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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.

A searchable list of members who have life insurance benefits that have not been claimed by a beneficiary.

Have you heard about the Wisconsin Public Employers (WPE) Income Continuation Insurance Program? This program is authorized by the Group Insurance Board and available to local employers participating in the Wisconsin Retirement System.

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Local Income Continuation Insurance Plan as of December 31, 2019.

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the State Income Continuation Insurance Plan as of December 31, 2019.

Notify the third party administrator of the group life insurance program of a member death.

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Local Income Continuation Insurance Plan as of December 31, 2015.

If you wish to specify who shall receive a primary beneficiary’s share of a death or life insurance benefit if a primary beneficiary is deceased, you must use this alternate beneficiary designation form.

Instructions to file an income continuation insuarance (ICI) claim by phone with the plan's third party administrator.

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the State Income Continuation Insurance Plan as of December 31, 2002.