State Group Health Insurance

  1. Overview
  2. Health Plans
  3. Marketplace
  4. Publications
  5. Forms

Plan Overview

Description: The State Group Health insurance plan provides comprehensive medical, hospital, pharmaceutical, mental and behavioral benefits and offers an option for preventive dental coverage.

Premiums

Health Insurance Monthly Premiums by Employee Category

Learn More

Pharmacy Benefits Manager

Navitus Health Solutions

Administered by

WI Department of Employee Trust Funds (ETF)

Send questions to: benefits@ohr.wisc.edu

Health Plans

Comparison of Medical Benefits 2018

Health Plan Provider Ratings from 2017

Choose a Provider Network

There are three Health Maintenance Organizations (HMOs) and one Preferred Provider Organization (PPO) available in Dane County, WI where the main UW-Madison campus is located:

  • Dean Health Plan
    Website | Providers
    • Toll-free: (800) 279-1301
    • TTY: Dial 711
  • Group Health Cooperative of South Central Wisconsin (GHC-SCW)
    Website | Providers
    • Local Phone: (608) 828-4853
    • Toll-free: (800) 605-4327
    • TTY: Dial 711
  • Quartz UW
    Website | Providers
    • Toll-free: (844) 644-3455
    • TTY: Dial 711

The Access Plan is also available in Dane County, WI and features a state-wide and national network of providers.

If you live in another Wisconsin County, you can use the Health Plan by County tool to locate Health Plans available in your county:
Health Plan Map 2018

Federal Health Insurance Marketplace

Beginning in 2014, the Affordable Care Act (ACA) requires nearly everyone to obtain health insurance for themselves and their dependents or pay a penalty when filing their tax returns. The Health Insurance Marketplace is a new option for people to obtain health insurance. You are not required to take action if you currently have health insurance.

The Marketplace has no impact on your coverage under the State Group Health Insurance plan offered at the UW. However, those who are not eligible for health insurance through their employment at the University of Wisconsin may want to consider coverage offered though the Marketplace.

If you have questions about your eligibility for health insurance through your employment, contact Madison Benefits Services by email: benefits@ohr.wisc.edu or by phone: (608) 262-5650.

Frequently Asked Questions

Additional Resources

Forms

Note: Use Adobe Reader to open and complete PDF forms.
MAC Users: Do not use "Preview", a PDF reader.

Applications | Submit to your Payroll & Benefits Office

Affidavit for Non-citizen Insurance | Submit to your Payroll & Benefits Office

Affidavit for Insurance Purposes, UWS 93
Complete this form if you are unable to provide a Social Security Number for a non-citizen spouse or non-citizen eligible dependent. Submit the Affidavit with your application.

Health Insurance During Military Leave

Health Insurance Election For Military Service Personnel, ET-2350