This form gives ETF and entities that perform contracted services for ETF permission to release your designated medical information to a person or entity specified by you.
This news for state employers provides information on 2022 insurance rates, as well as updates for the 2022 plan year. The 2022 health benefits open enrollment period is September 27 - October 22, 2021.
This news for state employers provides information on 2023 insurance rates, as well as updates for the 2023 plan year. The 2023 health benefits open enrollment period is September 26 - October 21, 2022.
Join us on December 16 to celebrate a year of success and growth! Overall Well Wisconsin participation numbers increased dramatically compared to 2020. Join us to learn more and how we’re continuing to evolve programming to meet your and your employees’ interests in 2022.
ET-4925
Brochure
Active Employee /
Retiree /
Other Benefit Recipient
If you are eligible to enroll in or change plans due to a qualified life change event, you may be asked to provide documents (employees to your employer, retirees to ETF) to confirm your eligibility.
Program Option
Local Annuitant Health Program (LAHP)
Local Deductible Health Plan (PO14) & Supplemental Benefits
Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits
Local Health Plan (PO16) & Supplemental Benefits
Local Health Plan with Uniform Dental (PO6) & Supplemental Benefits
Local High Deductible Health Plan (PO17) & Supplemental Benefits
Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits
Local Traditional Health Plan (PO12) & Supplemental Benefits
Local Traditional Health Plan with Uniform Dental (PO2) & Supplemental Benefits
State Employee and Retiree Health Plan & Supplemental Benefits
For the 2024 plan year, the health benefits decision guide will continue to be a printed guide, as a companion piece to the collection of web pages found on the ETF website. Please let ETF know by July 14, 2023 how many paper guides you would like.
For the 2023 plan year, the It’s Your Choice decision guide will continue to be a printed guide, as a companion piece to the collection of IYC web pages found on the ETF website. Please let ETF know by July 15, 2022 how many paper guides you would like.