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ET-1611

Form State Employer

Income Continuation Monthly Premium Report - State

State employers, complete to report monthly premiums for group income continuation insurance.

Active Employee / Retiree / Board Member / Local Employer / State Employer

Group Insurance Board Letter (5-8-17) to Joint Committee on Finance

Active Employee / Retiree / Board Member / Local Employer / State Employer

Group Insurance Board Letter (5-26-17) to Joint Committee on Finance

ICI Rate Tables

ICI Rate Tables, which are effective from February 1 to January 31 of the following year.

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).

Report Active Employee / Board Member / Local Employer

Local Income Continuation Insurance Plan Actuarial Valuation 2003

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Local Income Continuation Insurance Plan as of December 31, 2003.

Report Active Employee / Retiree / Board Member / Local Employer

Local Income Continuation Insurance Plan Actuarial Valuation 2006

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Local Income Continuation Insurance Plan as of December 31, 2006.

Report Active Employee / Board Member / Local Employer

Local Income Continuation Insurance Plan Actuarial Valuation 2009

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Local Income Continuation Insurance Plan as of December 31, 2009.

Report Active Employee / Board Member / Local Employer

Local Income Continuation Insurance Plan Actuarial Valuation 2008

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Local Income Continuation Insurance Plan as of December 31, 2008.

Report Active Employee / Board Member / Local Employer

Local Income Continuation Insurance Plan Actuarial Valuation 2010

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Local Income Continuation Insurance Plan as of December 31, 2010.