ETJ0058 Request for Information (RFI)

Master Data Management (Part 2)

The Wisconsin Department of Employee Trust Funds (ETF) is seeking input from interested parties on Master Data Management (MDM). The purpose of this Request for Information (RFI) is to solicit information from qualified vendors that possess the resources and expertise to offer software licensing, hosting and implementation services for master data management.  

Equal Employment Opportunity Commission (EEOC) Notice Regarding Wellness 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
ET-4109
Form Active Employee / Retiree

Medicare Enrollment for Retiring Employees

The following information is for employees who will retire in the next three months and will be transitioning into Medicare under the State or the Wisconsin Public Employers Group Health Insurance Programs.

Uniform Dental Benefits Certificate of Coverage

Program Option
  • Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits
  • Local Health Plan with Uniform Dental (PO6) & Supplemental Benefits
  • Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits
  • Local Traditional Health Plan with Uniform Dental (PO2) & Supplemental Benefits
  • State Employee and Retiree Health Plan & Supplemental Benefits
Plan Year
  • 2024
ET-4111
Form Retiree

Medicare Enrollment for Disability Retirees

If you retired due to a disability, you may be eligible for Medicare benefits. Medicare eligibility related to disability is available to persons who have received Social Security disability benefits for at least 24 months, who have End Stage Renal Disease (ESRD), or Lou Gehrig’s Disease (ALS).

Health Insurance for Retirees with Medicare

Enrolled in Medicare? Learn about the key differences between our Medicare-coordinated plan design options, costs for medical services, available health plans and monthly premium amounts

Plan Year
  • 2024
Program Option
  • Local High Deductible Health Plan (PO17) & Supplemental Benefits

Health Insurance for Retirees with Medicare

Enrolled in Medicare? Learn about the key differences between our Medicare-coordinated plan design options, costs for medical services, available health plans and monthly premium amounts

Plan Year
  • 2024
Program Option
  • Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits

Health Insurance for Retirees with Medicare

Enrolled in Medicare? Learn about the key differences between our Medicare-coordinated plan design options, costs for medical services, available health plans and monthly premium amounts

Plan Year
  • 2024
Program Option
  • Local Deductible Health Plan (PO14) & Supplemental Benefits

Health Insurance for Retirees with Medicare

Enrolled in Medicare? Learn about the key differences between our Medicare-coordinated plan design options, costs for medical services, available health plans and monthly premium amounts

Plan Year
  • 2024
Program Option
  • Local Health Plan with Uniform Dental (PO6) & Supplemental Benefits