This is the Model Notice for COBRA Continuation Subsidy under the American Rescue Plan [ARP] Act of 2021. Employers please note that information for qualified beneficiaries must be completed.
ET-2311
Form
Active Employee /
Local Employer /
State Employer
Supplemental Benefit Plans are types of insurance that are generally supplementary to group health insurance, providing coverage for dental, vision, accidental injury, or accidental death and voluntary for eligible employees and retirees.
This plan document provides provisions on the Commuter Fringe Benefits Accounts, such as plan administration, eligibility, participation, and termination.
This Summary Plan Description is a supplement to the Section 125 Cafeteria Plan Document (ET-1904), for members and employees. This publication summarizes the basic features of the plan.
Flyer
Active Employee /
Retiree /
Local Employer /
State Employer
This document for State, UW and Local retirees describes the health plans that offer out-of-state coverage for routine care and what to expect while you're out of network.