ET-6301
Form Other Benefit Recipient

Notice of Death

Notify the third party administrator of the group life insurance program of a member death.

Employer News
Nov 23, 2022 8:00am

State Group Life Insurance Premium Rates Effective April 1, 2023

The Group Insurance Board moved forward with the 5% increase to the employee premium rates effective April 1, 2023. For rates effective April 1, 2023 - March 31, 2024, please see Group Life Insurance Plan Monthly Rates (ET-2164).

Employer News
Nov 10, 2021 12:00pm

State Group Life Insurance Premium Rates Effective April 1, 2022

The Group Insurance Board (Board) moved forward with the 5% increase to the employee premium rates effective April 1, 2022. For rates effective April 1, 2022 - March 31, 2023, please see Group Life Insurance Plan Monthly Rates (ET-2164).

ET-7414
Form Active Employee / Retiree / Other Benefit Recipient

Authorization to Disclose Medical Information

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-5103
Brochure Active Employee

Duty Disability and Survivor Benefits

The Duty Disability Insurance Program is an income replacement program. Duty disability benefits may be payable to protective occupation participants if you have been injured while performing your duties or contracted a disease due to your occupation.