Report Active Employee / Retiree / Board Member / Local Employer / State Employer Long-Term Disability Insurance Actuarial Valuation 2010 This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Long-Term Disability Insurance Plan (LTDI) as of December 31, 2010.
ET-5352 Form Active Employee Income Continuation Insurance Claim Instructions Use this form to file a paper income continuation insurance (ICI) claim.
ET-5901 Form Local Employer / State Employer 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.