Summary of Plan Options
Document: AP Benefit Guide 251103
Traditional PPO Plan, 500/1000 Deductible and FSA
Document: AP Benefits at a Glance Traditional PPO-26 Plan
Document: Formulary: Traditional PPO-26 Plan (172)
PPO HD-17 Plan, 1700/3400 Deductible, HSA, and BenExtend
Document: AP Benefits at a Glance PPO HD-17 Plan
Document: Formulary: PPO HD-17 Plan (108/109)
PPO HD-30 Plan, 3000/6000 Deductible, HSA, and BenExtend
Document: AP Benefits at a Glance PPO HD-30 Plan
Document: Formulary: PPO HD-30 Plan (183/184)
PPO HD-63 Plan, 6350/12700 Deductible, HSA, and BenExtend
Document: AP Benefits at a Glance PPO HD-63 Plan
Document: Formulary: PPO HD-63 Plan (157)
We have new plans for AP employees. Details are noted below. Active enrollment is required for medical, dental, and vision coverage. Active enrollment is required each year for FSA enrollment (medical and/or dependent care).
Send your completed form to HR.
Please note: If you’re enrolled in any part of Medicare (Parts A, B, or D), you are not eligible to make or receive HSA contributions. Please consult a Medicare expert and HR before changing coverage.
See Aflac, OE Support, and other information below!
Summary of Plan Options
Document: ESP Benefits Summary
PPO HD-17 Plan, 1700/3400 Deductible, HSA, and BenExtend
Document: ESP Benefits at a Glance PPO HD-17 Plan
Document: Formulary: PPO HD-17 Plan (108/109)
PPO HD-30 Plan, 3000/6000 Deductible, HSA, and BenExtend
Document: ESP Benefits at a Glance PPO HD-30 Plan
Document: Formulary: PPO HD-30 Plan (183/184)
PPO HD-63 Plan, 6350/12700 Deductible, HSA, and BenExtend
Document: ESP Benefits at a Glance PPO HD-63 Plan
Document: Formulary: PPO HD-63 Plan (157)
Active enrollment is required each year for FSA enrollment (dependent care).
Please note: If you’re enrolled in any part of Medicare (Parts A, B, or D), you are not eligible to make or receive HSA contributions. Please consult a Medicare expert and HR before changing coverage.
Traditional PPO 250/500
Document: Faculty Benefits at a Glance Traditional PPO
Document: Plan One Pager Overview with Rates
Document: Formulary: Traditional PPO Custom Drug List
Active enrollment is required each year for FSA enrollment (medical and/or dependent care).
Though an active enrollment is preferred, Faculty currently enrolled in a medical/dental/vision plan in 2025 will be auto-enrolled for 2026, unless other options are elected during Open Enrollment. It should be noted that there are new rates for 2026, and an active enrollment is the best way to ensure you are aware of rate changes.
Return your completed form to HR.
See Aflac, OE Support, and other information below!
There is a formulary document for each plan. For reference, the number(s) refer to the specific BCBSM formulary document in the event this is needed in customer service conversations with your primary care provider, The Pool, or BCBSM.
The formulary documents for each plan are included below the plans listed above.
For 2026, LSSU is moving from our current Broker (Acrisure / 44 North) to the Western Michigan Health Insurance Pool (The Pool).
This change in broker also changes our prescription formulary.
We are renewing our medical coverage with BCBSM and will be using the BCBSM prescription formularies that outline the drugs that BCBSM covers.
Links to formulary documents are provided below the plan options listed above on this page.
You are encouraged to discuss your medications with your primary care provider to ensure there is no break in coverage.
The BenExtend plan is provided by LSSU for those who are enrolled in one of the HD plans.
Video: BenExtend For HD Enrollments Overview
All employees have the option to voluntarily enroll in supplemental coverage plans offered by Aflac. Information on three plans is shared below.
Aflac LSSU – Critical Illness
Video: AFLAC Critical Illness Voluntary Plan
Aflac LSSU – Hospital Indemnity
Video: AFLAC Hospital Indemnity Voluntary Plan
Aflac LSSU – Accident
Video: AFLAC Accident Voluntary Plan
Form: Aflac Enrollment Form for Voluntary Employee Paid Plans
Explainer videos and handouts are available to help you better understand aspects of the plans and the open enrollment process.
Document: Understanding FSAs and HSAs
Video: Traditional PPO compared to HD PPO Plans
Video: PPO Plans and HSA Strategy Explained
Video: Overview of LSSU Plans with Mike Hagerty
Video: How Medical Plans Work with Mike Hagerty
2026 COBRA BCBSM Plan Rates
Document: Benefits at a Glance Traditional PPO-26 Plan
Formulary: Traditional PPO-26 Plan
See OE Support and other information below!
If you have questions or need help with any aspect of Open Enrollment, feel free to contact the following:
Mike Hagerty
616 218-2204 Mobile
[email protected]
Christine Coon
(616) 222-5462
[email protected]
Kyle Chestnut
(616) 222-1266
[email protected]
LSSU HR
(906) 635-2213
[email protected]
Micha Castro
210.757.4273
[email protected]
Lisa Mattern
210.348.4184
[email protected]
Walter Sprang
M 210.885.9301
[email protected]
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