Sick Leave Credits FAQs

Find answers to common questions about the Accumulated Sick Leave Credit Conversion Program.

Program Option
  • State Employee and Retiree Health Plan & Supplemental Benefits
ET-2545
Form Active Employee

Additional Contributions Remittance

If you choose to make voluntary additional employee paid contributions, complete and return this form with your payment.

HSA Eligible Expenses

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

Annual Requirements for Disability Benefits

Each year, recipients of disability benefits must complete and submit form(s) to ensure that their benefits continue without interruption. It is crucial that all required forms are submitted timely to prevent suspension of the benefit.

Transit Account

A Transit Account allows you use pre-tax dollars to pay for eligible mass transit expenses related to your commute to and from work.

Plan Year
  • 2025
Program Option
  • State Employee and Retiree Health Plan & Supplemental Benefits

In-Network Health Services

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