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2015 Group Health Insurance
Open Enrollment


2015 Open Enrollment Webinars for GHI and Vendors

 

Group Health Insurance Open Enrollment

Click here for the 2015 OPEN ENROLLMENT BOOK.

IMPORTANT – There are many changes for Plan Year 2015!!!!!!!  The Group Health Insurance (GHI) Open Enrollment meeting will be held on Tuesday, October 7, 2014, in 109 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 2015.

Open enrollment for Group Health Insurance (GHI) is October 1 through October 31, 2014 on the new SEHP Membership Administration Portal (MAP)Open enrollment will not be done through State Employee Self-Service this year. Changes made during open enrollment will be effective January 1, 2015 through December 31, 2015. 

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 2015, such as: 

  • enroll or re-enroll in Flexible Spending Accounts;

  • apply for HealthyKIDS program;

  • 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 is the username and password that you use to log into your computer.  The PSU Username and Password are also referred to as your “Active Directory” login. It is not your GUS log in username and password.  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.

Changes for Plan Year 2015

  • Coventry/Preferred Health was purchased by Aetna. 

  • Plan B will not be offered.  Members must log into MAP to select Plan A or Plan C for 2015.  The default enrollment will be Plan C.

  • UnitedHealthcare will not be offered.  Members must log into MAP to select Blue Cross / Blue Shield or Aetna (formerly Coventry).  The default enrollment will be Aetna.

  • Premium salary tiers have been eliminated.

Summary of Plan Design Changes for 2015 – see the SEHP web site for additional information.

  • Plan A has a combined medical and prescription drug out of pocket maximum of $4,750 per person or $9,500 per family.

  • Plan C has increased the deductible and out of pocket maximum from $2,500 per person to $2,600 per person and $5,000 per family to $5,200 per family.

  • Plan C members that are not eligible for an HSA account may elect to participate in a Health Reimbursement Account (HRA).

  • The Heath Care Flexible Spending Account (FSA) and Limited Heath Care FSA will have a carryover provision instead of a grace period.

  • See the SEHP Open Enrollment web site for additional changes.

Flexible Spending Accounts (FSA) Enrollment

Employees must log onto MAP by Friday, October 31, 2014 to participate in either the Dependent Care or Health Care Flexible Spending Account(s) in 2015.  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, 2015.

Employees that have Health Care FSA or Limited Health Care FSA Plan Year 2014 (January 1 to December 31, 2014) funds left in the account after December 31, 2014 will have a "grace period" to use those funds.   Expenses eligible for reimbursement during the grace period are those incurred from January 1, 2015, through March 15, 2015. Reimbursement requests must be received by April 30, 2015.

For Plan Year 2015 (January 1 to December 31, 2015), Heath Care FSA or Limited Health Care FSA will have a carryover up to $500 into Plan Year 2016.  There will not be a “grace period” for Plan Year 2015.

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 2015 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. Eligible employees will have 90% of the children component of dependent coverage paid by the state. 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 2015. HRS will be notified if you qualify for the program, and premium adjustments will be made.