ET-2311 Form Active Employee / Local Employer / State Employer COBRA Continuation - Conversion Notice Under federal law, known as COBRA, you and your qualified beneficiaries may continue group health insurance coverage, if eligible.
Nationwide Access, Medicare Coordinated, Lower Premium IYC Medicare Advantage by UnitedHealthcare Major Health Systems You have access to any provider who accepts Medicare. Full Service Areas United States
ET-7406 Form Active Employee / Retiree / Other Benefit Recipient Authorization to Disclose Non-Medical Information Wisconsin law allows ETF to release personal information to a third party if the member has first provided ETF with a valid written authorization. Use this form to authorize the release of non-medical information.
25ET-2100cc Brochure Retiree 2025 Medicare Advantage Evidence of Coverage - Non-deductible This Evidence of Coverage provides details about Medicare health care coverage for the 2025 plan year.
25ET-2100ccd Brochure Retiree 2025 Medicare Advantage Evidence of Coverage - Deductible Medicare Advantage, with deductible, Evidence of Coverage for the 2025 plan year.
ET-4116 Brochure Retiree Information for Retirees This brochure includes information for retirees about who may access your WRS account, payments, taxes and more.
