ET-2385
Form Active Employee / Local Employer / State Employer

Health Savings Account (HSA) Enrollment

For UWs use only, as a paper alternative for a member who cannot complete their HSA enrollment online.

ET-4121
Brochure Active Employee

Buying Creditable Service

This brochure describes the types of service you may be eligible to buy, the benefits and restrictions on the purchases, and how and when you can buy service.

Flyer Active Employee / Retiree / Other Benefit Recipient / Board Member / Local Employer / State Employer

Hill Farms 1st Meeting Rooms-Map Only

A map of the first floor of the Hill Farms building labeled with room numbers and an arrow to the main entrance lobby.

ET-7414
Form Active Employee / Retiree / Other Benefit Recipient

Authorization to Disclose Medical Information

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.

Enrollment Information

Learn how to enroll in a pre-tax saving account during open enrollment, as a new hire, or when you have experienced a qualifying life event.

Program Option
  • State Employee and Retiree Health Plan & Supplemental Benefits
Plan Year
  • 2025