Employers should submit this form when first aware that an insured employee is unable to work due to illness or injury and will be unable to perform any work or to engage in any occupation for an indefinite period.
The Group Insurance Board today discussed initiatives that would support program affordability for members, program innovation, and the overall sustainability of the State of Wisconsin Group Health Insurance Program. The Board also approved the release of several requests for proposal.
Please note this major change: this manual no longer contains sick leave information. You can now find complete sick leave information in the new Sick Leave Conversion Program Employer Manual (ET-1170).
This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Duty Disability Program as of December 31, 2022.
ET-2331
Form
Retiree /
Other Benefit Recipient /
Local Employer /
State Employer
This application is intended for insured employees who are terminating Wisconsin Retirement System employment, who may qualify to continue life insurance coverage, and who will not begin a WRS retirement benefit immediately.
Report
Active Employee /
Retiree /
Board Member /
Local Employer /
State Employer
This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Duty Disability Program as of December 31, 2008.
Report
Active Employee /
Retiree /
Board Member /
Local Employer /
State Employer
This report presents the results of the Annual Actuarial Valuation of benefit liabilities and costs of the Duty Disability Program as of December 31, 2009.