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2016 Group Health Insurance
Open Enrollment


2016 Open Enrollment Webinars for GHI and Vendors

 

Group Health Insurance Open Enrollment

The Group Health Insurance (GHI) Open Enrollment meeting will be held on Tuesday, October 20, 2015, in 107 Grubbs Hall at 2:00 p.m.  HRS encourages all employees and/or spouses to attend this meeting to learn about the changes to the health benefits for Plan Year 2016.

  • Employee premiums have increased for all plans.
  • An Employee married to a State Employee has the option to enroll in:
    • 2 separate plans (1 enrolled in Member Only Coverage and 1 enrolled Member & Children Coverage) or
    • 1 plan (Member & Spouse or Member & Full Family). 

Open enrollment for Group Health Insurance (GHI) is October 1 through October 31, 2015 on the new SEHP Membership Administration Portal (MAP).  Changes made during open enrollment will be effective January 1, 2016 through December 31, 2016. 

All employees should log into MAP to verify and update personal information (address, email, date of birth, dependents) and current benefit elections.  Employees with open enrollment changes must log into MAP to make benefit changes for 2016, such as: 

  • enroll or re-enroll in Flexible Spending Accounts;

  • apply or re-apply for HealthyKIDS program;

  • re-enroll in Health Savings Accounts to contribute an amount higher than the minimum employee contribution of $25;
  • enroll in or change a medical plan - Plan A or Plan C;

  • change medical plan provider – BCBS or Aetna;

  • add, change or drop coverage;

  • add or drop vision coverage;

  • add* or drop spouse/dependents from medical, dental or vision coverage;

  • change your pretax payment status.

*Please note that when adding dependents and/or spouse to coverage, appropriate documentation must be uploaded to MAP – marriage license for spouse and birth certificate for children.  The open enrollment process will not continue until the documents have been uploaded to MAP.

How to Log Into MAP

  • Click on Health Insurance Membership Administration Portal (MAP) located on the main menu on the left side of the HRS Homepage - http://www.pittstate.edu/office/hr/.  Select Pittsburg State University from the drop down menu and click “Select”.

  • Enter your PSU Username and Password and click the “Sign In” button.  The PSU Username and Password are also referred to as your “Active Directory” login. The PSU Username is usually the first part of your email address (before the @pittstate.edu).  If you do not know your PSU Username and Password, please contact the Gorilla Geeks at Ext. 4600.

  • You will now be in MAP.

  • Click on the “Enrollments & Events” tab at the top of the page; then click on “Launch Enrollment” under “Actions”.

  • You may be asked to update and provide contact information.

  • Follow the screens to make your elections by clicking on the “Save and Continue” button at the bottom of each screen. 

  • Upload appropriate documents (e.g. marriage license for spouse and birth certificate for children) to MAP.  Please note that when adding dependents and/or spouse to coverage, appropriate documentation must be uploaded to MAP – marriage license for spouse and birth certificate for children.  The open enrollment process will not continue until the documents have been uploaded to MAP.

  • NOTE that you cannot complete the open enrollment until the documents have been uploaded to MAP.

  • To complete the enrollment process, review your elections.  If you need to make changes, click on the “Change Your Elections” button.  Click the “Save and Print Confirmation” button when you are satisfied with your elections. Log out of MAP by clicking on the “log out” button in the top right corner of the page.  After you log out, you must close your browser to exit MAP.  If you do not close your browser, you will not be properly logged out of MAP, and your benefits information could be accessed by someone else.

Summary of Plan Design Changes for 2016 – see the SEHP web site for additional information.


PLAN A:

  • Office visit copays have increased from $25 to $30 for primary care providers and from $45 to $50 for specialists.
  • Network deductible has increased from $300 to $400 single and from $600 to $800 family.

PLAN C

  • Network deductible has increased from $2,600 to $2,750 single and from $5,200 to $5,500 family.
  • Maximum HSA contribution has increased for family coverage from $6,650 to $6,750.

Other Changes:

  • The Heath Care Flexible Spending Account (FSA) and Limited Health Care FSA will have a carryover provision instead of a grace period.
  • New vision plan provider will be Surency Vision (this replaces Superior Vision).
  • See the SEHP Open Enrollment web site for additional changes.

Flexible Spending Accounts (FSA) Enrollment

Employees must log onto MAP by Friday, October 31, 2015 to participate in either the Dependent Care or Health Care Flexible Spending Account(s) in 2016.  Employees must enroll in FSA each year to participate.

For Dependent Care FSA, this is a calendar year program for services received January 1 to December 31, 2016.

Employees that have Health Care FSA or Limited Health Care FSA Plan Year 2015 (January 1 to December 31, 2015) will have a carryover up to $500 into Plan Year 2016. 

Deductions for FSA will be semi-monthly as well. After you have estimated your annual amount, divide that amount by the appropriate number of deductions to get the paycheck deduction amount.

  • 12-month employees - divide by 24 deductions

  • 9, 10 & 11-month employees - divide by 16 deductions

The PY 2016 semi-monthly minimums and maximums are as follows:

Health Care Deductions Minimum Maximum
24 deductions (12 month employees) $ 8.00 $104.16
16 deductions (9-10-11 month employees)
January through April & September through December
$12.00 $156.25
Dependent Care Deductions Minimum Maximum
24 deductions (12 month employees) $16.00 $208.33*
16 deductions (9-10-11 month employees)
January through April & September through December
$24.00 $312.50*

*Subject to tax filing status

 

HealthyKIDS Program

This program helps eligible state employees with the cost of children's health insurance coverage. Eligibility guidelines are established by the HealthWave program.

If you believe you are eligible for HealthyKids, you must complete the Open Enrollment process on line.  Employees who are currently HealthyKids participants will be required to reapply for approval for 201. HRS will be notified if you qualify for the program, and premium adjustments will be made.