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.
Local Annuitant Health Program (LAHP) Learn more about health, dental and wellness benefits - for certain local retirees and surviving dependents. Plan Year 2024 Program Option Local Annuitant Health Program (LAHP)
Local Annuitant Health Program (LAHP) Learn more about health, dental and wellness benefits - for certain local retirees and surviving dependents. Plan Year 2025 Program Option Local Annuitant Health Program (LAHP)
ET-1660 Form Local Employer Local Employer Paid Life Insurance Coverage Local employers, please submit this verification if you will be paying for an employee’s life insurance coverage in retirement.
Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits Sign up and learn more about your health, dental and wellness benefits. Plan Year 2024 Program Option Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits
Local Deductible Health Plan (PO14) & Supplemental Benefits Sign up and learn more about your health, dental and wellness benefits. Plan Year 2024 Program Option Local Deductible Health Plan (PO14) & Supplemental Benefits
Local Health Plan with Uniform Dental (PO6) & Supplemental Benefits Sign up and learn more about your health, dental and wellness benefits. Plan Year 2024 Program Option Local Health Plan with Uniform Dental (PO6) & Supplemental Benefits
Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits Sign up and learn more about your health, dental and wellness benefits. Plan Year 2024 Program Option Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits
Local Health Plan (PO16) & Supplemental Benefits Sign up and learn more about your health, dental and wellness benefits. Plan Year 2024 Program Option Local Health Plan (PO16) & Supplemental Benefits
Local High Deductible Health Plan (PO17) & Supplemental Benefits Sign up and learn more about your health, dental and wellness benefits. Plan Year 2024 Program Option Local High Deductible Health Plan (PO17) & Supplemental Benefits
