State Health Benefit Plan (SHBP)

 


State Health Benefit Plan logo

 

 

 

 

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.  

2017 Open Enrollment Resources

2016 SHBP Annual Open Enrollment Presentation (Active & Pre-65 Retirees)

2016 SHBP Annual Retiree Option Change Period Presentation

Decision Guides 

2017 SHBP Decision Guide Active Guide  - Posted 09/21/16

2017 SHBP Decision Guide Retiree Guide  - Posted 09/26/16

Benefit Fair/Retiree Educational Session Schedules

Benefit Fair Schedule for Active Members 2016  - Posted 09/19/16

Retiree Educational Sessions Schedule 2016 - Posted 09/19/16

2016 SHBP Open Enrollment (OE) for the 2017 Plan Year will take place October 17-November 4, 2016. View 2016 OE Flyer - Posted 09/16/2016

On Thursday, August 11, 2016 the Board of Community Health approved the member contribution rates for Plan Year 2017.

2017 Rates

DCH SHBP Works to Increase Medicare Advantage Choice in 2017

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 Medicare Advantage plan.

IFP responses are due on July 5, 2016. 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

IFP Introductions and IFP Instructions

To read the DCH IFP Policy, click HERE.
To read the IFP Introduction and Instructions, click HERE.

FAQs - Dependent Verification Audit - Posted 06/29/16

2016 Bariatric Surgery Pilot Program


2015 Plan Information


Plan Documents


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.


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

For more information and forms regarding Eligibility Appeals please click here.


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.