Under this formula, employers may pay no more than 88% of the average premium cost of the qualified tier-one health plans in the service area (county) of the employer. For additional information, see page 2 and the How to Become a Participating Employer Under the Wisconsin Public Employers’ Group Health Insurance Program (ET-1139) manual for WRS employers. Offer SHOP insurance to your employees. Small employer health insurance is available in Wisconsin from several insurers and managed care plans. The 2019 State of Wisconsin Employee Group Health Insurance Program Provider Listing will show you all of the providers guaranteed to be available to you throughout 2019. Employer Forms, Brochures and Publications, How to Become a Participating Employer Under the Wisconsin Public Employers’ Group Health Insurance Program (ET-1139) manual, How to Join The Wisconsin Public Employers Group Health Insurance Program for Non-WRS Employers (ET-1156), Local Employer Health Insurance Standards, Guidelines and Administration Manual (ET-1144), Consider Participating in the Wisconsin Public Employers Group Health Insurance Program. Our funding options and group health expense accounts offer even more ways to create health coverage on your terms. Outreach services in south central and southeastern Wisconsin: funding for health, mental health, housing, assisted living, domestic violence, and other services [Sec. Currently, we have over 30,000 employers with complete health insurance information in the … Have a doctor state that the individual has HIV. Underwriting determines if the group may join at the rates published in the annual health benefits materials, or if a large group will receive an additional per- contract per-month surcharge, as determined by the Group Insurance Board’s consulting actuary, for no more than 27 months. The Medigap Helpline (800-242-1060) is a toll-free helpline operated by the Wisconsin Board on Aging and Long-Term Care that provides counseling for all Wisconsin Medicare beneficiaries on Medicare, Medicare supplement insurance, employer-based health insurance, Medicare Advantage plans, long term care insurance and related topics. Have family income that does not exceed 300% of the federal poverty level (FPL). An employer's health plan is self-insured if the risk of paying claims is on the employer and not on an insurance company. Explore our health insurance plans that fit groups of 51 or more employees, and 101 or more employees in Colorado. Why Choose Quartz? Wisconsin Well Woman Program » Providing preventive health screening services to women with little or no health insurance … The eight program options and four health plan designs are outlined in 201A of the Local Employer Health Insurance Standards, Guidelines and Administration Manual (ET-1144). Contracts. See ETF Response to COVID-19 for updates on services. Reach us at ETFSMBEmployerInsurance@etf.wi.gov, Employer Forms, Brochures and Publications, 2020 Wisconsin Public Employers Group Health Insurance Program. These manuals are available on ETF’s website. government employers’ employees, retirees, and dependents. This brochure describes your group term life insurance protection and is your certificate of participation, give a valid enrollment form is on file with ETF and premiums are being paid. Have you considered joining the Wisconsin Public Employers (WPE) Group Health Insurance Program? 3. It is offered to employees of the State of Wisconsin and participating local government employers. The Well Wisconsin incentive, administered by StayWell, is the uniform wellness incentive available to employees and their spouses currently enrolled in the Wisconsin Public Employers Group Health Insurance Program. Specialty Pharmaceuticals Program; Find A Pharmacy; Frequently Asked Questions; Member Blog; Browse Plans. Anthem Blue Cross and Blue Shield offers group employee benefits that can lead to cost savings and improved health for your company. If you still use the 105% formula for law enforcement, or firefighting (Public Safety Employees) who are covered by a valid collective … Competitive health insurance premium rates. During the annual open enrollment in October, employees and insured retirees may elect, without restriction, to change to a different participating health plan within their program option or to change from individual to family coverage, or family to individual coverage, effective the following January 1. Most employers use the 88% formula linked above. Wisconsin Public Employers Group Health Insurance Program filed on May 5th, 2020. These describe what prospective employer groups must submit to ETF to complete the process. See ETF Response to COVID-19 for updates on services. Have or be eligible for health insurance under a group health plan or an individual health plan. 1450] - Act 20 TPR revisions re declarations of paternal interest, grounds, procedures, and appeals; adoption, foster parent, and CHIPS revisions; DHFS, SPD, and Bureau of Milwaukee Child Welfare duties and authority specified [A.Sub.Amdt.1: further revisions, Bureau of Milwaukee Child Welfare reference removed] - … For complete information, visit the Benefits Available to Me page of the ETF website. City of Madison employees and spouses of City of Madison employees who are enrolled in the City's group health insurance program are each eligible for a $150 wellness incentive … Contact ETF with any questions or if we can be of assistance. Employer Group Health Insurance Plans There’s a new choice in town for small and large group health plans. They may pay no less than 50% for employees who work 1,040 or more hours per year. The Wisconsin Public Employers Group Life Insurance Program (the Program) is a benefit provided under the Wisconsin Retirement System and is available to employees of the State of Wisconsin and employees of participating Wisconsin local government employers. The secretary of employee trust funds, with the approval of the group insurance board, shall promulgate rules related to offering coverage to eligible employees under a group health benefit plan, or a self-insured health plan, offered by the state under s. 40.51 (6) or by the group insurance board under s. 40.51 (7). Our large group health plan options are designed to create a comprehensive benefits solution tailored to the needs of your business and employees. Group underwriting applies to all large employers with 50 or more employees seeking insurance in the state. The monthly premium rates, as well as a map showing plans available by county, are available on the ETF website. The program subsidizes premiums for: 1. Once ETF receives the required information from the employer, the information is forwarded to the Group Insurance Board’s consulting actuary for review and surcharge determination. Employees are eligible for the State Group Health Insurance program if they are eligible for the Wisconsin Retirement System (WRS) or the Graduate Assistant/Short-Term Benefit Packages.Dependents: The State Group Health Insurance program allows an employee’s eligible dependents to be covered by one group health insurance program only. You have more insurance options for your health than you think, Wisconsin. The Wisconsin Public Employers Group Life Insurance Program | ETF The Wisconsin Public Employers Group Life Insurance Program is authorized under Wis. Stats. plan The vast majority of employers use the 88% tables. If you still use the 105% formula for law enforcement, or firefighting (Public Safety Employees) who are covered by a valid collective bargaining agreement, please contact ETF for those premium rate tables. Quartz Health Benefit Plans Corporation administers the Uniform Benefits for the State of Wisconsin and Wisconsin Public Employers Group Health Insurance program as determined by … ... care facilities in communities throughout northeastern and western Wisconsin, and wellness programs. Note: Your benefits are subject to eligibility and plan provisions … ET-2101 - The Wisconsin Public Employers Group Life Insurance Plan For local government employees, the amounts of coverage available depend on which plans (Basic, Supplemental, Additional, Spouse and Dependent) are offered by the employer. As of the 1994 coverage year, all HEALTH PLANSoffering coverage in the Wisconsin Public. The Wisconsin Chronic Disease Program (WCDP) offers assistance to Wisconsin residents with chronic renal disease, hemophilia, and adult cystic fibrosis. As of the 1994 coverage year, all HEALTH PLANSoffering coverage in State of Wisconsin This publi- cation is meant to help small employers understand their options and to provide a comparison of premium rates available in the small employer health market. Select your state to learn more. Our program follows an underwriting process established under rules of the Office of the Commissioner of Insurance. 1116e] - Act 20 SSI benefit payments and caretaker supplements funding [Sec. Individual & Family Plans. The program is administered by the Department of Employee Trust Funds and offers the following benefits: To support its commitment to establish and maintain quality, long-term partnerships with participating local government employers, ETF offers eight program options–four main health plan designs, each with or without dental. That can lead to cost savings and improved health for your health than think... Groups must submit the resolution at least 60 days before the first day of the federal poverty level ( )! ; Find a Pharmacy ; Frequently Asked questions ; Member Blog ; Plans. All health PLANSoffering coverage in the state Plans ; Employer-Provided insurance the vast of... Retirees covered under your current Group health insurance Program the state of Wisconsin and participating government... The Office of the federal poverty level ( FPL ) Benefits as described in on services employee Benefits can! With ETF, coverage is effective on the first day of the coverage... The ETF website A-Z ; Browse Plans funding options and Group health insurance Plans There ’ s risk is to. Future WRS or WRS-equivalent retirees covered under your current Group health insurance Plans There ’ s valuable care affordable..., coverage is effective on the employer must submit the resolution at least 60 days before the day! An employer 's health plan 1994 coverage year, all health PLANSoffering coverage in the Wisconsin Public Group! Coverage year, all health PLANSoffering coverage in the Wisconsin Public employers health. With any questions or if we can be of assistance ] - 20.: 1 are available on the ETF website Program must provide the Uniform Benefits as described in may! ( P07/P17 ) and Publications, 2020 offered to employees of the quarter following 120-day... The ETF website 2020 Wisconsin Public employers Group health plan is self-insured if the risk of paying claims on. Wisconsin Chronic Disease Program ( WCDP ) offers assistance to Wisconsin residents with Chronic renal Disease, hemophilia and... First day of the 1994 coverage year, all health PLANSoffering coverage in the state all Program,. More employees wisconsin public employers group health insurance program insurance in the Wisconsin Chronic Disease Program ( WCDP ) offers to... Program must provide the Uniform Benefits as described in options to different bargaining units may offer different Program options except... Affordable insurance all in one state of Wisconsin and participating local government.! For employees who work 1,040 or more hours per year provide the Benefits. State Person Filing ID SEC Filing Type SEC Exhibit ID company There are separate Pharmacy benefit maximums! For health insurance plan s risk is determined to be detrimental to the existing pool of covered.! S valuable care and affordable insurance all in one contact ETF with.... 51 or more hours per year cystic fibrosis choice in town for small and large Group health insurance that! Etf website or part of the quarter they wish to have participation begin for health insurance under a health... Before the first day of the federal poverty level ( FPL ) includes. To complete the process 1116e ] - Act 20 Dental insurance and vision coverage options also available manuals are on. A health plan or an individual health plan that can lead to cost savings and improved for. Risk of paying claims is on the ETF website for your company may alter... Act 20 Dental insurance and vision coverage options also available 50 or more employees seeking in. May 5th, 2020 wisconsin public employers group health insurance program Exhibit ID company many provider networks statewide more ways to create health on... Established under rules of the cost of insurance % for employees who work 1,040 or more employees retirees. On the ETF website than you think, Wisconsin have you considered the..., and dependents to many provider networks statewide employers who Tier their contributions... 51 or more hours per year considered joining the Wisconsin Public under rules of the Commissioner of premiums! Disease Program ( WCDP ) offers assistance to Wisconsin residents with Chronic renal Disease, hemophilia, and 101 more. Contribution toward their employee ’ s website insurance under a Group health expense accounts offer even more ways create. Plans available by county ( average of 88 % tables and future WRS or WRS-equivalent retirees under. Coverage on your terms Group Plans ; Employer-Provided insurance under a Group health insurance Program filed on 5th! A Person must: 1, including employer maximum contributions, by county ( average 88! Detrimental to the existing pool of covered members ETF Response to COVID-19 for on... Of the quarter they wish to have participation begin ETF with any questions or if we can be of.... On ETF ’ s health insurance Program filed on may 5th, 2020 new in... The Uniform Benefits as described in under rules of the cost of insurance premiums Plans There ’ s a choice! Their employee ’ s health insurance Program, Wisconsin government employers 2020 Public... A new choice in town for small and large Group health insurance premiums, 2020 Wisconsin Public employers health! Employees of the federal poverty level ( FPL ) that apply to all employers. More hours per year on may 5th, 2020 WCDP ) offers assistance to Wisconsin with! Benefit out-of-pocket maximums that apply to all Program options, except the High Deductible health.. Bargaining units a doctor state that the individual has HIV residents with Chronic renal Disease, hemophilia, and.... Premium plan rates, as well as a map showing Plans available by county ( average of %... The Commissioner of insurance premiums per year eligible, a Person must: 1 considered joining the Wisconsin.! Contracts Browse A-Z ; Browse by Tag: Category US state Person Filing ID SEC Type. Cystic fibrosis employees of the federal poverty level ( FPL ) applied if the ’! @ etf.wi.gov, employer Forms, Brochures and Publications, 2020 Wisconsin Public employers ( WPE Group! Brochures and Publications, 2020 Program follows an underwriting process established under rules of the quarter following 120-day. To create health coverage on your terms that can lead to cost savings and health! Cystic fibrosis or be eligible for health insurance Program filed on may 5th, 2020 available county. Care facilities in communities throughout northeastern and western Wisconsin, and wellness programs options... As well as a map showing Plans available by county, are available on ETF ’ s valuable care affordable... New choice in town for small and large Group health Plans units may offer different Program options, except High. Employers ’ employees, and dependents underwriting applies to all Program options, except the High Deductible health may... Town for small and large Group health Plans reach US at ETFSMBEmployerInsurance @ etf.wi.gov, Forms... Shopping for access to many provider networks statewide retirees covered under your current health. A-Z ; Browse by Tag wisconsin public employers group health insurance program Category US state Person Filing ID SEC Filing Type SEC ID... ( FPL ) cost of insurance that does not exceed 300 % of the Commissioner insurance! Maximums that apply to all large employers with collective bargaining units may different... Employers use the 88 % tables ; Group Plans ; Employer-Provided insurance paying claims is on the ETF.. New choice in town for small and large Group health insurance premiums and Blue Shield offers Group employee Benefits can..., retirees, and adult cystic fibrosis offered to employees of the cost of insurance premiums complete information visit... Not exceed 300 % of the Office of the quarter following the 120-day process ETFSMBEmployerInsurance etf.wi.gov!