June 15, 2011

Update on Health Care Plan for SIUC employees

The Commission on Government Forecasting and Accountability (COGFA) approved a motion at a hearing on Tuesday, June 14, to permit the State to operate a self-insured program for 90-days. CMS is currently working with both the FY11 and FY12 vendors to potentially enter into those contracts. As soon as CMS has the agreements with these vendors, that information will be shared with you and it will also be posted on the CMS website (www.benefitschoice.il.gov). AT THIS TIME, HMO IL, BlueAdvantage HMO and Cigna remain the only available options for FY12 until such time as CMS has an agreement with any other vendors.
1. This is not a 90-day contract extension. These are new contracts and they will expire after the 90-day period. However, it could result in your current healthcare provider, such as HealthLink or Health Alliance, continuing to be your provider for the next 90-day period beginning July 1, 2011.
2. The Benefits Choice deadline remains this Friday, June 17, 2011. The most recent Benefits Choice Election form submitted by you to the HR Benefits office will represent your healthcare choice, if that carrier agrees to the 90-day contract extension. The Benefits Choice period will NOT be extended.
3. CMS is still committed to a special enrollment period; however, at this time the dates have not been determined. Once dates have been set, information will be provided to you and will also be available on the CMS website.
1. You must still make your healthcare choice by this Friday, June 17! Since there is a possibility that FY11 and FY12 vendors (including Health Alliance, HealthLink, Personal Care OAP, etc.) might be among the choices available for this 90-day contract extension, it is recommended that you complete the Benefits Choice Election form indicating the specific carrier of your choice, regardless if at this point it is known if that plan will be an option. CMS will allow members to indicate a first choice, and second choice, on the Benefits Choice Election form in case the healthcare provider listed as your first choice does not enter into the 90-day contract agreement with the State.
For example: You currently have Health Alliance and you wish to remain with Health Alliance if that is an option. However, if Health Alliance does not agree to the 90-day contract, your next choice would be HealthLink. On the Benefits Choice election form, in Section C (Health Plan Elections), elect the Managed Care Plan (HMO or OAP) in the box to the right, and indicate #1-Health Alliance, #2-HealthLink under the Carrier/Plan name in the box to the left.
2. Please be sure your benefit choice election is clearly indicated on the election form. Benefit Choice changes are made for a variety of reasons, and we cannot assume that any changes made were a result of the contract awards. Therefore, the last election form received by the HR Benefits Office will your health plan choice (unless unavailable). If you have already submitted a Benefits Choice Election form and wish to change the plan carrier, you MUST submit a new election form with your new election choice(s).
3. If you do not submit an election form, you will remain in the healthcare plan you are currently enrolled in unless that is not an available option. If this is the case, you will be defaulted to the Quality Care Health Plan effective July 1, 2011.
Due to the overwhelming number of phone calls, emails and walk-ins as a result of these changes, the HR Benefits Office Staff will be offering the following group informational sessions to assist with completing the Benefits Choice Election forms and answer related questions. Please try to attend one of these sessions if you plan to make an election change. This will ensure that our staff can provide assistance to the vast majority of our members.
Wednesday, June 15
Student Health Center Auditorium
Session Times: 1:30 p.m.; 3 p.m.
Thursday, June 16
Student Health Center Auditorium
Sessions Times: 10 a.m.; 11 a.m.; 2 p.m. & 3 p.m.
Friday, June 17
Student Health Center Auditorium
Session Times: 9 a.m.; 11 a.m.
If you are ONLY making a health carrier change, a sample election form can be found on the HR website at http://www.siuc.edu/~humres/benefits/2011SAMPLE_ElectionForm.pdf. This sample form identifies the required sections needed specifically for a health carrier change only.
CMS Benefits Choice website www.benefitschoice.il.gov
HR website www.siuc.edu/~humres
Benefits Choice Options Booklet http://www.state.il.us/cms/download/pdfs_benefits/FY12Seminar-StateBook-qxd.pdf
The booklet contains benefits choice changes, available benefit options, rate and premium information, plan specifics, and plan administrator contact information.
Benefits Choice Election Form http://www.siuc.edu/~humres/benefits/Ben%20Choice%20Election%20Form.pdf
Your COMPLETED Benefits Choice Election form can be submitted by doing one of the following:
Fax: 618/453-6693
Delivery: 805 S. Elizabeth St., Carbondale, IL 62901 or at one of the group sessions listed above.
Scan and email to HRBenefits@siu.edu
Given the time frame, it is not recommended that you mail your form as the deadline is Friday, June 17, 2011. However, all elections forms postmarked June 17, 2011 or earlier will be accepted.
Your Benefit Choice Election form should be submitted to SURS. SURS will accept the following:
Fax: 217/378-9800
Mail: *Must be postmarked by June 17, 2011
P.O. Box 2710
Champaign, IL 61825-2710