Plan Documents Archive

Prior Year Plan Documents and Other Information

The State Health Benefit Plan (SHBP) is currently operating in Plan Year 2017 which began on January 1, 2017.

Documents for Plan Year 2016

Summary Plan Descriptions (SPD) Plan Year 2016 for each Plan Option, and Evidence of Coverage documents for Medicare Advantage options.

Summary of Benefits - Plan Year 2016

Decision Guides - Plan Year 2016

Documents for Plan Year 2015

SHBP Announces Plan Year 2015 Enhancements - Posted 07/18/14

Summary Plan Description - Plan Year 2015

Summary of Benefits - Plan Year 2015

Enrollment and Eligibility Requirements 2015 

Decision Guides - Plan Year 2015

2015 Bariatric Pilot Program

2015 Bariatric Surgery Pilot Program FAQ 

SHBP 2015 Bariatric Surgery Pilot Program Application 

SHBP 2015 Bariatric Surgery Pilot Program Member Process

2015 Wellness Appeals (BCBSGa and UnitedHealthcrae non-Medicare Advantage Members

Between February 15, 2015 and January 31, 2016, you and your spouse (if covered) may appeal the total well-being incentive credits applied if the rewards are less than you believe should have been awarded to you or to your spouse. Click here for the process for submitting these appeals.

For more information, visit BeWellSHBP.com.

Note: The 2015 well-being incentive credits do not apply to the Kaiser Permanente or Medicare Advantage Plan Options.

2015 Wellness Appeals (Kaiser Permanente)

For questions about your Kaiser Permanente reward status or issues related to the rewards program, please call 866-300-9867 or email rewardsacustomerservice@kp.org and provide the following information:

Your name

What the issue is

Group/Plan name

Daytime phone number

Please allow 48 hours for a response.


For Benefit Coordinators:


Summary Plan Description - FY 2014

Eligibility and Enrollment Provisions 2014 - Posted 10/19/13

Summary Plan Description 2014  - Updated 03/13/14

2014 Evidence of Coverage documents for Medicare Advantage - Posted 03/25/14

Summary of Benefits and Coverage -- FY 2014

Summary Plan Description - FY 2014

2014 Decision Guides

 

2014 Rates

Actives

Retirees

SHBP Forms

Appeals  |  Claims  |  Eligibility

2014 Eligibility Changes

SHBP has gone paperless! To make a change in enrollment due to a Qualifying Event (QE), members no longer use paper forms. 

Instead, members log onto the SHBP Enrollment Portal at www.mySHBPga.adp.com and declare a Qualifying Event (QE) to make the change.

  • To update your address or to correct personal data, active employees must contact their Benefit Coordinator/HR department and request they submit the update on their next file to SHBP. Retirees can make their changes on the Enrollment Portal.
  • Active employees or retirees who do not have web access may call the SHBP Call Center at 800-610-1863 and a representative will assist you with making the change.
  • You will continue to submit QE supporting and dependent verification documentation to the secure fax at 866-828-4796. To expedite the process, the member’s social security number must be noted on each page of the documentation.
 

2014 Wellness Appeals

If you or your spouse wish to appeal your wellness activities completed or your incentives earned, please contact Healthways.


Presentations 2013