ET-6301
Form Other Benefit Recipient

Notice of Death

Notify the third party administrator of the group life insurance program of a member death.

ET-4938
Form Active Employee / Retiree / Other Benefit Recipient

Appeal Form

Submit this completed form to ETF to appeal a determination regarding your ETF-administered benefit(s).

My Benefits Employer News
Apr 3, 2025 9:30am

My Benefits Employer News April 3, 2025

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.

My Benefits Employer News
Apr 22, 2025 5:00pm

My Benefits Employer News April 22, 2025

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.

My Benefits Employer News
Apr 30, 2025 5:00pm

My Benefits Employer News April 30, 2025

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.

My Benefits Employer News
Jun 17, 2024 9:00am

My Benefits Employer News June 2024

Welcome to My Benefits Employer News, 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.

My Benefits Employer News
Sep 23, 2024 9:00am

My Benefits Employer News September 2024

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.

My Benefits Employer News
Mar 25, 2025 10:00am

My Benefits Employer News March 2025

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.