State of Wisconsin
General Benefit Information
Forms and Brochures
Insurance Premiums
Insurance and Disability Plans
Savings and Retirement Plans
Wellness and 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.
2026 It's Your Choice website
2026 It's Your Choice Decision Guide
2026 Health Plan Resource Page
2026 Health Plan Search by County
Health Insurance Application
Affidavit for Insurance Purposes (if employee or dependent doesn't have SSN)
Navitus Member Portal
Serve You - Prescription Mail Order Vendor
Sick Leave Escrow Application
Sick Leave Credit Conversion Program Brochure
2026 HSA Website
TASC Microsite (New for 2026!)
HSA Enrollment Application
HSA Transfer Form
HSA Claim Form
HSA Identity Verification Guide
HSA Investment Toolkit
State Group Life Insurance Page
Life Insurance Application
Life Insurance Calculator
State Group Life Insurance Beneficiary Designation Form (Used for both SGL and WRS accounts)
State Group Life Insurance Brochure/Plan Certificate
Lifestyle Benefits Summary
Income Continuation Insurance Page
Income Continuation Insurance Application
Income Continuation Insurance Brochure
Met Life Vision Website (For 2026)
Met Life Vision Enrollment - Change - COBRA - Form (For enrollments effective 1/1/26 and later)
Vision Provider Search
Delta Dental Website
2026 Guide to Supplemental Dental Benefits
Additional Dental Benefits Available
Dental Provider Search
Delta Dental Application
Delta Dental Continuation/Retiree Form (Employer section must be completed by agency)
Accident Plan Informational Website
Accident Plan Application
How to File a Claim
Beneficiary Designation (Same form used for both your WRS and State Group Life Insurance accounts)
2026 Plan Brochure
Group Accident Certificate of Insurance
Accident Insurance Coverage Benefits
Identity Theft Protection Benefits
Accident Plan Continuation Form
Pre-Tax Savings Plan Website (ETF)
TASC Microsite (New for 2026!)
TASC Enrollment Application
TASC Rescind Request Form
TASC Election Change Form
TASC Late Enrollment Form
TASC ERA COBRA Continuation Form
TASC Payroll Transfer Form
Medical FSA Claim Form
Dependent Care Claim Form
Parking and Transit Claim Form
WDC Program Page
Enrollment Form
Mobile App Information
Beneficiary Designation: The WDC allows you to designate or change your beneficiary online. Click here to log in to your WDC account and be taken directly to your "My Beneficiaries"page.
For more information, see the WDC Website
WRS Summary Page
Beneficiary Designation
Beneficiary Designation Alternate
Election to Participate in the Variable Fund
Election to Cancel Variable Fund Participation
Benefit Information Request
Edvest Informational Flyer
Edvest Website
Payroll Contribution Form