ET-6301
Form Other Benefit Recipient

Notice of Death

Notify the third party administrator of the group life insurance program of a member death.

ET-2144
Flyer Active Employee / Retiree / Other Benefit Recipient

State of Wisconsin Health Benefit Program Data Flow

Learn how the data warehouse securely collects and stores enrollment, claims, and wellness data for all participants of the Group Health Insurance Program.

Employer News
Nov 23, 2022 8:00am

State Group Life Insurance Premium Rates Effective April 1, 2023

The Group Insurance Board moved forward with the 5% increase to the employee premium rates effective April 1, 2023. For rates effective April 1, 2023 - March 31, 2024, please see Group Life Insurance Plan Monthly Rates (ET-2164).

Employer News
Nov 10, 2021 12:00pm

State Group Life Insurance Premium Rates Effective April 1, 2022

The Group Insurance Board (Board) moved forward with the 5% increase to the employee premium rates effective April 1, 2022. For rates effective April 1, 2022 - March 31, 2023, please see Group Life Insurance Plan Monthly Rates (ET-2164).