Employers, use this form to verify that you viewed the employee’s original required document(s) to verify the employee or dependent(s) is eligible for benefit coverage, as administered by ETF.
The Wisconsin Public Employers Group Life Insurance Program is a benefit provided under the WRS and is available to employees of the State of Wisconsin and employees of participating Wisconsin local government employers.
Audited schedules as of, and for the year ended, December 31, 2023 are now available for state and local employers participating in the WRS, state and local employers participating in the Group Life Insurance Program, and state employers participating in the SHICC Program.
Audited schedules as of, and for the year ended, December 31, 2024 are now available for state and local employers participating in the WRS, state and local employers participating in the Group Life Insurance Program, and state employers participating in the SHICC Program.
As part of transferring files to SharePoint Online employers will need to use Multi-Factor Authentication (MFA). This page provides guides to setting up common MFA applications.
ET-4925
Brochure
Active Employee /
Retiree /
Other Benefit Recipient
This brochure is designed to assist you in understanding the administrative appeals process as it relates to ETF. It is not intended to substitute for the legal advice or assistance of an attorney.
The Basic group life insurance plan became available to state employees in 1958 and to local government employees in 1960. Spouse & Dependent, Supplemental and Additional coverage is also available.
The ICI Program is authorized by Wis. Stat. §§ 40.61 and 40.62, and is administered according to the plan provisions between the Group Insurance Board and the program’s third-party administrator.