This plan document provides provisions on the Commuter Fringe Benefits Accounts, such as plan administration, eligibility, participation, and termination.
Employers may choose to offer more benefits to their employees including supplemental dental, vision, accident plan, and long-term care insurance. State employers may also offer pre-tax savings accounts.
A resolution for the employer to offer the Wisconsin Public Employers Group Health Insurance program to eligible personnel through the program of the State of Wisconsin Group Insurance Board, and agrees to abide by the terms of the program.
ET-4560
Form
Active Employee /
Local Employer /
State Employer
Once an employee returns to work with his or her pre-military leave of absence employer, the employer is required to submit this form along with a copy of the appropriate military paperwork.
Employers may be required to report prior year adjustments to employee hours, earnings or employee-paid required contributions by completing and submitting this report.