You and/or your insured dependents must be enrolled for both portions of Medicare (Hospital Part A and Medical Part B), when first eligible. Provide this information to ETF using this form.
Report
Active Employee /
Retiree /
Board Member /
Local Employer /
State Employer
This report presents the results of the Annual Actuarial Valuation of benefit liabilities and costs of the Duty Disability Program as of January 1, 2016.
ET-7414
Form
Active Employee /
Retiree /
Other Benefit Recipient
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.
If you retired due to a disability, you may be eligible for Medicare benefits. Medicare eligibility related to disability is available to persons who have received Social Security disability benefits for at least 24 months, who have End Stage Renal Disease (ESRD), or Lou Gehrig’s Disease (ALS).
Jun 30, 2012 8:00am Report
Active Employee /
Retiree /
Other Benefit Recipient /
Board Member /
Local Employer /
State Employer
Register for the popular "Your Steppingstones to Retirement" webinar on November 15 or watch the recorded session any time. Check out the financial wellness educational materials and tools on the WDC website, as well as general updates for WDC participants.
Report
Active Employee /
Board Member /
Local Employer /
State Employer