Summary of Benefits and Coverage A snapshot of a health plan's costs, benefits, covered healthcare services, and other important features. Program Option State Employee and Retiree Health Plan & Supplemental Benefits Plan Year 2025
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)?
Health and Wellness News Oct 10, 2024 12:00pm Preventive Care and Drugs Coverage in 2025 Open enrollment runs until Oct. 25, 2024. Learn about preventive care and drugs coverage in 2025, where to get free vaccines, diabetes management program, and more.
25ET-2107upb Brochure Active Employee / Retiree / Local Employer / State Employer 2025 Uniform Pharmacy Benefits Certificate of Coverage Uniform Pharmacy Benefits Certificate of Coverage for the 2025 plan year, for all program options.
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.
ET-4814 Form Active Employee / Retiree / Local Employer Local Employer Verification of Health Insurance Coverage Local employers, complete to submit verification for an employee's or local-paid retiree's health insurance coverage.
Equal Employment Opportunity Commission (EEOC) Notice Regarding Wellness Program Program Option Local Annuitant Health Program (LAHP) 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
Medicare Advantage 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 Plan Year 2025
