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BenefitsETF - Wisconsin Department of Employee Trust FundsWisconsin Department of Employee Trust FundsETFDOR Estates, Trusts and FiduciariesReference 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin with the Applicant Information section. Fill in your name, contact details, and check if any information has changed. Ensure all fields are completed clearly.
- If applicable, provide Spouse Information by entering their details. Check for any changes in their information as well.
- In the Dependent Information section, list any dependents you wish to add or cover under your plan. Include their primary care physician if necessary.
- Select the reason for application in Section 4. This could be due to open enrollment or a life event change. Make sure to specify dates where required.
- Choose your health plan options in Section 5 and ensure you understand the coverage levels and benefits available.
- Complete the signature section at the end of the form, confirming that all information is accurate before submitting it back to your employer.
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Related links
ETF Benefit Specialists are available from 7:00 am to 5:00 pm (CST), Monday - Friday. Call 1-877-533-5020 (Calling from outside the country use 001-608-266-Read more
ETF administers retirement, insurance and other benefit programs for state and local government employees and retirees of the Wisconsin Retirement System.