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Department of Employee Trust Funds P.O. Box 7931 Madison, WI 53707-7931 HEALTH INSURANCE ELECTION FOR MILITARY SERVICE PERSONNEL To: Employee or Designated Representative: Employee Social Security
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Stats. Section 40.04 (3); the amounts paid and the rates of contribution will depend on whether you are reemployed, on the length of your leave, and on the pay grade and length of your military service. Therefore, we recommend that you visit the State of Wisconsin Department of Employee Trust Funds website () to verify your health insurance coverage benefits.

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