When filing claims with ETF’s ICI administrator, The Hartford, employees should advise The Hartford that their employer is the State of Wisconsin—not their actual employer (such as City of ABC or State Agency XYZ).
Please note a few reminders for employers: check that you are using the most current form revision, watch for ETF Update meeting invites, and read about changes coming to the ICI Program in 2024.
This training is for all state and local employers who use myETF Benefits to enroll new employees in benefits, view and update health insurance information, view and update demographic information, or complete terminations. See what form to complete for access, where to log in, and how to navigate myETF Benefits.
A tool for an employer to confirm information was presented to a new employee, due dates identified and appropriate information and forms supplied for all ETF-administered benefits offered by the employer.
Please encourage members with ICI Program coverage who have become disabled to file an ICI claim as soon as possible after their last day worked. The effective date of an ICI benefit can be no earlier than 90 days before the claim is filed. If the member waits to file a claim, they may miss out on benefits.
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