Personal Healthcare Fund

Personal Healthcare Fund or Premium Subsidy?

As an active member, you may be eligible for the premium subsidy, or the Personal Healthcare Fund, not both. If you’re not sure which plan you have whether you have the Personal Healthcare Fund or the Premium Subsidy, login to miAccount and refer to your account summary. You are responsible for paying the balance of the premium amount. Click here to see current rates.

The Personal Healthcare Fund is a personal, portable fund that you can use to pay your healthcare expenses in retirement. It's made up of these components: Your contributions, your employer's matching contributions, and, if you have 10 years of service, an additional one-time employer contribution to a Health Reimbursement Account. Contributions to Personal Healthcare Fund are invested in the State of Michigan 401(k) and 457 Plans.

For more information on the investment plans, check out the Plan Highlights guide.

Insurance Enrollment

You, your spouse, and your dependents may enroll in insurance plans if you enroll immediately when you retire and begin coverage on your retirement effective date. If you disenroll from the plan at any time, you, your spouse, and your dependents will not be able to re-enroll. If your spouse or dependents are disenrolled at any time, they will not be able to re-enroll.

You cannot initiate a new insurance enrollment as a retiree.

Insurance Premiums

As a member with the Personal Healthcare Fund, you are not eligible for subsidized health, prescription drug, dental, or vision insurance through the retirement system. You will be responsible for the entire premium. View rates here.

Changing plans

Once enrolled, you can change healthcare plans as long as your coverage is continuous.

To change your insurance plan, log in to miAccount and click on Insurance Coverage, or complete the Insurance Enrollment/Change Request (R0452C) and return it to ORS along with all required proofs. If you are currently enrolled in an HMO, you must remain in the HMO for at least six months, unless the coverage is no longer available because of a move.

Coverage can begin the first day of the month after ORS receives your materials if you are enrolling in BCBSM (with or without OptumRx prescription drug) or moving out of an HMO coverage area. Coverage can begin the first day of the second month if you are voluntarily changing HMOs. For more information, visit Enrollment: When Your Coverage Begins.

Timely application and proofs

To ensure your coverage begins on your requested insurance enrollment date, follow these guidelines for submitting your insurance enrollment and required proofs.

For information about insurance eligibility and enrollment, contact ORS. For other information about your Personal Healthcare Fund, contact Voya Financial® at 800-748-6128 or visit the Voya® website.