Agency Directory Online Services
My Benefits Links
General Benefits Information
Forms & Brochures
Insurance Premiums
Insurance & Disability Plans
Savings & Retirement Plans
Wellness & EAP
Life Events
Leave Benefits
This page contains links to benefit applications, brochures and other plan documents. Please note that at hire and during Open Enrollment, employees should use eBenefits to enroll in benefits.
2019 It's Your Choice website
Health Insurance Application
2019 It's Your Choice Decision Guide
2019 Health Plan Map
2019 Health Plan Resource Page
Navitus Member Portal
Serve You - Prescription Mail Order Vendor
Sick Leave Escrow Application
Sick Leave Credit Conversion Program Brochure
2018 Health Insurance Information
2019 HSA Website
HSA Enrollment Application
HSA Contribution Change Form
Health Savings Account Brochure
Health Savings Account Participant Guide
HSA Beneficiary Designation
All HSA-related forms and brochures available on the TASC website
Life Insurance Application
State Group Life Insurance Beneficiary Designation Form (Used for both SGL and WRS accounts)
State Group Life Insurance Brochure/Plan Certificate
LifeSuite Brochure
Income Continuation Insurance Application
Income Continuation Insurance Brochure
VSP Vision Website
VSP Vision Application for 2019 coverage(2018 VSP Application)
VSP Vision Brochure
2018 Vision Comparison Chart
Delta Dental Website
Delta Dental PPO Application
Plan Summary
2019 Dental Plan Comparison Chart
Delta Dental Continuation/Retiree Form (employer section must be completed by agency)
Anthem Dental Application
2018 Anthem Dental Brochure
2018 Dental Comparison Chart
Dental Wisconsin Application
Dental Wisconsin Brochure
EPIC Benefits+ Application
EPIC Benefits+ Brochure
EPIC Benefits+ Affinity Vision Discount Progam
EPIC Benefits+ Beneficiary Designation Form
EPIC Benefits+ Hospital & Surgery Claim Form
EPIC Accidental Death & Dismemberment Claim Form
EPIC Benefits+ Vision Reimbursement Claim Form
AD&D Application
AD&D Plan Summary
Zurich Travel Assist Brochure
CyberScout Identity Theft Brochure
AD&D Beneficiary Designation Form
2019 ERA Website
Health Care FSA Application
Dependent Care FSA Application
Limited Purpose Health Care FSA Application
Parking and Transit Application
Change of Election Form
ERA Participant Guide
All ERA-related forms and brochures available on the TASC website
Full Enrollment Form
Quick Enrollment Form
Beneficiary Designation
Investment Planning Guide
For more information, see the WDC Website
Beneficiary Designation Alternate
Election to Participate in the Variable Fund
Election to Cancel Variable Fund Participation
Benefit Information Request
Edvest Informational Flyer
Edvest Enrollment Booklet
Payroll Contribution Form
