate information or make or communicate decisions even with the use of technological assistance.
ET-4944
Form
Active Employee /
Retiree /
Other Benefit Recipient