ET-4109
Form Active Employee / Retiree

Medicare Enrollment for Retiring Employees

The following information is for employees who will retire in the next three months and will be transitioning into Medicare under the State or the Wisconsin Public Employers Group Health Insurance Programs.

ET-4111
Form Retiree

Medicare Enrollment for Disability Retirees

If you retired due to a disability, you may be eligible for Medicare benefits. Medicare eligibility related to disability is available to persons who have received Social Security disability benefits for at least 24 months, who have End Stage Renal Disease (ESRD), or Lou Gehrig’s Disease (ALS).

Who is Eligible

Find out when you qualify for conversion of your sick leave credits, including the different options depending on the age you terminate state employment.

ET-2545
Form Active Employee

Additional Contributions Remittance

If you choose to make voluntary additional employee paid contributions, complete and return this form with your payment.

ET-6101
Brochure Active Employee / Retiree / Other Benefit Recipient

Death Benefits

Provided you did not close your WRS account by taking a separation benefit, your beneficiaries may be entitled to a benefit after your death.

ET-4133
Brochure Active Employee

WRS Guide to Retirement

This brochure can help you complete a retirement application. It also covers general topics and provides answers to questions frequently asked by members that met with a benefits specialist in person.