Pre-Retirees – Required Documents

Required Documents

Required Documents

The following is a list of documents you will need to enroll in your EUTF retiree health and life insurance benefits.

After filing your retirement application with the Employees’ Retirement System (ERS), please submit the following to the EUTF:

If you’re Medicare eligible (age 65+ or qualified disabled), you must also submit:

If you are adding a dependent(s), you must also submit:

  • Marriage certificate*
  • Birth certificate*
  • Full-time Student Registrar letter or National Student Clearinghouse certificate*

If you will be paying all or a portion of your health benefit premium, you must enroll in one of the automatic premium deduction options below:

*All required forms listed above must be submitted within 60 days of your Retirement Date and before EUTF can process your and/or your dependent’s enrollment into any health benefit plan.

Optional Forms: