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September 23, 2024

In This Issue

• Introduction
• System Benefits & Features
• Policy Changes
• Future State Processes & Guidance
• Enrollment Information
• Talking Points for Staff/Members
• Support

Introduction

^{All Employers  |  All Insurance Benefits}

Welcome to My Benefits Employer News, a monthly newsletter to keep you informed about ETF’s new Insurance Administration System. Save time by only reading the articles relevant to you—the first line of each article identifies which employers and benefits the article applies to. View previous issues.

System Benefits & Features

One Location and Easy Access

^{All Employers | All Insurance Benefits}

Providing members with the ability to enroll and review all their benefit types in one, online location is a key feature and primary benefit of the new My Insurance Benefits system. Except for long-term care insurance, all types of ETF-administered insurance will be included in the new system. This includes health insurance, uniform dental insurance, supplemental dental insurance (Preventive, Select, and Select Plus), supplemental vision insurance, pre-tax savings accounts, accident plan, income continuation insurance, and life insurance.

Members will also experience faster turnaround times and document processing in the new system. Improving customer experience is ETF’s north star as we work to deliver My Insurance Benefits.

ETF will continue to provide more detail on the above, communicate additional changes, and ensure you are prepared for the transition.

Policy Changes

Dependent Verification for Enrollments

^{All Employers | All Insurance Benefits}

When My Insurance Benefits is live, all new and existing members that add a dependent will be required to provide documentation to show that the dependent is eligible for coverage. HR Administrators (Employers) will be responsible for verifying dependents and the supporting QLE (Qualifying Life Event) documentation within My Insurance Benefits.

This change in policy was established to reduce the risk of fraud, human error, or late updates to coverage. Dependent verification is also the industry standard and benefits members by reducing overall costs that might occur due to fraudulent claims or benefits paid to those who are ineligible. Dependent verification is a benefit of the My Insurance Benefits system and is an opportunity for ETF to further protect the Trust and its stakeholders.

This will be a significant change for both ETF and for you. To ease the transition, all existing dependents are considered verified. After My Insurance Benefits is live, all members will be required to provide documentation for new dependents. HR Administrators (Employers) will verify the documentation before it is sent to ETF.

Additional communications and training will be provided on this topic in the future. For more information, visit the Life Events Guide on the ETF website.

Future State Processes & Guidance

Introducing the Employer Transaction Application (ETA)

^{All Employers | All Insurance Benefits}

The Employer Transaction Application (ETA) is an application that employers will use when My Insurance Benefits goes live to enter and update their employee demographic, eligibility, and enrollment data to support My Insurance Benefits transactions. Common transactions include new hires, change in job status, change in dependents, change in address, and any demographic and employment updates that impact enrollment and eligibility.

This 8-minute micro training, ETA Demonstration August 2024, will show how an employer will engage with data in both the ETA and My Insurance Benefits. As a reminder, a micro training is a peek into an application’s features. Employers will receive training appropriate for their role as we approach go live.

Enrollment Information

The Importance of Timely Updates

^{All Employers | All Insurance Benefits}

Timely data entry isn’t the most exciting topic, but it is critical to a well-run benefits program.

ETF relies on employers to provide current and correct employee information. Delays in submitting that data can create a host of issues from payroll to invoice discrepancies to questions of coverage eligibility, particularly around terminations and member claims processing.

As open enrollment gets underway, consider how quickly you update employee data with ETF throughout the year, and adjust your internal processes, if needed. ETF recommends updating employee data as soon as it is available to you and updating termed employees within 20 to 30 days.

Employees depend on you as their employer and ETF for benefits that protect their well-being and the well-being of their families. Providing up-to-date data helps everyone to efficiently provide those benefits.

Talking Points for Staff/Members

^{All Employers | All Insurance Benefits}

Here are some talking points you may want to share with your staff:

• On July 1, 2025, ETF will launch a new online system for insurance called My Insurance Benefits, which allows 24/7 and secure access to benefits information and the ability to request changes online.
• Insurance benefits administration, including health, dental, vision, accident, life, and income continuation insurances, will be available in My Insurance Benefits. Long-term care insurance will not be included in the system.
• When My Insurance Benefits is live, all new and existing members that add a dependent will be required to provide documentation to demonstrate a dependent is eligible for coverage. HR Admins will be responsible for verifying dependents and the supporting QLE (Qualifying Life Event) documentation within My Insurance Benefits.

Support

^{Local Employers | All Insurance Benefits}

If you need support related to the implementation of My Insurance Benefits, please contact ETF’s employer liaisons at ETFSMBIASEmployerSetupQuestions@etf.wi.gov.

^{State Employers | All Insurance Benefits}

If you need support related to the implementation of My Insurance Benefits, please contact the IAS Project Manager with whom you currently work.

The information in this publication represents the state of the Insurance Administration System Program at the time of this writing. This is an active program; therefore information is subject to change according to ongoing discovery and testing.