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Designate an attorney-in-fact to act in your stead for an appeal to ETF.

Employers, use this form to verify that you viewed the employee’s original required document(s) to verify the employee or dependent(s) is eligible for benefit coverage, as administered by ETF.

Income Continuation Insurance (ICI) is an optional insurance that provides replacement income for disabilities that are considered short-term in nature, as well as those which may last for extended periods.

Physician report to verify eligibility for an income continuation insurance claim.

This plan language is intended to be used with the state and local income continuation insurance manuals.

As part of transferring files to SharePoint Online employers will need to use Multi-Factor Authentication (MFA). This page provides guides to setting up common MFA applications.

Employer report to verify eligibility for an income continuation insurance claim.

This brochure is designed to assist you in understanding the administrative appeals process as it relates to ETF. It is not intended to substitute for the legal advice or assistance of an attorney.

The income continuation insurance (ICI) benefit is a voluntary income replacement benefit payable if you become disabled.

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the State Income Continuation Insurance Plan as of December 31, 2019.