ET-2155 Form State Employer Group Health Insurance Program Continuation Application For State Employees With 20 Years of WRS-Creditable Service. Employers, complete your sections and then give the form to the employee.
ET-8931 Active Employee / Retiree / Local Employer / State Employer 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.