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.
The ICI Program is authorized by Wis. Stat. §§ 40.61 and 40.62, and is administered according to the plan provisions between the Group Insurance Board and the program’s third-party administrator.
ETF has updated the Sick Leave Conversion Program Employer Manual (ET-1170), and has summarized the changes here. Please disregard any previous versions of this manual.
ET-2306
Form
Active Employee /
Local Employer /
State Employer
If any portion of your group life insurance coverage terminates, you may be able to continue your life insurance protection. Your right to do this is called a conversion privilege, and its features are described here.
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.
Report
Active Employee /
Board Member /
State Employer
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.
Report
Active Employee /
Board Member /
State Employer
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.