| Number | Title Sort ascending | Description | Audience |
|---|---|---|---|
| 23ET-2156 | It's Your Choice 2023 Decision Guide: Local Annuitant Health Program (LAHP) | 2023 Local Annuitant Health Program health benefits decision guide for certain local retirees and surviving dependents. |
Retiree, Local Employer |
| ET-1611 | Income Continuation Monthly Premium Report - State | State employers, complete to report monthly premiums for group income continuation insurance. |
State Employer |
| ET-1629 | Income Continuation Monthly Premium Report - Local | Local employers, complete to report monthly premiums for group income continuation insurance. |
Local Employer |
| ET-8918 | Income Continuation Insurance-State Fact Sheet | Income Continuation Insurance (ICI) is an optional insurance that provides replacement income for disabilities that are considered short-term in nature, as well as those which may last for extended periods. |
Active Employee, Retiree, Local Employer, State Employer |
| ET-8931 | Income Continuation Insurance-Local Fact Sheet | Income Continuation Insurance (ICI) is an optional insurance that provides a replacement income for disabilities that are considered short-term in nature, as well as those which may last for extended periods. |
Active Employee, Retiree, Local Employer, State Employer |
| ET-5901 | Income Continuation Insurance Report of Employment and Earnings | Employers, complete this form to notify ETF of a claimant’s change in work status and/or earnings paid to the individual after the elimination period. |
Local Employer, State Employer |
| ET-1330 | Income Continuation Insurance Local Employer Premium Contribution Election | Local government employers participating in the ICI Program must contribute toward ICI premiums for all employees who elect coverage. |
Local Employer |
| ET-5351 | Income Continuation Insurance Employer Statement | Employer report to verify eligibility for an income continuation insurance claim. |
Local Employer, State Employer |
| ET-2366 | Income Continuation Insurance Application--Local Employee | Complete and then submit to your employer to apply for income continuation insurance. |
Active Employee, Local Employer |
| ET-2307 | Income Continuation Insurance Application - State | Complete and then submit to your employer to apply for income continuation insurance. |
Active Employee, Local Employer, State Employer |