ET-4814 Form Active Employee / Retiree / Local Employer Local Employer Verification of Health Insurance Coverage Local employers, complete to submit verification for an employee's or local-paid retiree's health insurance coverage.
ET-2325 Brochure Active Employee / Retiree Converting Your Group Life Insurance to Pay Health or Long-Term Care Insurance Premiums You may be able to convert your Basic group life insurance coverage to pay premiums for health insurance or long‑term care insurance. This brochure explains who is eligible and how conversion works.