iPhone and iPad users: The My Benefits portal is temporarily unavailable on your device due to a statewide issue. Please use a computer for now. We apologize for any inconvenience and appreciate your understanding.
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.
If you are an employee of the state, UW Hospitals and Clinics, or the Universities of Wisconsin (including Craft Workers), you may be eligible to receive up to $2,000 from your employer if you opt out of health insurance coverage under the State of Wisconsin Group Health Insurance Program.
Program Option
State Employee and Retiree Health Plan & Supplemental Benefits
The Board has extended the ICI premium holiday for 2025, based on the strong financial position of the local ICI plan. This means that employers and employees will not pay premiums for either standard or supplemental ICI coverage.
