ET-2154 Form Active Employee / Local Employer / State Employer Group Life Insurance Continuation Application This application is intended for insured employees who are terminating Wisconsin Retirement System employment, who may qualify to continue life insurance coverage, and who will not begin a WRS retirement benefit immediately.
ET-2331 Form Retiree / Other Benefit Recipient / Local Employer / State Employer Health Insurance Application/Change for Retirees Retirees, enroll in health insurance or change your coverage.
24ET-2180 Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer 2024 Uniform Benefits Certificate of Coverage This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.
23ET-2180 Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer 2023 Uniform Benefits Certificate of Coverage This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.
23ET-1136 Manual Local Employer / State Employer 2023 State of Wisconsin Group Health Insurance Program Agreement This 2023 State of Wisconsin Health Benefit Program Agreement is for the purposes of administering the health benefit program.
24ET-1136 Manual Local Employer / State Employer 2024 State of Wisconsin Group Health Insurance Program Agreement This 2024 State of Wisconsin Health Benefit Program Agreement is for the purposes of administering the health benefit program.