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).
ET-4943 Brochure Active Employee / Retiree / Other Benefit Recipient Administrative Appeal Process This brochure is designed to assist you in understanding the administrative appeals process as it relates to ETF. It is not intended to substitute for the legal advice or assistance of an attorney.