ET-4620 Form Active Employee / Local Employer / State Employer Employee/Employer Certification Annuitant Continuant Coverage--Private Pension Fund This application is intended for insured employees who are terminating private pension employment, who may qualify to continue life insurance coverage.
Benefit Enrollment Opportunities Learn about the times throughout the year when you may enroll in health and supplemental insurance benefits, or change your coverage. Plan Year 2025 Program Option State Employee and Retiree Health Plan & Supplemental Benefits