ET-2311 Form Active Employee / Local Employer / State Employer COBRA Continuation - Conversion Notice Under federal law, known as COBRA, you and your qualified beneficiaries may continue group health insurance coverage, if eligible.
24ET-2107upb Brochure Active Employee / Retiree / Local Employer / State Employer 2024 Uniform Pharmacy Benefits Certificate of Coverage Uniform Pharmacy Benefits Certificate of Coverage for the 2024 plan year, for all program options.
Report Active Employee / Board Member / State Employer State Income Continuation Insurance Plan Actuarial Valuation 2022 This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the State Income Continuation Insurance Plan as of December 31, 2022.
23ET-2158sb Brochure Active Employee 2023 Schedule of Benefits: Local Deductible Plan (PO4/14) The Schedule of Benefits explains what medical services the Group Health Insurance Program (GHIP) covers and what you pay for covered services.
23ET-2131sb Brochure Active Employee / Retiree / Local Employer 2023 Schedule of Benefits: Local Traditional Access Plan (PO2/12) The Schedule of Benefits explains what medical services the Group Health Insurance Program (GHIP) covers and what you pay for covered services.
23ET-2107sb Brochure Active Employee 2023 Schedule of Benefits: IYC Health Plan (PO1, PO6/16, PO8) The Schedule of Benefits explains what medical services the Group Health Insurance Program (GHIP) covers and what you pay for covered services.
23ET-2107sbhd Brochure Active Employee 2023 Schedule of Benefits: High Deductible Health Plan (HDHP) (PO1, PO7/17) The Schedule of Benefits explains what medical services the Group Health Insurance Program (GHIP) covers and what you pay for covered services.
24ET-2107sb Brochure Active Employee 2024 Schedule of Benefits: IYC Health Plan (PO1, PO6/16, PO8) The Schedule of Benefits explains what medical services the Group Health Insurance Program (GHIP) covers and what you pay for covered services.
24ET-2107sbhd Brochure Active Employee 2024 Schedule of Benefits: High Deductible Health Plan (HDHP) (PO1, PO7/17) The Schedule of Benefits explains what medical services the Group Health Insurance Program (GHIP) covers and what you pay for covered services.
24ET-2158sb Brochure Active Employee 2024 Schedule of Benefits: Local Deductible Plan (PO4/14) The Schedule of Benefits explains what medical services the Group Health Insurance Program (GHIP) covers and what you pay for covered services.