Number Title Description Audience
24ET-2162sb 2024 Schedule of Benefits: Local Deductible Access Plan (PO4/14)

The Schedule of Benefits explains what medical services the Group Health Insurance Program (GHIP) covers and what you pay for covered services.

Active Employee, Retiree, Local Employer
24ET-2168 2024 Health Benefits Decision Guide: Local Health Plan Insurance for Employees and Retirees

2024 local health plan group health benefits decision guide for local employees and retirees.

Active Employee, Retiree, Local Employer
24ET-2169 2024 Health Benefits Decision Guide: Local HDHP Insurance for Employees and Retirees

2024 local high deductible health plan group health benefits decision guide for local employees and retirees.

Active Employee, Retiree, Local Employer
24ET-2170sb 2024 Schedule of Benefits: Access High Deductible Health Plan (HDHP) (PO1, PO7/17)

The Schedule of Benefits explains what medical services the Group Health Insurance Program (GHIP) covers and what you pay for covered services.

Active Employee, Retiree, Local Employer, State Employer
24ET-2180 2024 Uniform Benefits Certificate of Coverage

This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.

Active Employee, Retiree, Other Benefit Recipient, Local Employer, State Employer
24ET-4113 2024 Medicare Plus Certificate of Coverage

Certificate of Coverage for the Medicare Plus Plan for the 2024 plan year.

Retiree, Local Employer, State Employer
25ET-1136 2025 State of Wisconsin Group Health Insurance Program Agreement

This 2025 State of Wisconsin Health Benefit Program Agreement is for the purposes of administering the health benefit program.

Local Employer, State Employer
25ET-2107 2025 Insurance Benefits Decision Guide: State of Wisconsin Group Health Insurance for Employees

2025 insurance benefits decision guide for state of Wisconsin employees.

Active Employee, State Employer
25ET-2107sbs 2025 Schedule of Benefits: IYC Health SMP (PO1/PO6/16/PO8)

The Schedule of Benefits explains what medical services the Group Health Insurance Program (GHIP) covers and what you pay for covered services.

Active Employee, Retiree, Local Employer, State Employer
25ET-2107upb 2025 Uniform Pharmacy Benefits Certificate of Coverage

Uniform Pharmacy Benefits Certificate of Coverage for the 2025 plan year, for all program options.

Active Employee, Retiree, Local Employer, State Employer