2026 Open Enrollment Information: High Deductible Health Plan

Members that are currently enrolled and are still eligible do not need to take action during Open Enrollment which will be held Oct. 13-31, 2025, unless you need to update your dependents.

Members will be automatically re-enrolled in the High Deductible Health Plan (HDHP) at the current coverage level (for example, employee only). If you disenrolled yourself from coverage, your enrolled dependents will also no longer covered under the HDHP. 

• No change to deductible or copays.
• The formulary (drug list), which determines what medications are covered and what tier they fall under, changes on a quarterly basis, so there is a possibility that you will have changes in your prescription coverage in 2026.
• Preferred and non-preferred insulin continues to be $0 for a 30-day supply.
• Preventive Services remain covered at 100%, with no member cost-share.

For questions or help regarding your enrollment, call the Plan’s Eligibility and Enrollment Support Center at 855-859-0966.

CVS Caremark is the State Health Plan’s Pharmacy Benefit Manager.

The State Health Plan utilizes a custom, closed formulary (drug list). The formulary indicates which drugs are excluded from the formulary and not covered by the Plan. All other drugs that are on the formulary are grouped into tiers. Your medication’s tier determines your portion of the drug cost.

These documents and tools include information based on the 2025 formulary and are subject to change prior to January 1, 2026.