Benefit Review State and School Employees’ Life & Health Insurance Plan Self-Funded 3 rd Party Administrator – Blue Cross Blue Shield of MS Active and.

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Presentation transcript:

Benefit Review State and School Employees’ Life & Health Insurance Plan Self-Funded 3 rd Party Administrator – Blue Cross Blue Shield of MS Active and retired employees and their dependents Receives no direct appropriation from the State Over 190,000 Total Covered Lives

Benefit Review (continued) State and School Employees’ Life & Health Insurance Plan Health Plan Coverages Select Coverage – lower deductible Base Coverage – higher deductible Employee Types Legacy – hired prior to 01/01/2006 Horizon – hired on or after 01/01/2006 Open Enrollment – Annually October 1-31 Employees may change options during open enrollment Effective date of employee changes 01/01/2012 – health deduction changes will show on 12/31/2011 payroll check All changes/enrollments must be submitted to HR by 10/31/2011

Benefits The My Benefits Portal is located on the DOR internal website All enrollment, change, etc., forms are located on the My Benefits Portal Health insurance is deducted one month in advance.

2012 Select Coverage 2012 Select Coverage Legacy $20 monthly Legacy $20 monthly Horizon $38 monthly - employee deduction for employee only coverage $ 1000 Health Deductible $ 1000 Health Deductible $75 Pharmacy Deductible $75 Pharmacy Deductible 2012 Base Coverage 2012 Base Coverage $0 monthly employee only deduction (Legacy & Horizon Employees) $0 monthly employee only deduction (Legacy & Horizon Employees) $ 1800 single Health Deductible, $3000 family $ 1800 single Health Deductible, $3000 family Must meet $1800/$3000 deductible before receiving pharmacy benefits Must meet $1800/$3000 deductible before receiving pharmacy benefits

State Plan Changes Certification Requirement for CTs and MRIs in Emergency Room Setting Removed Additional certification requirements for transplant evaluations with Active Health in addition to regular transplant pre-certification HealthQuotient SM Requirement for Medicare Participants – if Medicare Primary then no Health Quotient required; if on Medicare but it is not primary then a Health Quotient is still required. Participating Pharmacies to Administer Certain Vaccines under Wellness Benefits like flu shots Weight Management Program through Active Health Premium Changes for Retirees only – no changes for active employees It’s not too late to complete Health Quotient for 2011 and use wellness benefits go to

Important Telephone Numbers Payroll check, tax withholding, leave balances, PERS Tabori McCarty, Cafeteria Plan Aaron Robinson, Benefits Dianne Henderson, LaTasha McDonald, Human Resources Taylor and Sons – One Stop Shop (Introduction) Will advise telephone number

Questions