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Employers, use this form to verify that you viewed the employee’s original required document(s) to verify the employee or dependent(s) is eligible for benefit coverage, as administered by ETF.
The ICI Program is authorized by Wis. Stat. §§ 40.61 and 40.62, and is administered according to the plan provisions between the Group Insurance Board and the program’s third-party administrator.
As part of transferring files to SharePoint Online employers will need to use Multi-Factor Authentication (MFA). This page provides guides to setting up common MFA applications.