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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.  

Georgia Department of Community Health Awards Plan Contracts - State Health Benefit Plan Expands Options for 2015 Plan Year - Posted 07/18/14

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 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   

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.


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

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 (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.