ICI Rate Tables

ICI Rate Tables, which are effective from February 1 to January 31 of the following year.

ET-4938
Form Active Employee / Retiree / Other Benefit Recipient

Appeal Form

Submit this completed form to ETF to appeal a determination regarding your ETF-administered benefit(s).

Department News
Mar 12, 2025 4:00pm
Graphic design representing the Group Health Insurance Program

GIB Approves Benefit Changes for 2026

Today, the Group Insurance Board approved benefit changes for plan year 2026. In addition, the Board decided to not adjust cost-sharing for any of the Group Health Insurance Program plan designs offered.

Nurse helping support a patient with a cane

Long-Term Care Insurance

Available to state employees and retirees. Long-term care insurance covers medical services, such as nursing care or therapies. It also includes supportive services, such as bathing, dressing, getting in and out of bed, taking medicines, or preparing meals.

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

You or Your Dependent Has a Medicare Coverage Change (Retirees and Survivors Only)

Experiencing this life event may allow you to make changes to your accident plan or health, dental, vision, or long-term care insurance.

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