STATE OF CONNECTICUT
NANCY WYMAN COMPTROLLER	OFFICE OF THE STATE COMPTROLLER 55 ELM STREET HARTFORD, CONNECTICUT 06106-1775	MARK OJAKIAN DEPUTY COMPTROLLER

COMPTROLLER'S MEMORANDUM NO. 95 - 61

NOVEMBER 3, 1995

TO THE HEADS OF ALL STATE AGENCIES

The attached health insurance schedules for calendar year 1996 are to be used in processing self-administered billing for all health insurance vendors. All reporting to vendors including payroll maintenance must be performed in accordance with the time frames noted in the schedules.

For purposes of greater clarity, this year two schedules are attached. Schedule A covers payroll maintenance for current employee health insurance; Schedule B applies only to new employees indicating the initial month of coverage and the first payroll deduction based upon the month in which employment commences.

Please note the relationship of Columns 1, 4 and 5 in Schedule A. Health insurance coverage is based on a calendar month only and always begins on the first day of a month. If an employee's final paycheck covers only a partial vendor payment due in the month coverage terminates, the agency must implement one of the following procedures:

1. On or before the applicable transaction submission date for employee maintenance, obtain a cash payment from the terminating employee to complete payment for the effective month of coverage; or
2. Cancel the terminating employee's sub-group participation on or before the applicable transaction submission date for employee maintenance; or
3. If the applicable maintenance date for the terminating employee has passed, obtain a refund from the vendor.

The terminating employee's coverage through the agency sub-group will cease the last day of the month for which full payment was made to the vendor.

Any questions concerning this subject should be directed to this office's Health Care Research and Analysis Unit, at 566-1742.

Nancy Wyman
State Comptroller

Schedule of Self-Administered Health Insurance Billing
Calendar Year 1996

Schedule A
Employees Continuing on Payroll

Schedule of Self-Administered Health Insurance Billing
Calendar Year 1996

Schedule B
New Employees

Effective date of health insurance coverage for employees who first work in 1996.

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