Welcome toOpen

Enrollment2014

Benefits

LifeDentalHealthPPACA

Term Life Policy

Date of HireDate of Separation

Can convert to Retiree Lifeif you retire from JCBOE

Life

$25.84$70.94

First Year Limit:

EvaluationCleaningFluoride Treatment

Dental

State Health Benefit Plan(Medical)

Making Your 2014 Benefit Election

• Online Election - Must have email address - Members must make their health election at

www.myshbpga.adp.com

• Website Open & Close Dates- Website opens at 12:00 a.m. on October 21,

2014- Website closes at 5:00 p.m. on November 8,

2014

2014 Open Enrollment

• Members may go online as many times as they like but the last election confirmed at the time OE closes will be the election for the 2014 Plan Year

• Members should print and keep a copy of the confirmation page which will contain a confirmation number - once OE is closed, members will be able to go online at www.myshbp.ga.gov and view their 2014 election

2014 Open Enrollment

• Members who do not make open enrollment election are defaulted to Bronze plan (w/tobacco if in 2013)

• Members who wish to discontinue in 2014 must go online and elect no coverage or will be defaulted to Bronze plan

• Members with no coverage in 2013 will be defaulted to no coverage in 2014

New Plan Vendors

• Blue Cross and Blue Shield of Georgia (BCBSGA) will be the Health Plan administrator

• Express Scripts will be the Pharmacy Benefit administrator

• Healthways will be the Wellness administrator

• Elimination of HDHP and HMO Plans

• Elimination of Standard and Wellness options

• Change in HRA Wellness Incentive awards

• Increase in some premiums, decrease in some premiums

• New-year round online ADP system

2014 Benefit and Plan Changes

2014 Benefit Option

• BCBSGA will offer a Health Reimbursement Arrangement (HRA) with three levels of coverage

• Gold• Silver• Bronze

• TRICARE Supplement is also available if member is enrolled in TRICARE.

HRA PLAN

• No copays

• HRA credits pay the first billed claims

• HRA credits apply against deductible and out-of-pocket limits

• Doctors can ask for payment if deductible has not be met

HRA Credit Rollover

• Unused HRA credits rollover and ADD to plan year beginning credits

• Former HMO plans have no rollover

• Rollover credits are available in March 2014 Claim run out period

• 2013 Wellness Incentives available on January 1, 2014

2014 Wellness Incentive

Members, and covered spouse, have two options, must complete in 2014 and receive within 30 days:

Earn $240.00Complete an online Healthways Well-being AssessmentComplete biometric screening

Earn up to $240.00Telephonic pathway coaching - $240.00Online pathway coaching - $40.00 each* Worksite Biometric screening will begin in February 2013

(Includes: body mass index, blood pressure, cholesterol & glucose)

$80.00 Tobacco Surcharge not included

$80.00 Tobacco Surcharge not included

Pharmacy Benefits

• Benefits are paid not subject to deductible

• HRA credits can pay for prescription drugs

• HRA credits must be used if you file a claim

• Retailer drug programs can be used without filing a claim* 90 day mail order prescription drug plan remains

Pharmacy Benefits

* 90 day mail order prescription drug plan remains

JCBOE Contribution

• Certified employees$945.00 = $11,340.00

• Classified employees$633.00 = $7,596.00

• Classified employeesare eligible in 2014

Affordable Care Act

• SHBP meets the minimum essential coverage mandate

• SHBP meets the affordability mandate

• Health Insurance Marketplace Notice contains information for inquiry

• Individual mandate current law

PeachCare for Kids

Enroll in PeachCare for Kids

www.Peachcare.orgCall 1-877-427-3224

Frequently

AskedQuestions

Can I choose CIGNA & UHC

No. Blue Cross/Blue Shield only

Can I choose HMO or HDHP

No. HRA plan only, three levels of coverage

Why only one vendor

SHBP is able to increase negotiating effectiveness, achieve administrative effectiveness, and provide high-quality health care at competitive prices

Will I need to change doctors

Approximately 97% of in-network covered CIGNA and UnitedHealth Care providers are in-network covered BCBSGA providers.

Any member or covered dependent currently receiving care from a provider that is out-of-network with BCBSGA, which will not end in 2013, may request transition of care from BCBSGA. Transition of care allows one to continue to obtain certain services from out-of-network providers for an approved period.

The member must call BCBSGA directly at 855-641-4862 no later than December 31, 2013 to request transition of care.

Will premiums increase

If selecting the Bronze plan – reduced premiums

If selecting the Silver plan:• HMO members – reduced premiums • HDHP members – increased premiums in all but one tier • HRA members – reduced premiums in some tiers;

higher premiums in other tiers

If selecting the Gold plan – increased premiums

Questions

Questions or Additional Information

• Blue Cross/Blue Shield – 855-641-4862

www.bcbsga.com/shbp• Healthways – 888-616-6411 (12/15/13)

www.bewellshbp.com• Express Scripts – 877-841-5227

www.dch.georgia.gov/shbp• SHBP – 800-610-1863

Information is on Personnel/Payroll webpage at:

http://jasperga.schooldesk.net/Departments/PersonnelPayroll/tabid/14081/

Default.aspx

Important Notice

• The information provided in this presentation is a summary of changes for the 2014 Plan Year. It is intended only to highlight principle benefits

• Please refer to the Active members Decision Guide for more details

• Rates, decision guides and other information is available at www.dch.georgia.gov/shbp

Thank you