Click here for the 2017 Plan Rates
Click here for the 2017 OPEN ENROLLMENT BOOK
Click here for the 2017 DIRECT BILL / RETIREE OPEN ENROLLMENT BOOK
HRS Open Enrollment Informational Memo
Click here for the 2017 Open Enrollment Power Point
Click here for the Employee Guide on how to log into MAP
The Group Health Insurance (GHI) Open Enrollment meeting will be held on Tuesday, September 27, 2016, in the Overman Student Center Ballroom 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 2017.
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, 2016 on the new SEHP Membership Administration Portal (MAP). Changes made during open enrollment will be effective January 1, 2017 through December 31, 2017.
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 2017, 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.
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.
$10 increase in Office Visit Copays
Added 3-tier Deductible $1,000/$2,000/$3,000
Member only has a $1,000 Deductible
If member +1, each has a $1,000 Deductible
If 3+ family members are covered:
Two members each have $1,000 Deductible
All other family members expenses are added together to meet the 3rd $1,000 deductible
If 4+ covered family members & all together $3,000 has been applied to the deductible, it is met for all family members
Increase OOP by $1,000/$2,000
Coinsurance added after the Deductible
Medical claims: 20% Coinsurance
Pharmacy Coinsurance tiers like Plan A
OOP Max increased to $5,000/$10,000
ER HSA Contribution:
Will be paid quarterly (January, April, July, October)
Reduced $500 for employee & employee/child tier
Reduced $1,000 for employee/spouse & family tiers
There is the 9% increase on the employee rate on the employee only, employee plus children coverage tiers, and the employee plus spousal adjustment
New Pharmacy Tiers for Plans A & C
Generic drugs – 20% Coinsurance
Preferred Brand Name Drugs – 40% Coinsurance
Non Preferred Brand Name Drugs – 65% Coinsurance
Health Quest (HQ) Rewards
New vendor: Cerner
40 credits needed for reward
Covered spouses eligible to earn rewards
Aligning HQ year to calendar year
Plan Year 2018 premium incentive up to max of $480 per year
EE & EE/Children = EE earns $20
EE/spouse & EE/Family
EE earns $10 toward premium incentive
Spouse earns $10 toward premium incentive
Plan C – EEs & covered spouses can each earn up to $500 contribution to EE’s HSA or HRA in PY 2017
EEs will now see a dental premium for single coverage
EEs may opt out of purchasing dental
EEs may elect a different coverage tier than medical
Employees must log onto MAP by Friday, October 31, 2016 to participate in either the Dependent Care or Health Care Flexible Spending Account(s) in 2017. 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, 2017.
Employees that have Health Care FSA or Limited Health Care FSA Plan Year 2016 (January 1 to December 31, 2016) will have a carryover up to $500 into Plan Year 2017.
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 2017 semi-monthly minimums and maximums are as follows:
*Subject to tax filing status
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 2017. HRS will be notified if you qualify for the program, and premium adjustments will be made.