Report Active Employee / Retiree / Board Member / State Employer Accumulated Sick Leave Conversion Credit Program Annual Actuarial Valuation 2002 This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Accumulated Sick Leave Conversion Credit (ASLCC) Programs as of December 31, 2002.
ET-8945 Form Other Benefit Recipient Vendor Privacy Incident Report Use this form to report any possible or confirmed breaches of protected health information (PHI) or personally identifiable information (PII).
ET-7365 Form Active Employee How to Read My Statement of Benefits - Active Employee A sample form of the statement of benefits for an Active Employee.