25ET-2180
Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer

2025 Uniform Benefits Certificate of Coverage

This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.

ET-7414
Form Active Employee / Retiree / Other Benefit Recipient

Authorization to Disclose Medical Information

This form gives ETF and entities that perform contracted services for ETF permission to release your designated medical information to a person or entity specified by you.

LAHP Cover Image

Local Annuitant Health Program (LAHP)

Learn more about health, dental and wellness benefits - for certain local retirees and surviving dependents.

Plan Year
  • 2025
Program Option
  • Local Annuitant Health Program (LAHP)