ET-1907
Form Local Employer / State Employer

No Taxpayer Identification Number

A tool for an employer to confirm information was presented to a new employee, due dates identified and appropriate information and forms supplied for all ETF-administered benefits offered by the employer.

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.

National Medical Support Notice

Program Option
  • Local Deductible Health Plan (PO14) & Supplemental Benefits
  • Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits
  • Local Health Plan (PO16) & Supplemental Benefits
  • Local Health Plan with Uniform Dental (PO6) & Supplemental Benefits
  • Local High Deductible Health Plan (PO17) & Supplemental Benefits
  • Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits
  • Local Traditional Health Plan (PO12) & Supplemental Benefits
  • Local Traditional Health Plan with Uniform Dental (PO2) & Supplemental Benefits
  • State Employee and Retiree Health Plan & Supplemental Benefits
My Benefits Employer News
Aug 2, 2024 9:00am

My Benefits Employer News July 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.

Employer News
Sep 12, 2024 8:00am

ETF Updates MEBS Links

The direct links to the online “myETF Benefits” applications on the ETF website are changing due to an application update. Please update your links.

Employer News
Nov 1, 2022 9:00am

Gender Change Policy Update

ETF has updated its gender change policy, effective November 1, 2022. The updated policy simplifies the process for members submitting gender change requests to ETF.