ET-5306
Form Local Employer / State Employer

Request for Disability Premium Waiver

Employers should submit this form when first aware that an insured employee is unable to work due to illness or injury and will be unable to perform any work or to engage in any occupation for an indefinite period.

Department News
Nov 15, 2023 4:15pm

GIB Focuses on Program Affordability and Sustainability

The Group Insurance Board today discussed initiatives that would support program affordability for members, program innovation, and the overall sustainability of the State of Wisconsin Group Health Insurance Program. The Board also approved the release of several requests for proposal.

Employer News
May 6, 2021 12:00am

State Health Insurance Manual (ET-1118) Updated April 2021

ETF has updated the State Health Insurance Standards, Guidelines, and Administration Employer Manual (ET-1118), and has summarized the changes here.  Please disregard any previous versions of this manual.

Report Active Employee / Retiree / Board Member / Local Employer / State Employer

Duty Disability Program Actuarial Valuation 2022

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Duty Disability Program as of December 31, 2022.

Employer News
May 30, 2023 7:00am

State Health Insurance Manual (ET-1118) Updated May 2023

Please note this major change: this manual no longer contains sick leave information. You can now find complete sick leave information in the new Sick Leave Conversion Program Employer Manual (ET-1170).

Report Active Employee / Retiree / Board Member / Local Employer / State Employer

Duty Disability Plan Actuarial Valuation 2008

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Duty Disability Program as of December 31, 2008.

Report Active Employee / Retiree / Board Member / Local Employer / State Employer

Duty Disability Program Actuarial Valuation 2009

This report presents the results of the Annual Actuarial Valuation of benefit liabilities and costs of the Duty Disability Program as of December 31, 2009.

Report Active Employee / Retiree / Board Member / Local Employer / State Employer

Duty Disability Program Actuarial Valuation 2004

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Duty Disability Program as of December 31, 2004.