This is the Model Notice for COBRA Continuation Subsidy under the American Rescue Plan [ARP] Act of 2021. Employers please note that information for qualified beneficiaries must be completed.
ETF will, consistent with the state’s Public Records Law, provide information regarding ETF’s affairs, except for individual personal information restricted by statute.
ET-1142a
Manual
Active Employee /
Retiree /
Other Benefit Recipient /
Local Employer /
State Employer
This manual is a reference source intended to aid employer administration of and participation in the State of Wisconsin Group Health Insurance Program.
ET-1109g
Manual
Active Employee /
Retiree /
Other Benefit Recipient /
Local Employer /
State Employer