ET-2331 Form Retiree / Other Benefit Recipient / Local Employer / State Employer Health Insurance Application/Change for Retirees Retirees, enroll in health insurance or change your coverage.
ET-2301 Form Active Employee / Local Employer / State Employer Health Insurance Application/Change Form Enroll in health insurance or change your coverage.
25ET-1136 Manual Local Employer / State Employer 2025 State of Wisconsin Group Health Insurance Program Agreement This 2025 State of Wisconsin Health Benefit Program Agreement is for the purposes of administering the health benefit program.