ET-6301
Form Other Benefit Recipient

Notice of Death

Notify the third party administrator of the group life insurance program of a member death.

ET-7414
Form Active Employee / Retiree / Other Benefit Recipient

Authorization to Disclose Medical Information

This form gives ETF and entities that perform contracted services for ETF permission to release your designated medical information to a person or entity specified by you.

Financial Power of Attorney

Your WRS account information is confidential, and no one can receive information about or make changes to your account unless authorized. You can authorize another person to make changes to your account by submitting a financial power of attorney document to ETF.

ET-5103
Brochure Active Employee

Duty Disability and Survivor Benefits

The Duty Disability Insurance Program is an income replacement program. Duty disability benefits may be payable to protective occupation participants if you have been injured while performing your duties or contracted a disease due to your occupation.

ET-5108
Brochure Active Employee / Retiree

Long-Term Disability Insurance

LTDI is a disability insurance benefit under the WRS that is meant to provide an income to members who have become totally and permanently disabled. This program was closed to new claims January 1, 2018.

ET-5107
Brochure Active Employee / Retiree

Disability Retirement Benefits

A disability retirement benefit is a lifetime annuity paid to eligible WRS employees who become disabled and are unable to work until normal retirement age.

ET-2405
Form Active Employee / Retiree

ETF Insurance Complaint Form

If you filed a grievance with the plan or benefit administrator and are dissatisfied with the final decision, you can request an administrative review from ETF.