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-4925
Brochure Active Employee / Retiree / Other Benefit Recipient

How Divorce Can Affect Your WRS Benefits

Information on how a divorce may affect WRS benefits, beneficiary designations as well as information for the alternate payee.