Flyer Active Employee / Retiree It’s Your Health: Diabetes Participating in the Well Wisconsin diabetes condition management program lowers your diabetes-related prescription copays.
Notice of Creditable Coverage for Medicare Part D Program Option 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-4112 Brochure Active Employee / Retiree / Local Employer / State Employer Group Health Insurance This brochure includes general information about health insurance through ETF.
COBRA: Continuation of Coverage Rights for the Group Health Insurance Program Program Option 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-8902 Active Employee / Retiree / Local Employer / State Employer Group Health Insurance Fact Sheet The group health insurance program is an employer-sponsored program offering group health coverage to employees of state agencies, UW System, UW Hospital & Clinics Authority and participating local government employers.
25ET-2100cc Brochure Retiree 2025 Medicare Advantage Evidence of Coverage - Non-deductible This Evidence of Coverage provides details about Medicare health care coverage for the 2025 plan year.
25ET-2100ccd Brochure Retiree 2025 Medicare Advantage Evidence of Coverage - Deductible Medicare Advantage, with deductible, Evidence of Coverage for the 2025 plan year.
ET-2301 Form Active Employee / Local Employer / State Employer Health Insurance Application/Change Form Enroll in health insurance or change your coverage.
ET-4814 Form Active Employee / Retiree / Local Employer Local Employer Verification of Health Insurance Coverage Local employers, complete to submit verification for an employee's or local-paid retiree's health insurance coverage.
26ET-2100ccd Brochure Retiree 2026 Medicare Advantage Evidence of Coverage - Deductible Medicare Advantage, with deductible, Evidence of Coverage for the 2026 plan year.