Employer certification that a WRS annuity or lump-sum payment made to the survivor of the member named in this form may be eligible for an income tax exemption.
ET-4620
Form
Active Employee /
Local Employer /
State Employer
This application is intended for insured employees who are terminating private pension employment, who may qualify to continue life insurance coverage.
This manual is a reference source intended to aid employer administration of and participation in the State of Wisconsin Group Health Insurance Program.
Nine Wisconsin employers were recognized for well-being through the 2022 Well Wisconsin program. Well-being champions representing these employers were recognized at a recent Well Wisconsin Awards Ceremony held at the Olbrich Botanical Gardens in Madison, WI.