For the 2022 plan year, the It’s Your Choice decision guide will continue to be a printed guide, as a companion piece to the collection of It’s Your Choice web pages found on the ETF website. Please let ETF know by July 16, 2021 how many paper guides you would like.
ET-2340
Form
Active Employee /
Local Employer /
State Employer
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.
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.
This news for state employers provides information on 2022 insurance rates, as well as updates for the 2022 plan year. The 2022 health benefits open enrollment period is September 27 - October 22, 2021.