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.

ET-2144
Flyer Active Employee / Retiree / Other Benefit Recipient

State of Wisconsin Health Benefit Program Data Flow

Learn how the data warehouse securely collects and stores enrollment, claims, and wellness data for all participants of the Group Health Insurance Program.

Employer News
Jun 3, 2022 10:30am

WEA Trust to Exit Group Health Insurance Program

WEA Trust announced on June 1, 2022, that they will no longer offer health insurance after this year. All current WEA Trust network areas and offerings will no longer be available to members as of January 1, 2023.

Employer News
Oct 3, 2023 11:00am

ICI Claims: List State of Wisconsin as Employer

When filing claims with ETF’s ICI administrator, The Hartford, employees should advise The Hartford that their employer is the State of Wisconsin—not their actual employer (such as City of ABC or State Agency XYZ).