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The Local Choice (TLC) health benefits program was created by the General Assembly in 1989 and has been providing health coverage to local jurisdictions since 1990. A total of six health plans are included as options for local government employees under TLC. These include four self-insured statewide medical plans, a high deductible health plan and one fully-insured regional HMO plan offered by Kaiser Permanente in Northern Virginia, Washington, D.C., and parts of Maryland.