ET-1908
Form Local Employer / State Employer

Employer Attestation For Documentation Received

Employers, use this form to verify that you viewed the employee’s original required document(s) to verify the employee or dependent(s) is eligible for benefit coverage, as administered by ETF.

Department News
Sep 25, 2023 2:00pm
hand holding tablet, viewing web page

Open Enrollment for Plan Year 2024 is Here

The annual open enrollment period starts today! Group Health Insurance Program members can make health benefits changes effective January 1, 2024. Make the most of it – this is your opportunity to switch to another plan design or add supplemental benefits.