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.
Enrolling For Coverage FAQs Program Option Local Deductible Health Plan (PO14) & Supplemental Benefits Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits Local Health Plan (PO16) & Supplemental Benefits Local Health Plan with Uniform Dental (PO6) & Supplemental Benefits Local High Deductible Health Plan (PO17) & Supplemental Benefits Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits Local Traditional Health Plan (PO12) & Supplemental Benefits Local Traditional Health Plan with Uniform Dental (PO2) & Supplemental Benefits State Employee and Retiree Health Plan & Supplemental Benefits
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.
ET-6303 Form Other Benefit Recipient Notice of Death for Spouse or Dependent Child Notify the third party administrator of the group life insurance program of a member's spouse or dependent death.
Employer News Jun 4, 2024 11:00am New Local Employer Training: Premium Contributions Part 2 How much do employers contribute toward premiums for health insurance? Is it different than premiums for life or income continuation insurance (ICI)?
COBRA: Continuation of Coverage Rights for the Group Health Insurance Program Program Option Local Deductible Health Plan (PO14) & Supplemental Benefits Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits Local Health Plan (PO16) & Supplemental Benefits Local Health Plan with Uniform Dental (PO6) & Supplemental Benefits Local High Deductible Health Plan (PO17) & Supplemental Benefits Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits Local Traditional Health Plan (PO12) & Supplemental Benefits Local Traditional Health Plan with Uniform Dental (PO2) & Supplemental Benefits State Employee and Retiree Health Plan & Supplemental Benefits
Summary of Benefits and Coverage A snapshot of a health plan's costs, benefits, covered healthcare services, and other important features. Program Option Local Traditional Health Plan (PO12) & Supplemental Benefits Local Traditional Health Plan with Uniform Dental (PO2) & Supplemental Benefits Plan Year 2025
Summary of Benefits and Coverage A snapshot of a health plan's costs, benefits, covered healthcare services, and other important features. Program Option Local High Deductible Health Plan (PO17) & Supplemental Benefits Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits Plan Year 2025
Summary of Benefits and Coverage A snapshot of a health plan's costs, benefits, covered healthcare services, and other important features. Program Option Local Deductible Health Plan (PO14) & Supplemental Benefits Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits Plan Year 2025
Summary of Benefits and Coverage A snapshot of a health plan's costs, benefits, covered healthcare services, and other important features. Plan Year 2025 Program Option Local Annuitant Health Program (LAHP)