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.

Health Care Flexible Spending Account (FSA)

A Health Care Flexible Spending Account (FSA) allows you to set aside tax-free dollars each year for health care expenses not covered by insurance. You may use these funds to pay for eligible health care expenses incurred by you, your spouse, and your qualified dependents.

Plan Year
  • 2024
Program Option
  • State Employee and Retiree Health Plan & Supplemental Benefits

Health Care Flexible Spending Account (FSA)

A Health Care Flexible Spending Account (FSA) allows you to set aside tax-free dollars each year for health care expenses not covered by insurance. You may use these funds to pay for eligible health care expenses incurred by you, your spouse, and your qualified dependents.

Plan Year
  • 2025
Program Option
  • State Employee and Retiree Health Plan & Supplemental Benefits

Dean Health Plan - Prevea360 West and Mayo Clinic Health System

Major Health Systems
  • Prevea Health Clinics
  • HSHS Health System WI Hospitals & Clinics
  • Mayo Clinic Health System
  • OakLeaf Clinics
  • Black River Memorial Hospital 
Full Service Areas
  • Barron County
  • Buffalo County
  • Chippewa County
  • Crawford County
  • Dunn County
  • Eau Claire County
  • Jackson County
  • La Crosse County
  • Monroe County
  • Pepin County
  • Pierce County
  • St. Croix County
  • Trempealeau County
  • Vernon County
Limited Service Areas
  • Minnesota
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.

Nationwide Access, Out-Of-Network Benefits, Higher Premium

Access Plan by Dean

Major Health Systems

Search for a provider on First Health’s Locate a Provider webpage.

Full Service Areas
  • United States
Limited Service Areas
  • Worldwide

Dean Health Plan - Medica West and Mayo Clinic Health System

Major Health Systems
  • Mayo Clinic
  • Mayo Clinic Health System
  • Northfield Hospital & Clinics
  • OakLeaf Clinics
  • Black River Memorial Hospital 
Full Service Areas
  • Barron County
  • Buffalo County
  • Chippewa County
  • Crawford County
  • Dunn County
  • Eau Claire County
  • Jackson County
  • La Crosse County
  • Monroe County
  • Pepin County
  • Pierce County
  • St. Croix County
  • Trempealeau County
  • Vernon County
Limited Service Areas
  • Minnesota