Form Active Employee / Local Employer / State Employer

Health Care Provider Form

Complete this form using results from your most recent health care provider visit to earn credit for the 2021 Well Wisconsin Program. The form must be submitted by October 8, 2021.

ET-1518
Form State Employer

Flexible Spending Account Continuation Election Form

Employers must issue this notice to employees within 14 days of becoming aware of a qualifying event that will cause an employee to lose eligibility to participate in the FSA or limited purpose FSA program(s).

Employer News
Jul 12, 2023 7:00am

July 2023 Well Wisconsin Updates

Promote National Immunization Awareness Month, the newest Stressless Challenge beginning August 30, and September webinars. 

ET-4112
Brochure Active Employee / Retiree / Local Employer / State Employer

Group Health Insurance

This brochure includes general information about health insurance through ETF.