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Please refer to the benefits letter provided to you for the benefit eligibility, enrollment deadlines and premiums that are specific to you.
Please return your completed application forms to:
Human Resources Office
17 W. Main Street, Room 807
Madison, WI 53703
Wisconsin Retirement System (WRS)
ETF Beneficiary Form (WI Retirement and State Group Life) Submit this form directly to ETF per the instructions on the form. Do not submit to Payroll.
Wisconsin Deferred Compensation Program (457 Plan)
WI Deferred Compensation Beneficiary Designation (Great West). Submit this form directly to the vendor per the instructions on the form. Do not submit to Payroll.
myETF Benefits Please sign up for coverage online, unless directed otherwise.
State Group Life Insurance
Income Continuation Insurance (ICI)
Employee Reimbursement Account (ERA)
Commuter Benefits Enrollment Please sign up online after your first day of employment. If you need guidance, please contact a Payroll and Benefits Specialist.
Dental, Excess Medical, Vision, and Accidental Life Insurance
Aflac Accident Advantage Plus
Accidental Death and Dismemberment Insurance
Long Term Care Insurance