Delivery box with medications sitting on table

Mail-Order Pharmacy Benefits

Save money and have your prescriptions delivered to your door by using the mail-order pharmacy.

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

What a Guardian Can Do

Each time a guardian makes a request on behalf of a member, ETF will review the Letters of Guardianship of the Estate. The request will be approved or denied based on the authority granted in the letters.

ET-1113
Manual Local Employer / State Employer

Employer Transaction Application Guide

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-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.

My Benefits Employer News
Apr 3, 2025 9:30am

My Benefits Employer News April 3, 2025

My Benefits Employer News is a monthly newsletter to keep you informed about ETF’s new Insurance Administration System. You’ll learn about system functionality, upcoming policy changes, key dates, system training, and support.