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Open Enrollment 2011

Open Enrollment 2011. Introduction. Open Enrollment dates are October 12 – November 10, 2010. 2011 Benefit Options. CIGNA and United Healthcare will again be the healthcare vendors and will offer active members and retirees under age 65 the following options for 2011:

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Open Enrollment 2011

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  1. Open Enrollment2011

  2. Introduction • Open Enrollment dates are October 12 – November 10, 2010

  3. 2011 Benefit Options CIGNA and United Healthcare will again be the healthcare vendors and will offer active members and retirees under age 65 the following options for 2011: • Health Reimbursement Arrangement (HRA) • Health Maintenance Organization (HMO) • High Deductible Health Plan (HDHP)

  4. 2011 Plan Changes • There will be a number of changes to the Plan effective January 1, 2011 • It is important that you read the 2011 Active Employee Decision Guide, so you will know what is changing, and what affect the changes will have on benefits, options, rates, etc. before making your election for the 2011 Plan Year

  5. Changes for all SHBP Members • The Open Access Plan (OAP) option will no longer be offered • The Tobacco and Spousal Surcharges are increasing to $80 Tobacco and $50 Spousal • Pre-existing will no longer apply to any SHBP option • Social Security Numbers (SSN) must be collected for all dependents

  6. Changes for all SHBP Members • There will be an increase in premiums. Some tiers will see a higher increase in order to accommodate the addition of dependents previously not eligible for coverage (health care reform) • Changes to co-pays, deductibles, out-of-pocket limits • Life-time maximum benefits limit will be removed • All SHBP members will receive new ID cards before January 1, 2011

  7. Current OAP Members • Effective January 1, 2011 the OAP Option will no longer be offered • Members currently in the OAP Option will need to make another benefit selection during the Open Enrollment for the 2011 Plan Year. If they do not go online and make another election, coverage will roll over into the HRA with their current healthcare vendor and the Tobacco and Spousal Surcharges (if applicable) will apply. Members will remain in the HRA option for the 2011 Plan Year

  8. Changes for all SHBP Members • Children who were not eligible to be in the Plan last year, may be eligible this year • Children can be covered until the end of the month of their 26th birthday • OK to be married • Does not have to be FT Student • Does not have to live at home

  9. Tobacco and Spousal Surcharges • The Tobacco Surcharge will increase to $80 and the Spousal surcharge will increase to $50 • Employees must answer the Surcharge questions when making their 2011 benefit selection • Failure to answer the Surcharge Questions will result in paying the applicable surcharge(s) for the entire plan year unless you experience a qualifying event that will allow the removal of the surcharge • Information on steps to take to remove the surcharges is available at www.dch.georgia.gov/shbp

  10. HMO Deductible Changes Your specialist office visit co-pay will change from $35 to $45

  11. HMO Maximum Out-of-Pocket Changes

  12. HMO Prescription Drug Co-Pay Changes

  13. HRA Deductible Changes

  14. HRA Maximum Out-of-Pocket Changes

  15. HRA Plan Design • Health Reimbursement Account (HRA) Credits • $ 500 – You • $1,000 – You + Spouse • $1,000 – You + Child(ren) • $1,500 – You + Spouse + Child(ren) • Plus $125 for annual physical and completing a health assessment. Employee and spouse can each earn this • SHBP credits the HRA account each year to help pay covered medical expenses

  16. Features of the HRA Plan • Low employee premiums • SHBP credits dollars each year that pay for covered initial charges, whether medical or pharmacy expenses. These dollars also reduce your deductible and maximum out-of-pocket expenses • You do not pay co-pays under this plan but co-insurance whether it is for your prescription drugs, office visits or surgery • Any dollars not used at the end of the year roll over to the next year • 100 percent coverage for preventive care and the cost of these services do not come out of your HRA dollars

  17. HDHP Deductible Changes

  18. HDHP Out-of-Pocket Maximum Changes

  19. Open EnrollmentOctober 12 – November 10, 2010 • Employees will make their health election at www.oe2011.ga.gov • Web site will open at 4 a.m. on October 12 and close at 4:30 p.m. on November 10, 2010 • The Active Employee Health Plan Decision Guide will be available on the Web site at www.oe2011.ga.gov and www.dch.georgia.gov/shbp (no printed hardcopies)

  20. Open EnrollmentOctober 12 – November 10, 2010 • Employees must go online to make their benefit selection. If employees do not go online and they are • In the OAP, they will be enrolled in the HRA with their current healthcare vendor and tier and the Tobacco and Spousal surcharges (if applicable) will be applied • In the HMO, HRA or HDHP, they will rollover into the same coverage and tier and the Tobacco and Spousal surcharges (if applicable) will be applied

  21. Open EnrollmentOctober 12 – November 10, 2010 If the employee does not make an Open Enrollment election coverage will roll over and the tobacco and spousal surcharges (if applicable) will apply. The employee will not be allowed to make a change to coverage until the next Open Enrollment unless they experience a qualifying event that allows a change.

  22. Open EnrollmentOctober 12 – November 10, 2010 • When making their benefit election members should make sure they have selected the correct option • Confirm they have added all eligible dependents they wish to be included in their coverage • Confirm they have answered the surcharge questions correctly • Click “Confirm” and Print their Confirmation

  23. Questionsor Additional Information CIGNA -HMO, HRA, HDHP - 800-633-8519 www.mycigna.com/shbp United Healthcare - HMO, HDHP - 877-246-4189 Definity HRA - 800-396-6515 www.welcometouhc.com/shbp

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