mybenefits logo STATE OF NEW MEXICO — GROUP BENEFITS PLAN

Premium Only Plan (POP) Waiver forms

• STATE EMPLOYEES: POP Pre-tax premium deductions are automatic. Waiver form must be completed and faxed to Erisa at (505) 244-6009 the same day that you submit your online enrollment/change form if you want post-tax deductions.
• LPB EMPLOYEES: POP pre-tax premium deductions are automatic. Waiver form must be completed and submitted to your employer if you want post-tax deductions.
• LEGISLATORS: Please note that Legislators are not eligible for POP.

CONTACT

Location

Erisa Administrative Services, Inc. Office
1200 San Pedro Drive NE
Albuquerque, NM 87110

Phone

Albuquerque: (505) 244-6000
Toll Free: (855) 618-1800
Fax: (505) 244-6009

Email

SONM@easitpa.com

FSA@easitpa.com

Business Hours

Monday - Friday: 8:00 AM - 5:00 PM
Saturday - Sunday: Closed
Erisa is closed for New Year
President’s Day, Memorial Day
Independence Day, Labor Day
Thanksgiving (two days) and
Christmas (two days)