The ICI Program is authorized by Wis. Stat. §§ 40.61 and 40.62, and is administered according to the plan provisions between the Group Insurance Board and the program’s third-party administrator.
The Group Life Insurance Program is available to all state employers. Watch ETF’s newest training video to explore the basics of this program and have your questions answered.
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).
The Board moved forward with the 5% increase to the employee premium rates effective April 1, 2024. For rates effective April 1, 2023 - March 31, 2024, please see Group Life Insurance Plan Monthly Rates (ET-2164).
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).
ET-7414
Form
Active Employee /
Retiree /
Other Benefit Recipient
This form gives ETF and entities that perform contracted services for ETF permission to release your designated medical information to a person or entity specified by you.