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-1419
Aug 19, 2020 3:42pm Form
Local Employer /
State Employer
ETF will, consistent with the state’s Public Records Law, provide information regarding ETF’s affairs, except for individual personal information restricted by statute.
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.