State of Wisconsin Employees
General Information
The information given here is only a general outline of benefits, limitations,
and exclusions. You can find a more detailed description of coverage in the
applicable certificate of insurance. A certificate will be issued to each employee
who becomes insured under the plan.
The words "charge" and "charges" as used mean an amount we determine
as reasonable, considering factors such as the amount providers charge for similar services
and supplies provided in the same geographic area.
Coverage is subject to all terms and conditions of the policy, which is your contract of
insurance. The policy consists of the group master policy, including the application and all
policy riders and endorsements.
