The 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.
Important New Items for SHBP for FY 2015
SHBP 2015 Medical Cost Benchmarking Study
AFY 2015 Appropriations Bill, HB 75, directed SHBP to submit a study to the Governor and General Assembly by June 30, 2015 that examines “why SHBP’s costs are higher than other comparable government employee health plans and describe a variety of options for reducing costs without further diminishing the value of health benefits received by members.” The General Assembly also included that any such report should include an examination of options to provide health benefits to non-certified employees.
To complete this analysis, the Department of Community Health (DCH) engaged Aon Consulting Inc. (Aon). Aon was selected, in part, because of its understanding of SHBP and its experience in the public sector. To complete the study, data was requested from comparable public sector health plans and then compared to SHBP. The results from this analysis form the basis of the report.
While the study will assist us in planning for Plan Year 2017 and beyond, for 2016, we will remain focused on stability and continuity with the Plan’s current vendors and options.
The full report is posted below.
- 2015 Medical Cost Benchmarking Study - Posted 07/06/15
U.S. Supreme Court Ruling
The U.S. Supreme Court issued a ruling that now requires all states to recognize same-sex marriage. All states are also required to recognize same-sex marriages that took place in other states. Immediately following the ruling, Governor Nathan Deal made an announcement to confirm that Georgia will follow the federal law. Per Gov. Deal’s order, the Georgia Department of Community Health is currently in the early stages of assessing the impact of the Court’s ruling to determine all necessary changes to programs, such as Medicaid and the State Health Benefit Plan. We will communicate these changes and issue guidance to those affected as soon as we are able to verify the content among ourselves, with the Attorney General’s Office, and with our benefit vendors
- Same-Sex Marriage FAQs - Posted 07/09/15
2015 Decision Guides
- 2015 Active Employee Decision Guide -- Posted 09/29/14
- 2015 Retiree Decision Guide -- Posted 09/29/14
- 2015 Active Rates - Commercial - Posted 08/19/14
- 2015 Active Rates - Annuitant -- Posted 08/19/14
- 2015 Rates ALWP -- Posted 08/19/14
- 2015 Rates BOE -- Posted 08/19/14
- 2015 Rates Direct Pay Annuitant Non-MA (65+) -- Posted 08/19/14
- 2015 Rates Direct pay Under 65 -- Posted 08/19/14
- 2015 Rates MA -- Posted 08/19/14
- 2015 Rates Tricare -- Posted 08/19/14
- 2015 Rates Exhibit 8_5_2014 -- Posted 08/19/14
- 2015 Rates Annuitant Non-Medicare -- Posted 08/19/14
- 2015 Rates COBRA -- Posted 08/19/14
2015 Educational Videos
2015 State Health Benefit Plan Active Pre-65 Employee Video (This a YouTube video, so you may have difficulty opening and viewing it from a DCH computer.) -- Posted 10/03/14
2015 State Heath Benefit Plan Retiree Video (This a YouTube video, so you may have difficulty opening and viewing it from a DCH computer.) -- Posted 10/03/14
2015 Blue Cross Blue Shield Benefits Video -- Posted 10/03/14
2015 UnitedHealthcare Benefits Video (You may have difficulty opening and viewing this video from a DCH computer.) -- Posted 10/03/14
2015 Kaiser Permanente Benefits Video (This a YouTube video, so you may have difficulty opening and viewing it from a DCH computer.) -- Posted 10/03/14
2015 Bariatric Surgey Pilot and Autism Services Video (This a YouTube video, so you may have difficulty opening and viewing it from a DCH computer.) -- Posted 11/13/14
2015 Educational Podcasts
- Deductibles and Out-of-Pocket Maximums -- Posted 11/13/14
- Wellness Activities
- Wellness Incentives
- Qualifying Events
- Autism and Bariatric Surgery Pilot Programs
Additional Information for SHBP Members
Retirees’ FAQ for 2015 State Health Benefit Plan -- Posted 10/09/14
FAQ: State Health Benefit Plan 2015 Plan Designs and Premiums -- Posted 08/14/14
Summary of Benefits and Coverage - FY 2015 -- Posted 09/26/14
SHBP FY 2015 Legal Notices -- Posted 09/29/14
2015 Active Educational Session Presentation -- Posted 10/02/14
2015 Bariatric Pilot Program Information -- Posted 10/24/2014
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 2014, including Decision Guides, Rates and moreare available at Plan Documents Archive.
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 its GaBreeze web portal. For more information, visit www.GaBreeze.ga.gov or contact the GaBreeze Call Center at 877-342-7339. For more information about your Flexible Benefits, check with your employer’s HR department.
SHBP members can now manage many aspects of their health care personal information thanks to the SHBP 24/7 Enrollment Portal: www.mySHBPga.adp.com. Convenient, accessible and easy-to-use, www.mySHBPga.adp.com 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 website for enrollment. Current members (including Active and Retired Employees) can easily access the site to make eligibility and enrollment changes brought about due to a Qualifying Event.
A Qualifying Event (QE) or life event change is defined as a personal change in status that 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.
Please contact State Health Benefit Plan Member Service at 800-610-1863, Monday through Friday, 8:30 a.m. to 5 p.m., E.T.
The Department of Community Health (DCH) and the State Health Benefit Plan (SHBP) 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.