Number Title Description Audience
ET-1904 State of Wisconsin Department of Employee Trust Funds Section 125 Cafeteria Plan Document

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

Local Employer, State Employer
ET-1905 State of Wisconsin Department of Employee Trust Funds Section 125 Cafeteria Plan Summary Plan Description

This Summary Plan Description is a supplement to the Section 125 Cafeteria Plan Document (ET-1904), for members and employees. This publication summarizes the basic features of the plan.

Local Employer, State Employer
ET-1906 State of Wisconsin Department of Employee Trust Funds Transit and Parking Plan Document

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

Local Employer, State Employer
ET-1907 No Taxpayer Identification Number

A tool for an employer to confirm information was presented to a new employee, due dates identified and appropriate information and forms supplied for all ETF-administered benefits offered by the employer.

Local Employer, State Employer
ET-1908 Employer Attestation For Documentation Received

Employers, use this form to verify that you viewed the employee’s original required document(s) to verify the employee or dependent(s) is eligible for benefit coverage, as administered by ETF.

Local Employer, State Employer
ET-2106 Income Continuation Insurance - State

The income continuation insurance ICI benefit is a voluntary “income replacement” benefit payable if you become disabled.

Active Employee, State Employer
ET-2154 Group Life Insurance Continuation Application

This application is intended for insured employees who are terminating Wisconsin Retirement System employment, who may qualify to continue life insurance coverage, and who will not begin a WRS retirement benefit immediately.

Active Employee, Local Employer, State Employer
ET-2155 Group Health Insurance Program Continuation Application

For State Employees With 20 Years of WRS-Creditable Service. Employers, complete your sections and then give the form to the employee.

State Employer
ET-2164 Group Life Insurance Plan Monthly Rates

Monthly rates for the Wisconsin Public Employers Group Life Insurance Plan.

Active Employee, Local Employer, State Employer
ET-2166 Domestic Partner Benefits

As of Sept. 23, 2017, the State of Wisconsin no longer allows the establishment of new domestic partnerships under Chapter 40 of the Wisconsin statutes. This brochure provides information about the benefit changes for established domestic partnerships.

Active Employee, Retiree, Other Benefit Recipient, Board Member, Local Employer, State Employer