ET-2314 Form Local Employer / State Employer Request for Treatment as an Assistance Eligible Individual The American Rescue Plan Act of 2021 (ARP) subsidizes the full COBRA premium for “Assistance Eligible Individuals” for periods of coverage from April 1, 2021 through September 30, 2021.
ET-6303 Form Other Benefit Recipient Notice of Death for Spouse or Dependent Child Notify the third party administrator of the group life insurance program of a member's spouse or dependent death.
24ET-2128 Brochure Active Employee / Retiree / Local Employer 2024 Health Benefits Decision Guide: Local Traditional Plan Insurance for Employees and Retirees 2024 local traditional plan group health benefits decision guide for local employees and retirees
24ET-2168 Brochure Active Employee / Retiree / Local Employer 2024 Health Benefits Decision Guide: Local Health Plan Insurance for Employees and Retirees 2024 local health plan group health benefits decision guide for local employees and retirees.
25ET-2128 Brochure Active Employee / Retiree / Local Employer 2025 Insurance Benefits Decision Guide: Local Traditional Plan Insurance for Employees and Retirees 2025 local traditional plan insurance benefits decision guide for local employees and retirees
25ET-2158 Brochure Active Employee / Retiree / Local Employer 2025 Insurance Benefits Decision Guide: Local Deductible Plan Insurance for Employees and Retirees 2025 local deductible plan insurance benefits decision guide for local employees and retirees.
25ET-2168 Brochure Active Employee / Retiree / Local Employer 2025 Insurance Benefits Decision Guide: Local Health Plan Insurance for Employees and Retirees 2025 local health plan insurance benefits decision guide for local employees and retirees.
25ET-2169 Brochure Active Employee / Retiree / Local Employer 2025 Insurance Benefits Decision Guide: Local HDHP Insurance for Employees and Retirees 2025 local high deductible health plan insurance benefits decision guide for local employees and retirees.