
Download PDF
Summary
Retirees, enroll in health insurance or change your coverage.
You can use the below link to securely submit your Health Insurance Application/Change for Retirees (ET-2331) to ETF.
Retirees, enroll in health insurance or change your coverage.
You can use the below link to securely submit your Health Insurance Application/Change for Retirees (ET-2331) to ETF.
To complete the form electronically, be sure to first download the form, complete using Acrobat Reader, and save.
Submit your completed application securely here.
Note: ETF is unable to assist with Adobe Acrobat Reader technical or compatibility issues. If you need assistance, please visit Adobe’s help site at https://helpx.adobe.com/support/reader.html.