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State of Minnesota
Employee Benefits

These materials are for employees of the State of Minnesota. If you are not an employee of the State, please see Participant Plan Information or Participant Forms.

Mobile App Tutorial

Eligible Expense List

We’ve made it easy to find out which products and services are covered under your plan, including important qualifying details. View alphabetically or by search word.

View Searchable Expense List


Change/Termination Forms

2019 Flexible Benefits Change in Participation
Use if you have a qualifying life event or are reinstating your MDEA/DCEA upon returning to work from a leave.

2019 Transit Change in Participation
Use for mid-year enrollment or changes, or to reinstate your PKEA and/or BVEA upon returning to work from a leave.

2019 Change Form to Limited MDEA or HRA
Use if you and/or your spouse will be contributing to an HSA for the upcoming plan year and need to change your general purpose MDEA to a Limited Purpose account.

Reimbursement Forms

 2019 MDEA DCEA HRA Reimbursement Form
Use to request reimbursement from your MDEA/DCEA or State HRA plans

2019 Transit Reimbursement Form
Use to request reimbursement from your PKEA or BVEA State plans.

Enrollment Forms

2019 MDEA DCEA Enrollment
Use if you are a new hire or newly eligible employee who is enrolling for the first time.

2019 Transit Enrollment
Use if you are a new hire or newly eligible employee who is enrolling for the first time. If you are paying for your parking and/or bus pass expenses directly through your agency, do not use this form to enroll.