If you prefer to provide your employees with a paper copy of the guide, we will automatically send you the same number of guides as you received last year. If you would like to change the number of copies, contact name, or mailing address, email ETF.
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.
As part of our modernization journey, ETF is partnering with Benefitfocus to implement a best practices-based, fully integrated Insurance Administration System (IAS), known as My Insurance Benefits.
The UW will have access to the Employer Transaction Application (ETA) user interface to update employee demographic and eligibility information, new employee enrollments, and employee terminations.
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
My Benefits Employer News is a monthly newsletter to keep you informed about ETF’s new Insurance Administration System. You’ll learn about system functionality, upcoming policy changes, key dates, system training, and support.