Here for open enrollment? Just start a new job? Or have a baby? Start here to find out when you can enroll or make changes to your benefits and the steps to make those changes
Plan Year
2025
Program Option
Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits
Here for open enrollment? Just start a new job? Or have a baby? Start here to find out when you can enroll or make changes to your benefits and the steps to make those changes
Plan Year
2025
Program Option
Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits
Here for open enrollment? Just start a new job? Or have a baby? Start here to find out when you can enroll or make changes to your benefits and the steps to make those changes
Plan Year
2025
Program Option
Local Deductible Health Plan (PO14) & Supplemental Benefits
Each time a guardian makes a request on behalf of a member, ETF will review the Letters of Guardianship of the Estate. The request will be approved or denied based on the authority granted in the letters.
ET-7414
Form
Active Employee /
Retiree /
Other Benefit Recipient
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.
Active Employee /
Retiree /
Board Member /
Local Employer /
State Employer
