ET-2350
Form Active Employee

Health Insurance Election for Military Service Personnel

Section 40.05 (4g), Wis. Stat., provides additional months of state contribution toward health insurance premiums for certain military service personnel who receive a military leave of absence or are eligible for reemployment under Wis. Stat. § 321.64.

Flyer Active Employee / Retiree

It’s Your Health: Diabetes

Participating in the Well Wisconsin diabetes condition management program lowers your diabetes-related prescription copays.

Nationwide Access, Out-Of-Network Benefits, Higher Premium

Access Plan by Dean

Major Health Systems

Search for a provider on First Health’s Locate a Provider webpage.

Full Service Areas
  • United States
Limited Service Areas
  • Worldwide

State Maintenance Plan (SMP) by Dean Health Plan

Major Health Systems
  • Marshfield Medical Center
  • St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis
  • Dickinson County Healthcare System
Full Service Areas
  • Florence County
Limited Service Areas
  • Michigan

Retirees Enrollment

Program Option
  • State Employee and Retiree Health Plan & Supplemental Benefits
Plan Year
  • 2025

Retirees Enrollment

Program Option
  • State Employee and Retiree Health Plan & Supplemental Benefits
Plan Year
  • 2024