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Employers, use this form to verify that you viewed the employee’s original required document(s) to verify the employee or dependent(s) is eligible for benefit coverage, as administered by ETF.

This manual is a reference source intended to aid employer administration of and participation in the State of Wisconsin Group Health Insurance Program.

This manual is a reference source intended to aid employer administration of the Accumulated Sick Leave Credit Conversion Program.

This document is a reference for employers to see their orders for 2022 IYC health benefits guides.

This document is a reference for employers to see their orders for 2023 health benefits guides.

This document is a reference for employers to see their orders for 2024 health benefits guides.

Listing of health plan and vendor contacts for employer use only.