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Department of Employee Trust Funds Wisconsin Retirement ...

Department of Employee Trust Funds Wisconsin Retirement System Box 7931. Madison, Wisconsin 53707-7931. ET-2101 (Rev 11/2017). This Brochure is Your Certificate of Participation. Read this brochure carefully. It provides a description of your group term life insurance protection and is your certificate of participation, provided that a valid enrollment form is on file with the Department of Employee Trust Funds and premiums are being paid. You are responsible for reviewing your payroll records and statements of fringe benefits regularly to be sure that premiums are being properly deducted.

1 1 InTroducTIon The Wisconsin Public Employers Group Life Insurance Program (the Program) is a benefit provided under the Wisconsin Retirement System and is available to employees of the State of Wisconsin

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  Department, Life, Insurance, Wisconsin, Life insurance

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