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This is the Model Notice for COBRA Continuation Subsidy under the American Rescue Plan [ARP] Act of 2021. Employers please note that information for qualified beneficiaries must be completed. 

Under federal law, known as COBRA, you and your qualified beneficiaries may continue group health insurance coverage, if eligible.

ETF will, consistent with the state’s Public Records Law, provide information regarding ETF’s affairs, except for individual personal information restricted by statute.

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.

This 2023 State of Wisconsin Health Benefit Program Agreement is for the purposes of administering the health benefit program.

A resource document available for employers to obtain an understanding of the components of all benefits taken as pre-tax.

The State Agency Health Insurance Administration Manual (ET-1118) has been revised as of December 2021. The revision date of each chapter is indicated next to the title of each chapter. Please disregard any previous versions of this manual.

This plan document provides provisions on the Commuter Fringe Benefits Accounts, such as plan administration, eligibility, participation, and termination.