Do you know of a participant in a Texas Employees Group Benefits Program (GBP) health plan who uses tobacco and has not certified with ERS as a tobacco user? If you have witnessed someone with health insurance through the GBP, including a dependent, using a tobacco product five or more times within the past three consecutive months, please report this information to ERS using the form below.
- You are encouraged to report in good faith any suspected fraud, waste, or abuse in connection with programs administered by ERS.
- Please provide as much detail as possible - we will investigate all reports.
- All information provided to ERS regarding alleged failure to certify tobacco use must be truthful and made in good faith.
Note: Do not use this form to notify ERS of updates to your specific account information. For account inquiries, use our customer support form.
Fields marked with asterisks are required.
If you use Internet Explorer, you will need to disable the “compatibility view” on your web browser to submit this form. You can also switch to another web browser such as Firefox or Chrome and submit the form from that browser, or mail the form to ERS.
To disable compatibility view: click on your Tools menu, click “Compatibility View Settings” and ensure that options to display websites in compatibility view are not selected. Microsoft has more information on Internet Explorer and the compatibility view at: https://support.microsoft.com/en-us/kb/2536204.
Secured Site To verify that this site is using SSL encryption, ensure the link in your browser starts with “https” and that a gold lock icon appears next to the URL.