ET-2305
Form Active Employee / Local Employer / State Employer

Evidence of Insurability

Employees who did not enroll for group life insurance coverage during their initial enrollment period, or insured employees who wish to apply for more insurance for themselves or their spouse or dependents, may apply using this form.

Deferred Compensation Board

Insurance Administration System (IAS)

As part of our modernization journey, ETF is partnering with Benefitfocus to implement a best practices-based, fully integrated Insurance Administration System (IAS), known as My Insurance Benefits.