Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Wisconsin Department of Employee Trust Funds. Before sending anything sensitive, confirm the number and receiving department directly with Wisconsin Department of Employee Trust Funds, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.
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Wisconsin Department of Employee Trust Funds fax number
(608) 267-4549
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Health Insurance
Used for: Health Insurance Application/Change submission (ET-2301) for enrollment or changes to the State Group Health Insurance Program; open enrollment, new hire, life events.
Fax destination details
- Department
- Health Insurance
- Purpose
- Health Insurance Application/Change submission (ET-2301) for enrollment or changes to the State Group Health Insurance Program; open enrollment, new hire, life events.
- Form
- ET-2301 — Health Insurance Application/Change Form
- Address
- P.O. Box 7931, Madison, WI 53707-7931
- Voice phone
- 1-877-533-5020
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete subscriber information, select the reason for enrollment/change, and submit to your employer's benefits office or ETF. Mail to ETF: P.O. Box 7931, Madison, WI 53707-7931; fax to 608-267-4549. See ETF's Health Insurance Application/Change Form for details.
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