ET-2384 Form Active Employee / Local Employer / State Employer Employee Reimbursement Accounts (ERA) Enrollment For UWs use only, as a paper alternative for a member who cannot complete their ERA enrollment online.
24ET-2108sb Brochure Retiree 2024 Schedule of Benefits: Health Plan Medicare & Local Traditional Plan (PO1, PO2/12, PO6/16, PO7/17, PO8) The Schedule of Benefits explains what medical services the Group Health Insurance Program (GHIP) covers and what you pay for covered services.
25ET-2108sb Brochure Retiree 2025 Schedule of Benefits: Health Plan Medicare & Local Traditional Plan (PO1, PO2/12, PO6/16, PO7/17, PO8) 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.
25ET-2107sb Brochure Active Employee 2025 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.
25ET-2107sbhd Brochure Active Employee 2025 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.
25ET-2158sb Brochure Active Employee 2025 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.
25ET-2108sbs Brochure Retiree 2025 Schedule of Benefits: Local Traditional SMP (PO2/12) The Schedule of Benefits explains what medical services the Group Health Insurance Program (GHIP) covers and what you pay for covered services.