Medicare Health Plan Premium Rates

How much you will pay each month for your health care premium.
Plan Year
    2026
Program Option
    Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits

Medicare Health Plan Premium Rates

How much you will pay each month for your health care premium.
Plan Year
    2026
Program Option
    Local Health Plan with Uniform Dental (PO6) & Supplemental Benefits

Medicare Health Plan Premium Rates

How much you will pay each month for your health care premium.
Plan Year
    2026
Program Option
    Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits

Medicare Health Plan Premium Rates

How much you will pay each month for your health care premium.
Plan Year
    2026
Program Option
    Local High Deductible Health Plan (PO17) & Supplemental Benefits

Medicare Health Plan Premium Rates

How much you will pay each month for your health care premium?
Plan Year
    2026
Program Option
    Local Traditional Health Plan with Uniform Dental (PO2) & Supplemental Benefits

Medicare Health Plan Premium Rates

How much you will pay each month for your health care premium?
Plan Year
    2026
Program Option
    Local Traditional Health Plan (PO12) & Supplemental Benefits

Medicare Health Plan Premium Rates

How much you will pay each month for your health care premium.
Plan Year
    2026
Program Option
    Local Deductible Health Plan (PO14) & Supplemental Benefits
ET-2385
Form Active Employee / Local Employer / State Employer

Health Savings Account (HSA) Enrollment

For UWs use only, as a paper alternative for a member who cannot complete their HSA enrollment online.

Department News
Nov 10, 2025 12:00pm

Take the Health Insurance Survey

ETF wants to know about your preferences for paying for health insurance. Please complete the Group Health Insurance Program Plan Design Survey for Members by Monday, December 1, 2025.