Skip to main content
Language Translation
Governor Mike Braun
  Close Menu

COBRA & Early Retirees - Open Enrollment

State of Indiana Early Retiree and COBRA Participants

If you decide to elect to continue your coverage, please be aware you are also eligible to make Open Enrollment changes for the 2027 plan year. Similar to an active participant, you may elect to change plans, coverage level, add or remove dependents (if applicable) and elect to participate in the Non-Tobacco Use Agreement (NTUA) for the 2027 plan year effective January 1, 2027.

As a COBRA or Early Retiree participant, your Open Enrollment elections are not completed through PeopleSoft. All changes must be completed by paper including the 2027 Non-Tobacco Use Agreement (NTUA). If you do not wish to participate in the Non-Tobacco Use Agreement or make changes to your health plan election, no action is needed.

IMPORTANT DATES

All changes and additions must be mailed to HRPro postmarked no later than November 18, 2026 and will be effective January 1, 2027.

  • Non-Tobacco Use Agreement (NTUA): If you only wish to participate in the NTUA for 2027, you must complete and return the Non-Tobacco Use Agreement to HRPro by November 18, 2026.
    • Participants who fail to complete and return the NTUA by the deadline will not be eligible for the premium reduction in 2027.
      • Please note: If you do not participate in an Anthem medical plan, you DO NOT need to complete the Non-Tobacco Use Agreement.
  • 2027 Open Enrollment changes: If you wish to make changes to your health plan elections for 2027, you must complete and return the State of Indiana Health Care Plan Enrollment Form to HRPro by November 18, 2026.
    • Please note: If you elect COBRA or Early Retiree Insurance but do not complete the State of Indiana Health Care Plan Enrollment Form, your current coverage will roll-over.

Both the 2027 NTUA and the Enrollment Form should be returned to the following address:

HRPro
Attn: SOI Billing Department
1025 N. Campbell Road
Royal Oak, MI 48067

Early Retirees

Spousal Surcharge

Retirees covering a spouse under the State of Indiana medical plan will pay a $270.83 monthly spousal surcharge in 2027 unless a spousal surcharge waiver is submitted and approved. A new waiver is required for 2027, even if one was approved in 2026.

You may submit a Spousal Surcharge Form to request a waiver of the surcharge if any of the following apply to your spouse:

  • Is not employed;
  • Also works for the State of Indiana;
  • Works for a participating school corporation;
  • Is not eligible for their employer’s health plan; or
  • Is eligible and enrolled in their employer’s health plan.

A portion of the form may need to be completed by your spouse’s employer. The surcharge will apply if you cover a spouse but do not complete these steps. Health care costs continue to rise, and the State must ensure that the State Employee Health Plan (SEHP) remains viable long-term for employees and their dependents.

How to Complete the Spousal Surcharge Confirmation to request for a waiver:

  • Complete the 2027 Spousal Surcharge Waiver Request Form linked below. Note, if your spouse is currently employed, their employer will need to complete the bottom section of the form.

Once all required sections of the form are complete, return to the following address:

HRPro
Attn: SOI Billing Department
1025 N. Campbell Road
Royal Oak, MI 48067

Note: You must report any change to your spouse’s employment that may impact whether you qualify to have the Spousal Surcharge waiver. 

Plan Summaries

CDHP 1

  • Plan Summary
  • Summary of Benefits & Coverage (coming soon)
  • Medical Benefit Booklet (coming soon)

CDHP 2

  • Plan Summary
  • Summary of Benefits & Coverage (coming soon)
  • Medical Benefit Booklet (coming soon)

Traditional Plan

  • Plan Summary
  • Summary of Benefits & Coverage (coming soon)
  • Medical Benefit Booklet (coming soon)

Plan Rates and Comparison

Vision

Dental

Prescription coverage

  • CVS Caremark Plan Certificate (coming soon)

Federal Notices