Income Continuation Insurance (ICI)
Description: The plan provides up to 75% of gross wages as replacement income if you become disabled. Benefits begin after a selected waiting period (minimum of 30 consecutive calendar days) or use of accumulated sick leave (up to 130 days), whichever is longer. There are two coverage levels: Standard ICI covers earnings up to $64,000; Supplemental ICI covers earnings from $64,001 to $120,000.
WI Department of Employee Trust Funds (ETF)
Send questions to: email@example.com
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Application | Submit to your Payroll & Benefits OfficeIncome Continuation Insurance Application, ET-2307
Evidence of Insurability | Submit to ETF
Evidence of Insurability, ET-2308
If you do not enroll for ICI coverage when you are first eligible, you can enroll only by completing an Evidence of Insurability application.
Sick Leave Usage | Submit to the Office of Human Resources, 21 N. Park St., Suite 5101
Sick Leave Usage Election at Time of Claim, UW1456
Complete this form only if you are applying for a WRS Disability annuity, an LTDI benefit, or a § 40.65 Duty Disability benefit from the Department of Employee Trust Funds at the same time that you are applying for Income Continuation Insurance benefits.