It's Your Choice 2013 - Decision Guide (ET-2128d-13) - ETF

Table of Contents
Choose Wisely.....................................................................2
Important Changes .........................................................2
Frequently Asked Questions ...........................................7
Choose Your Health Plan..................................................14
Introduction to Health Plan Options.............................14
Health Plan 2013 Premium Rates..................................16
Local Health Plan Tiers...................................................19
Health Plan Map 2013....................................................20
Comparison of Benefit Options.....................................22
Health Plan Features — At a Glance...........................26
Health Plan Descriptions................................................31
Choose Quality..................................................................59
Health Plan Report Card ..............................................59
Grievance and Complaint Information.......................65
Other Quality Information Resources...........................67
Other Benefits and Information........................................68
Pharmacy Benefits ........................................................68
Notice of Creditable Coverage...................................72
Life Insurance..................................................................74
myETF Benefits System Instructions and Information......76
Group Health Insurance Applications.............................78
Glossary..............................................................................88
Health Plan Contact Information......... Inside Back Cover
Oshkosh
Sawdust Days
Photos courtesy of the Wisconsin Department of Tourism
and the Iron River Lions.
Every effort has been made to ensure that the information in this
booklet is accurate. In the event of conflicting information, state
statute, state health contracts, and/or policies and provisions
established by the State of Wisconsin Group Insurance Board
shall be followed.
Decision Guide Page 1