STATE OF CONNECTICUT
THE STATE COMPTROLLER
55 ELM STREET
HARTFORD, CONNECTICUT 06106-1775
COMPTROLLER'S MEMORANDUM NO. 2007-10
April 18, 2007
TO THE HEADS OF ALL STATE AGENCIES
|ATTENTION:||Personnel and Payroll Officers, Chief Administrative and Fiscal Officers, Business Managers|
|SUBJECT:||2007 - 2008 State Employee Annual Health Insurance Open Enrollment and Health Insurance Processing Procedures|
The state employee health insurance annual open enrollment period will be held from May 7, 2007 through June 1, 2007, for coverage effective July 1, 2007. In that connection, this memorandum establishes available health plan choices, health insurance rates and the effective payroll dates, and discusses enrollment procedures. Open enrollment fairs will be held statewide during the open enrollment period; the schedule of fairs will be issued in a future memorandum. Full details of plan choices will be available at the open enrollment fairs and in the HealthCare Options planner that will be mailed to all employees. For employees that do not respond during this year's open enrollment period, their health insurance status will remain unchanged, except that they will be affected by any change in the deduction amount for their plans. Employees will not be able to enroll in, change, or add dependents to a plan other than during this open enrollment period, except under limited circumstances in response to changes in their work or family status. The employee is responsible for contacting their agency personnel/payroll representative to file the appropriate forms within 30 days of the event that necessitates a change in enrollment or plan.
II. PLAN CHOICES AND CARRIERS
A. Medical Plans - For the 2007-2008 plan year there are no changes in the medical plan offerings. The medical benefits of all the plans remain aligned and unchanged from last year. In accordance with the SEBAC V Agreement, the Office Visit co-pay amount for employees will increase to $10 for the POE and POE-Gatekeeper and Out of Area plans, and to $15 for the POS plans.
Anthem, Health Net and Oxford will continue to offer Point of Service (POS), Point of Enrollment (POE), and Point of Enrollment-Gatekeeper (POE-G) plans.
Each of the medical plan carriers now offer substantial regional provider networks in addition to Connecticut providers. In addition, all of Oxford's plans, including the lower cost POE plans, offer full access to United Healthcare's national Choice Plus provider network. An employee may be able to change to a POE plan, keep the same providers, have access to a larger network of providers than previously, and also reduce their payroll deduction for health insurance. Full details and maps of the expanded networks will be included in the Health Care Options Planner that will be mailed to eligible employees and retirees. Employees should be advised to review these network changes carefully.
As a result of the expanded regional networks, an employee who resides in another state in the region may be able to enroll in a POE-type plan at a lower payroll deduction than in the Out of Area plan and still have access to providers in Connecticut and as well as in other states. Employees who reside outside of Connecticut are still allowed to choose from the two Out-of-Area Plans. The Oxford USA Plan and the Anthem Out-of-Area plan will continue to be available.
B. Prescription Drug Plan - For the 2007-2008 plan year there are no changes to the State's prescription drug offering. PharmaCare remains the State's pharmacy benefits provider.
C. Dental Plans - There are no changes to the State's dental plan offerings for the 2007-2008 plan year. UnitedHealthcare Dental will continue to administer two dental plans, the Basic Plan and the Enhanced Plan. The Aetna DMO plan, a dental HMO, remains available.
The health insurance rates for the period from July 1, 2007 to June 30, 2008 have been modified to reflect the premiums negotiated with the carriers. The attached rate chart reflects the employee premium shares for the bi-weekly pay periods and includes monthly employee premium shares for benefits billing purposes. The semi-monthly schedule will be distributed to agencies that so require.
IV. PAYROLL EFFECTIVE DATES
The premium changes announced herein are effective with the following payroll periods:
|June 8 - June 21, 2007||June 16 - June 30, 2007|
|Payable July 6, 2007||Payable June 30, 2007|
V. ENROLLMENT PROCEDURES
Employees who choose to remain with their existing plans do not have to complete a new health insurance enrollment statement.
All Enrollment Statements must be produced using the CORE-CT Benefits Administration system.
Agencies can begin printing Open Enrollment Statements on Monday, May 7, 2007. Enrollment statements should be produced only for those employees seeking to make a change during this open enrollment period.
Agencies can enter new elections any time on and after May 7, 2007. The enrollment statement will have a closing date of June 1, 2007 printed on them. However, agencies will have until close of business June 15, 2007 to complete data entry of employee elections. Therefore, agencies can choose to accept enrollment statements from employees after June 1, 2007. Be advised that the open enrollment process will be closed to agencies at the end of the business day, June 15, 2007.
Civil Union Enrollment:
All Civil Union enrollments or changes are to be processed by the Retirement &
Benefit Services Division, Central Benefits Unit.
Employees seeking to add medical and/or dental coverage for their civil union partners and dependent children should be instructed to submit the same documentation to their employing agency that is required of married employees. For federal income tax purposes, if the employee provides more than fifty percent of a civil union partner's financial support the employee should also provide a signed statement to their employing agency stating that fact.
The employing agency, not the employee, is required to submit a representation from the agency as to the employee's intent regarding health insurance coverage along with a copy of the above mentioned documents to the Central Benefits Unit.
Upon its receipt of these materials, the Central Benefits Unit will process the change to the employee's records in Core-CT associated with health care coverage for civil union partners and will notify the agency of such action.
Domestic Partner Enrollment:
All Domestic Partner enrollments or changes are to be processed by the Retirement & Benefit Services Division, Central Benefits Unit. The employing agency, not the employee, is required to submit a representation from the agency as to the employee's intent regarding health insurance coverage, agencies are to use the following procedures:
(1) For an employee who has enrolled a domestic partner in their health plan prior to the 2007 Open Enrollment period and requests a change to another carrier or coverage option, the Agency must send a copy of the completed and signed Core-CT Enrollment Statement to the Central Benefits Unit. This unit is responsible for processing the changes. The Confirmation Statement will be emailed to the Agency.
(2) Employees who wish to enroll their domestic partner during the 2007 Open Enrollment period must submit an Affidavit of Domestic Partnership to their agency who in turn will forward it to the Central Benefits Unit. Coverage will be effective July 1, 2007, provided the Affidavit of Domestic Partnership was signed in May or June 2007. Upon acceptance of an Affidavit, the Central Benefits Unit will email an Enrollment Statement to the Agency. After the employee completes the Enrollment Statement the Agency should return it to the Central Benefits Unit, which will process the enrollment changes, and email the Confirmation Statement to the Agency.
(3) Employees who have an existing approved Affidavit on file with the Central Benefits Unit and wish to enroll their domestic partner during the 2007 Open Enrollment period must notify their Agency. The Agency must send a copy of the completed and signed Core-CT Enrollment Statement to the Central Benefits Unit, which will process the enrollment changes, and email the Confirmation Statement to the Agency.
VI. ADDITIONAL INFORMATION
Be advised that agencies must process and finalize all open Event Maintenance (CTEM) events and BAS activity by May 1, 2007 or those events may not be processed correctly. In addition to the automated open events query sent to agencies via email, agencies can print the following reports to help identify such events:
In conjunction with open enrollment, agencies may have other events such as new hires or family status changes. For these events, normal event maintenance processing will continue, for instance:
Data cleanup/error corrections attributable to the open enrollment period must be completed in accordance with the following deadlines: semi-monthly employees must be completed by June 14, 2007 and bi-weekly employees must be completed by June 15, 2007.
In addition to printing confirmation statements for changes made as a result of family status, confirmation statements may also be printed for Open Enrollment changes.
Further information concerning open enrollment is available on the Core-CT
VII. NOTICE TO EMPLOYEES
Please inform your employees of the open enrollment period and the open enrollment fairs and direct them to the Comptroller's Web site at www.osc.state.ct.us to obtain the information necessary for them to make an informed choice during the open enrollment period. Employees may attend a fair at any agency or location, subject to the employing agency's operating needs.
The HealthCare Options planner will be mailed to all employees eligible for state-paid health benefits. Be advised that it will be mailed to the "HOME" address on the CORE-CT Personal Data page. If this address is other than the employee's home address, the Agency will be responsible for forwarding the planner to the employee. The planner will include a schedule of all applicable biweekly payroll deductions, and a description of available options. The semi-monthly and 100% premium rate schedules will be sent to the affected agencies.
Personnel or payroll staff who have questions concerning this memorandum should contact the Comptroller's Retirement & Benefit Services Division, Central Benefits Unit, at (860) 702-3535. Kindly refrain from directing employees to this telephone number.
Very truly yours,
Return to Index of 2007 Comptroller's Memoranda
Return to Index of Comptroller's Memoranda
Return to Comptroller's Home Page