Level 4 self-injectables and specialty medications are available through specific pharmacies for non-Medicare members while members on Medicare have some additional pharmacy options.
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
ET-2311
Form
Active Employee /
Local Employer /
State Employer
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.
Learn about Medical Associates health plans for the 2026 plan year. Find out about key provider systems and service areas, member ID cards, member portals, and website enhancements and resources.
This is the Model Notice for COBRA Continuation Subsidy under the American Rescue Plan [ARP] Act of 2021. Employers please note that information for qualified beneficiaries must be completed.
Join us for a free, 45-minute online session to learn about Medical Associates Health Plans during open enrollment. No travel needed. You’ll get the same helpful information you’d find at an in-person benefits fair, right from your home or office. This session is appropriate for all members, regardless of enrollment or employment type.
