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State Health Benefit Plan (SHBP)

State Health Benefit Plan logoThe Georgia Department of Community Health (DCH) and its State Health Benefit Plan Division serve as the state’s administrator of health insurance coverage for state employees, teachers, school system employees and retirees who continued coverage (including annuitants and former employees on extended coverage), and covered dependents.  

State Health Benefit Plan Announces 2015 Plan Year Enhancements

DCH SHBP Takes Steps to Enhance Member Choice in 2015

The Department of Community Health (DCH) State Health Benefit Plan (SHBP) released an invitation for proposal (IFP) to qualified companies to increase the number of vendors that administer the state’s health insurance plan. SHBP also plans to expand the type of plan design options for the 2015 plan year.

IFP responses are due on May 15, 2014. To receive access to the full IFP, qualified bidders are required to submit the below executed documents to AON Hewitt at hhrsc@aonhewitt.com.

Required Documents for Qualified Vendors

  1. Non-Disclosure Agreement
  2. Certification

To read more about this SHBP announcement, click here.

To read related SHBP member FAQs, click here.

IFP Introductions and IFP Instructions

To read the Statewide Introduction and IFP Instructions, click here.

To read the Regional Introduction and IFP Instructions, click here

To view the Atlanta Service Area Map, click here.

Plan Documents

For the Plan Documents that contain the terms and conditions of coverage, including Summary Plan Descriptions, Summaries of Benefit Coverage, SHBP Regulations, SHBP Policies, Board Resolutions, and Legal Notices, visit the link shown here. Information for Plan Year 2013 (January 1, 2013 through December 31, 2013) including Decision Guides, Rates and more is posted here under Plan Documents Archive.


Flexible Benefits

Flexible benefits (i.e., for dental, vision, legal services, etc.) are not administered by SHBP. For many state employees, flexible benefits are administered through the Department of Administrative Services (DOAS) through their GaBreeze web portal.  For more information, visit www.GaBreeze.ga.gov or contact the GaBreeze Call Center at 1-877-342-7339. For more information about your Flexible Benefits, check with your employer’s HR department.


Enrollment   

In August 2013, SHBP launched its 24/7 Enrollment Portal:  www.mySHBPga.adp.com. Convenient, accessible and easy-to-use, the portal serves as the primary point of enrollment for the Plan’s annual Open Enrollment and Retiree Option Change Period.  In addition, new hires will use the portal for enrollment and current members (including Active and Retired Employees) can easily access the portal to make eligibility and enrollment changes brought about due to a Qualifying Event.


Qualifying Events

A Qualifying Event (QE) or life event change is defined as a personal change in status which may allow you to change your benefit elections.  Examples of a QE are a change in marital status, number of dependents, employment status or eligibility for health coverage, the QE rules that apply to you will depend on whether you are an active employee, former employee continuing coverage, or a surviving spouse or surviving child.  These rules are set forth in your SPD.


Appeals

To file a Claims, Eligibility or Wellness Appeal, please follow the instructions in your SPD, and use the appropriate form


Privacy

The Department of Community Health and the State Health Benefit Plan are committed to ensuring the privacy of SHBP members’ protected health information (PHI).  We follow the information privacy rules of the Health Insurance Portability and Accountability Act ("HIPAA") of 1996.  Please refer to the HIPAA Privacy Notice for more information about how your PHI is used and shared.