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See information on the Well Wisconsin Program with WebMD.

Medicare Advantage, with deductible, Evidence of Coverage for the 2023 plan year.

Use this form to request to inspect or copy medical information maintained about you by ETF.

If you filed a grievance with the plan or benefit administrator and are dissatisfied with the final decision, you can request an administrative review from ETF.

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.

This 2024 State of Wisconsin Health Benefit Program Agreement is for the purposes of administering the health benefit program.

Supplemental Benefit Plans are types of insurance that are generally supplementary to group health insurance, providing coverage for dental, vision, accidental injury, or accidental death and voluntary for eligible employees and retirees.