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.
ET-4620
Form
Active Employee /
Local Employer /
State Employer
This application is intended for insured employees who are terminating private pension employment, who may qualify to continue life insurance coverage.
A resource to keep local employers informed about the new Insurance Administration System project and the status of the implementation. Local employers can learn about the project, register for upcoming meetings, and view past meeting recordings.
Employers may choose to offer more benefits to their employees including supplemental dental, vision, accident plan, and long-term care insurance. State employers may also offer pre-tax savings accounts.
The Board has extended the ICI premium holiday for 2023, based on the strong financial position of the local ICI plan. This means that employers and employees will not pay premiums for either standard or supplemental ICI coverage.