The annual insurance benefits open enrollment period is September 30-October 25, 2024. The annual insurance benefits open enrollment allows uninsured but eligible employees and retirees to enroll for coverage effective the following January 1.
ET-1110
Manual
Active Employee /
Retiree /
Other Benefit Recipient /
Local Employer /
State Employer
For UWs only: This guide demonstrates procedures to help support the HR administrative duties within My Insurance Benefits and covers a variety of scenarios, such as enrollment, task management, and document management.
Employers, complete to designate an employee as the agent representing the employer in matters pertaining to the programs administered by the Department of Employee Trust Funds.
ET-4560
Form
Active Employee /
Local Employer /
State Employer
Once an employee returns to work with his or her pre-military leave of absence employer, the employer is required to submit this form along with a copy of the appropriate military paperwork.
Report
Retiree /
Board Member /
Local Employer /
State Employer
A tool for an employer to confirm information was presented to a new employee, due dates identified and appropriate information and forms supplied for all ETF-administered benefits offered by the employer.