ETA0043 Request for Information (RFI)

RFI - Medicare Advantage Group Health Insurance Program

The purpose of this Request for Information (RFI) is to solicit information from vendors who possess the resources and expertise to insure and administer group Medicare Advantage health insurance benefits for members in the State of Wisconsin and the Wisconsin Public Employer (Local) Group Health Insurance Programs (GHIPs), managed by the Wisconsin Department of Employee Trust Funds (ETF) with oversight by the State of Wisconsin Group Insurance Board (Board).

Health Insurance Employer Forms

Use the forms on this page to administer the Group Health Insurance program. If you are not finding what you need, go to the Publications page to search through all publications.

Group Insurance Board

This 11-member board advises on group health, life insurance and Income Continuation Insurance plans.

Form 1095: Proof of Health Insurance

The 1095 form provides documentation of your individual health insurance information. This statement is sent to you annually by your insurance provider.