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This document provides information on how to become a participating employer in the Wisconsin Public Employers’ Group Income Continuation Insurance Program, including eligibility criteria, benefits,
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How to fill out How to Become a Participating Employer Under the Wisconsin Public Employers’ Group Income Continuation Insurance Program

01
Review the eligibility requirements for participating employers under the Wisconsin Public Employers’ Group Income Continuation Insurance Program.
02
Complete the necessary application form provided by the program.
03
Gather required documentation, such as proof of employer status and employee information.
04
Submit the completed application form and supporting documents to the program administrator.
05
Await confirmation of your status as a participating employer.
06
Ensure compliance with ongoing reporting and premium payment obligations as required by the program.

Who needs How to Become a Participating Employer Under the Wisconsin Public Employers’ Group Income Continuation Insurance Program?

01
Local government entities in Wisconsin looking to offer income continuation insurance to their employees.
02
Human resource managers responsible for employee benefits at public agencies.
03
Employees of public employers seeking information about their employer's insurance offerings.
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The Income Continuation Insurance (ICI) benefit, administered through the Wisconsin Retirement System, is an “income replacement” benefit payable if you become disabled and cannot work for a period of time due to a non-work-related injury or pregnancy.
Wage continuation pay is a critical benefit that provides employees with financial security during times of absence from work due to sick time, injury, or other unforeseen circumstances.
Continuation coverage allows someone who recently lost their employer-based health coverage to continue their current insurance policy as long as they pay the full monthly premiums. Continuation coverage falls into four categories: COBRA, Cal-COBRA, Conversion, and HIPAA.

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It is a guide for employers seeking to participate in the Wisconsin Public Employers’ Group Income Continuation Insurance Program, which provides income protection for public employees who are unable to work due to illness or injury.
Public employers in Wisconsin who wish to offer the Group Income Continuation Insurance to their employees must complete the necessary filing to become a participating employer.
Employers must complete the application form provided by the program, ensuring all required information and documentation are accurately submitted.
The purpose is to outline the steps and requirements for public employers to join the program, allowing them to provide income continuation benefits to eligible employees.
Employers must report their contact information, organization details, the number of employees, and any other relevant data as required by the application form.
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