25ET-4113 Brochure Retiree / Local Employer / State Employer 2025 Medicare Plus Certificate of Coverage Certificate of Coverage for the Medicare Plus Plan for the 2025 plan year.
25ET-2180 Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer 2025 Uniform Benefits Certificate of Coverage This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.
25ET-2107upb Brochure Active Employee / Retiree / Local Employer / State Employer 2025 Uniform Pharmacy Benefits Certificate of Coverage Uniform Pharmacy Benefits Certificate of Coverage for the 2025 plan year, for all program options.
25ET-2100ccd Brochure Retiree 2025 Medicare Advantage Evidence of Coverage - Deductible Medicare Advantage, with deductible, Evidence of Coverage for the 2025 plan year.
25ET-2100cc Brochure Retiree 2025 Medicare Advantage Evidence of Coverage - Non-deductible This Evidence of Coverage provides details about Medicare health care coverage for the 2025 plan year.
24ET-4113 Brochure Retiree / Local Employer / State Employer 2024 Medicare Plus Certificate of Coverage Certificate of Coverage for the Medicare Plus Plan for the 2024 plan year.
24ET-2180 Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer 2024 Uniform Benefits Certificate of Coverage This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.
24ET-2107upb Brochure Active Employee / Retiree / Local Employer / State Employer 2024 Uniform Pharmacy Benefits Certificate of Coverage Uniform Pharmacy Benefits Certificate of Coverage for the 2024 plan year, for all program options.
24ET-2100ccd Brochure Retiree 2024 Medicare Advantage Evidence of Coverage - Deductible Medicare Advantage, with deductible, Evidence of Coverage for the 2024 plan year.
24ET-2100cc Brochure Retiree 2024 Medicare Advantage Evidence of Coverage - Non-deductible This Evidences of Coverage provides details about Medicare health care coverage from January 1, 2024 - December 31, 2024.