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This plan language is intended to be used with the state and local income continuation insurance manuals.

Complete this form to waive your participation in automatic premium conversion, or to revoke a waiver of premium conversion that you filed previously.

A tool for an employer to confirm information was presented to a new employee, due dates identified and appropriate information and forms supplied for all ETF-administered benefits offered by the employer.

ETF recently hosted its 2023 annual open enrollment kickoff meetings and Q&A sessions virtually for state and local employers. Recordings of these events are now available.

Employers may remit contributions and report adjustments for employee FSA/LPFSA/transportation and parking costs.

The income continuation insurance ICI benefit is a voluntary “income replacement” benefit payable if you become disabled.

Complete and then submit to your employer to apply for income continuation insurance.

This Summary Plan Description is a supplement to the Section 125 Cafeteria Plan Document (ET-1904), for members and employees. This publication summarizes the basic features of the plan.

Complete and then submit to your employer to apply for income continuation insurance.