Employer Forms

Below are employer forms for benefits administrators to use when counseling employees.

Employee forms can be accessed on the Employee Forms & Resources web page.

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Employees can initiate a late enrollment request or rescind their benefit plan election electronically by following the steps provided in the Appeals Tip sheet. The deadlines for 2025 late enrollment requests and rescinds are listed below. It is recommended that employees submit their late enrollment request or rescind their election as soon as an issue is discovered. They should not wait until the deadlines.

  • Rescinds (for all plans listed below): December 31, 2024
  • Late Enrollment Requests:
    • Flexible Spending Accounts (Health Care and Dependent Day Care): January 31, 2025
    • Supplemental Insurance Plans (Dental, Vision, Accident): February 28, 2025
    • State Group Health Insurance (Uniform Dental, Health Opt-Out Incentive, Health Savings Account): April 15, 2025

Employees may submit a late enrollment request or rescind only if they were actively employed with the Universities of Wisconsin during the fall enrollment period.

Based on the volume of late enrollment requests received, a final decision can take up to 60 days from the date the late enrollment request is received in good order. Employee will be notified by UW-Shared Services, Service Operations directly when their late enrollment request has been approved or denied. When working with employees on their late enrollment request advise them of this information.

ETF requires online submission of Sick Leave Conversion Credits through the online Accumulated Sick Leave System in the 'myETF Benefits Administrator' system. The online sick leave certification process provided through ETF’s system must be used for all employees.

Additional Information and Tools

Resources

Training

  • Sick Leave Credit Conversion Program Training - Webinar series available for viewing anytime. Registration required. Published by ETF.
    • Module 1 - Provides an overview of the sick leave program, eligibility requirements and sick leave conversion credit calculations.
    • Module 2 - Discusses employer and employee responsibilities, and when employers are to certify sick leave for their employees.
    • Module 3 - Explains rehired annuitants, sick leave escrow, the sick leave re-enrollment process and what happens to a member’s sick leave in the event of death.
    • Module 4 - Resources to assist employers helping employees considering terminating employment and the Q & A from the Sick Leave Credit Conversion Program in-person employer training.
 

To schedule an Edvest workshop on your campus, contact the Wisconsin Department of Financial Institutions (DFI) College Savings Program Representatives:

Updated: 06/17/2025