Health & Pharmacy Information about your health benefits offered through the State of Wisconsin Group Health Insurance Program Program Option Local Annuitant Health Program (LAHP) Local Deductible Health Plan (PO14) & Supplemental Benefits Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits Local Health Plan (PO16) & Supplemental Benefits Local Health Plan with Uniform Dental (PO6) & Supplemental Benefits Local High Deductible Health Plan (PO17) & Supplemental Benefits Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits Local Traditional Health Plan (PO12) & Supplemental Benefits Local Traditional Health Plan with Uniform Dental (PO2) & Supplemental Benefits State Employee and Retiree Health Plan & Supplemental Benefits
24ET-2170sb Brochure Active Employee / Retiree / Local Employer / State Employer 2024 Schedule of Benefits: Access High Deductible Health Plan (HDHP) (PO1, PO7/17) The Schedule of Benefits explains what medical services the Group Health Insurance Program (GHIP) covers and what you pay for covered services.
24ET-2108 Brochure Retiree / State Employer 2024 Health Benefits Decision Guide: State of Wisconsin Group Health Insurance for Retirees 2024 health benefits decision guide for state of Wisconsin retirees.
ET-2301 Form Active Employee / Local Employer / State Employer Health Insurance Application/Change Form Enroll in health insurance or change your coverage.
23ET-2180 Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer 2023 Uniform Benefits Certificate of Coverage This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.
24ET-2180 Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer 2024 Uniform Benefits Certificate of Coverage This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.
23ET-2107upb Brochure Active Employee / Retiree / Local Employer / State Employer 2023 Uniform Pharmacy Benefits Certificate of Coverage Uniform Pharmacy Benefits Certificate of Coverage for the 2023 plan year, for all program options.
24ET-2100cc Brochure Retiree 2024 Medicare Advantage Evidence of Coverage - Non-deductible This Evidences of Coverage provides details about Medicare health care coverage from January 1, 2024 - December 31, 2024.
24ET-2100ccd Brochure Retiree 2024 Medicare Advantage Evidence of Coverage - Deductible Medicare Advantage, with deductible, Evidence of Coverage for the 2024 plan year.
24ET-2107upb Brochure Active Employee / Retiree / Local Employer / State Employer 2024 Uniform Pharmacy Benefits Certificate of Coverage Uniform Pharmacy Benefits Certificate of Coverage for the 2024 plan year, for all program options.
23ET-2100cc Brochure Retiree 2023 Medicare Advantage Evidence of Coverage - Non-deductible This Evidences of Coverage provides details about Medicare health care coverage from January 1, 2023 - December 31, 2023.