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.
You may be able to convert your Basic group life insurance coverage to pay premiums for health insurance or long‑term care insurance. This brochure explains who is eligible and how conversion works.
A benefit may be paid during your lifetime or upon your death. You or your beneficiary must make sure to follow the correct steps to receive your benefit.
ET-2327
Brochure
Active Employee /
Retiree /
Other Benefit Recipient
Living Benefits are the proceeds of your life insurance coverage under the Wisconsin Public Employers Group Life Insurance program that are paid to you while you are still living rather than to your beneficiaries after your death.
The Group Insurance Board today examined the cost effectiveness of bariatric surgery and adding coverage of weight-loss drugs in the State of Wisconsin Group Health Insurance Program.
Active Employee /
Retiree /
Board Member /
Local Employer /
State Employer
Employees who did not enroll for group life insurance coverage during their initial enrollment period, or insured employees who wish to apply for more insurance for themselves or their spouse or dependents, may apply using this form.
ET-4938
Form
Active Employee /
Retiree /
Other Benefit Recipient
