2020 Wellness Activities

Complete any one of these well-being activities by October 9, 2020, to check off the “complete a well-being activity” box of your Well Wisconsin incentive.

ET-2305
Form Active Employee / Local Employer / State Employer

Evidence of Insurability

Employees who did not enroll for group life insurance coverage during their initial enrollment period, or insured employees who wish to apply for more insurance for themselves or their spouse or dependents, may apply using this form.