The Wisconsin Public Employers Group Life Insurance Program is a benefit available to employees of employers who participate in
the WRS or a private pension program.
Employer certification that a WRS annuity or lump-sum payment made to the survivor of the member named in this form may be eligible for an income tax exemption.
ETF has updated the Local Employer Verification of Health Insurance Coverage (ET-4814) form. This update means that local employers will no longer collect the forms from employees and survivors that want to continue health insurance coverage after the employee retires or dies. Coverage now continues automatically, and employees and survivors only need to complete the form to cancel coverage.