The Wisconsin Public Employers Group Life Insurance Program is a benefit provided under the WRS and is available to employees of the State of Wisconsin and employees of participating Wisconsin local government employers.
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.
ET-2305
Form
Active Employee /
Local Employer /
State Employer
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.
As of Sept. 23, 2017, the State of Wisconsin no longer allows the establishment of new domestic partnerships under Chapter 40 of the Wisconsin statutes. This brochure provides information about the benefit changes for established domestic partnerships.
Flyer
Active Employee /
Retiree /
Local Employer /
State Employer
Audited schedules as of, and for the year ended, December 31, 2023 are now available for state and local employers participating in the WRS, state and local employers participating in the Group Life Insurance Program, and state employers participating in the SHICC Program.
ET-2304
Form
Active Employee /
Local Employer /
State Employer
