These terms govern a member's use of ETF online service, enrollment in available ETF insurance benefits, and receipt of available ETF insurance benefits.
ET-4938
Form
Active Employee /
Retiree /
Other Benefit Recipient
For UWs only: This guide demonstrates procedures to help support the HR administrative duties within My Insurance Benefits and covers a variety of scenarios, such as enrollment, task management, and document management.
This document, “Long-Term Care Insurance Standards,” serves as a resource for insurers interested in offering state employees and retirees long-term care insurance (LTCI).
An eligible expense is a health care service, treatment, or item the IRS states can be paid for without taxes. Eligible expenses can be incurred by you, your spouse, or qualified dependents. The Health Savings Account (HSA) can only be used to pay for eligible medical expenses incurred after your HSA was established.
Program Option
State Employee and Retiree Health Plan & Supplemental Benefits
Plan Year
2025
Report
Active Employee /
Retiree /
Other Benefit Recipient /
Board Member /
Local Employer /
State Employer