ET-1518
Form State Employer

Flexible Spending Account Continuation Election Form

Employers must issue this notice to employees within 14 days of becoming aware of a qualifying event that will cause an employee to lose eligibility to participate in the FSA or limited purpose FSA program(s).

ET-9019
Active Employee / Retiree / Local Employer / State Employer

Local Annuitant Health Program Fact Sheet

LAHP is a program that provides group health insurance for retirees whose group health insurance with their former employer does not meet their needs or is not permanently available after retirement.

In-Network Health Services

Learn how much it will cost to visit the doctor, have labs drawn, get an X-ray and more.

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

Breakdown of Your Costs by Plan Design

Learn how much you can expect to pay when you visit the doctor, get an X-ray and more.
Plan Year
    2024
Program Option
    Local Traditional Health Plan with Uniform Dental (PO2) & Supplemental Benefits

Breakdown of Your Costs by Plan Design

Learn how much you can expect to pay when you visit the doctor, get an X-ray and more.
Plan Year
    2024
Program Option
    Local Traditional Health Plan (PO12) & Supplemental Benefits

Out-Of-Network Health Services for Access Plans

Out-of-network services are only available with the Access Plan and Access HDHP. Learn how much it will cost to visit the doctor, have labs drawn, get an X-ray, and more.

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

Breakdown of Your Costs by Plan Design

Learn how much you can expect to pay when you visit the doctor, get an X-ray and more.
Plan Year
    2024
Program Option
    Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits