Breakdown of Your Costs by Plan Design

Learn how much you can expect to pay when you visit the doctor, get an X-ray, and more.
Plan Year
    2025
Program Option
    Local High Deductible Health Plan (PO17) & Supplemental Benefits

Breakdown of Your Costs by Plan Design

Learn how much you can expect to pay when you visit the doctor, get an X-ray, and more.
Plan Year
    2025
Program Option
    Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits
ET-7414
Form Active Employee / Retiree / Other Benefit Recipient

Authorization to Disclose Medical Information

This form gives ETF and entities that perform contracted services for ETF permission to release your designated medical information to a person or entity specified by you.

Video
Health Benefits video blank title slide.

Vision Insurance

During Open Enrollment, you may have the option to enroll in vision insurance. This video will provide you with an overview of vision insurance and how to access your benefit information.

Video
Health Benefits video blank title slide.

Dental Insurance

During Open Enrollment, you may have the option to enroll in dental insurance. This video will provide you with an overview of dental insurance and how to access your benefit information.

Video
4 minutes
Health Benefits video blank title slide.

Accident Plan

During Open Enrollment, you may have the option to enroll in accident insurance. This video will provide you with an overview of the Accident Plan and how to access your benefit information. Watch this video at your leisure on demand 24/7.

Following Enrollment

You will receive a welcome brochure in the mail from Optum Financial.

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