Attend this webinar on April 17 to learn how your Social Security, WRS pension, and deferred compensation savings account can bring you closer to a secure financial retirement.
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.
ET-4925
Brochure
Active Employee /
Retiree /
Other Benefit Recipient