This application is intended for insured employees who are terminating private pension employment, who may qualify to continue life insurance coverage.
ET-2101
Brochure
Active Employee /
Retiree /
Other Benefit Recipient
This brochure describes your group term life insurance protection and is your certificate of participation, given a valid enrollment form is on file with ETF and premiums are being paid.
The Wisconsin Public Employers Group Life Insurance program provides continuation of your group life insurance after retirement if you meet the eligibility requirements.
This application allows you to apply to enroll in the Income Continuation Insurance (ICI) Program if you did not enroll when originally eligible or if coverage was canceled.