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State Health Benefit Plan (SHBP)

 


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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 


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 examined  SHBP’s costs. Plan Year 2016 will be focussed on stability and continuity with the Plan's current vendors and options.

The full report is posted below.


2015 Plan Information


Additional  Information for SHBP Members


Plan Documents

For the Plan Documents that contain the terms and conditions of coverage, including Summary Plan Descriptions (SPD), Summaries of Benefit Coverage, SHBP Regulations, SHBP Policies, Board Resolutions and Legal Notices, visit this link. Information for Plan Year 2014, including Decision Guides, Rates and moreare available at 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 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.


Enrollment   

SHBP members can now manage many aspects of their health care personal information on the SHBP 24/7 Enrollment Portal: www.mySHBPga.adp.com. Convenient, accessible and easy-to-use, www.mySHBPga.adp.com is 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 because of a Qualifying Event.


Qualifying Events

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.


Appeals

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. 


Privacy

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.