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
2025
24ET-2180
Brochure
Active Employee /
Retiree /
Other Benefit Recipient /
Local Employer /
State Employer
For UWs only: This guide provides an overview of the rules, event, and date triggers that enable a qualifying life event and/or change reason to occur.
ET-2384
Form
Active Employee /
Local Employer /
State Employer
The UW will have access to the Employer Transaction Application (ETA) user interface to update employee demographic and eligibility information, new employee enrollments, and employee terminations.
ET-1110
Manual
Active Employee /
Retiree /
Other Benefit Recipient /
Local Employer /
State Employer
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.