Effective immediately, employers must send ETF this form to verify that they have personally viewed their employees’ original required documents to verify benefit coverage eligibility.
The myETF Benefits System will now show errors if a marital status or marital status date is not supplied when entering transactions manually or sending XML files. These error messages were added to improve customer service and reduce contract activity errors.
ETF requires a member’s ITIN or SSN to administer benefits. What should employers do when you have employees or their dependents without one of these numbers?
ET-4427
Form
Active Employee /
Retiree /
Other Benefit Recipient
Form for the member’s physician to complete if the member cannot manage property, finances or business affairs because of an impairment in the ability to receive and evaluate information or make or communicate decisions even with the use of technological assistance.
Flyer
Active Employee /
Retiree /
Other Benefit Recipient /
Board Member /
Local Employer /
State Employer
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.