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Notice of Creditable Coverage for Medicare Part D

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
State Employee and Retiree Health Plan & Supplemental Benefits

Report Active Employee / Retiree / Board Member / State Employer

State Income Continuation Insurance Plan Actuarial Valuation 2015

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the State Income Continuation Insurance Plan as of December 31, 2015.

24ET-2180

Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer

2024 Uniform Benefits Certificate of Coverage

This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.

25ET-2180

Brochure Active Employee / Retiree / Other Benefit Recipient / Local Employer / State Employer

2025 Uniform Benefits Certificate of Coverage

This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.

ACA: Marketplace Health Insurance Coverage Options Notice

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
State Employee and Retiree Health Plan & Supplemental Benefits

24ET-2168

Brochure Active Employee / Retiree / Local Employer

2024 Health Benefits Decision Guide: Local Health Plan Insurance for Employees and Retirees

2024 local health plan group health benefits decision guide for local employees and retirees.

Report Active Employee / Retiree / Board Member / Local Employer

Local Income Continuation Insurance Plan Actuarial Valuation 2022

This report presents the results of the annual actuarial valuation of benefit liabilities and costs of the Local Income Continuation Insurance Plan as of December 31, 2022.

25ET-2158

Brochure Active Employee / Retiree / Local Employer

2025 Insurance Benefits Decision Guide: Local Deductible Plan Insurance for Employees and Retirees

2025 local deductible plan insurance benefits decision guide for local employees and retirees.

25ET-2168

Brochure Active Employee / Retiree / Local Employer

2025 Insurance Benefits Decision Guide: Local Health Plan Insurance for Employees and Retirees

2025 local health plan insurance benefits decision guide for local employees and retirees.

25ET-2169

Brochure Active Employee / Retiree / Local Employer

2025 Insurance Benefits Decision Guide: Local HDHP Insurance for Employees and Retirees

2025 local high deductible health plan insurance benefits decision guide for local employees and retirees.