Benefit ReviewState and School Employees’ Life & Health Insurance Plan• Self-Funded• 3rd Party Administrator – Blue Cross Blue Shield of MS• Active and retired employees and their dependents• Receives no direct appropriation from the State• Over 190,000 Total Covered Lives

Benefit Review (continued)State and School Employees’ Life & Health Insurance Plan• Health Plan Coverages

• Select Coverage – lower deductible• Base Coverage – higher deductible

• Employee Types• Legacy – hired prior to 01/01/2006• Horizon – hired on or after 01/01/2006

• Open Enrollment – Annually October 1-31• Employees may change options during open enrollment• Effective date of employee changes 01/01/2012 – health

deduction changes will show on 12/31/2011 payroll check• All changes/enrollments must be submitted to HR by 10/31/2011

Benefits

The My Benefits Portal is located on the DOR internal website

All enrollment, change, etc., forms are located on the My Benefits Portal

Health insurance is deducted one month in advance.

2012 Select 2012 Select Coverage Coverage Legacy $20 monthlyLegacy $20 monthly

Horizon $38 monthly - Horizon $38 monthly - employee deduction for employee deduction for employee only coverageemployee only coverage

$ 1000 Health $ 1000 Health DeductibleDeductible

$75 Pharmacy $75 Pharmacy DeductibleDeductible

2012 Base Coverage 2012 Base Coverage

$0 monthly employee only $0 monthly employee only

deduction (Legacy & deduction (Legacy & Horizon Employees)Horizon Employees)

$ 1800 single Health $ 1800 single Health Deductible, $3000 familyDeductible, $3000 family Must meet Must meet

$1800/$3000 $1800/$3000 deductible before deductible before receiving pharmacy receiving pharmacy benefitsbenefits

State Plan Changes - 2012• Certification Requirement for CTs and MRIs in Emergency Room Setting Removed

• Additional certification requirements for transplant evaluations with Active Health in addition to regular transplant pre-certification

• HealthQuotientSM Requirement for Medicare Participants – if Medicare Primary then no Health Quotient required; if on Medicare but it is not primary then a Health Quotient is still required.

• Participating Pharmacies to Administer Certain Vaccines under Wellness Benefits like flu shots

• Weight Management Program through Active Health

• Premium Changes for Retirees only – no changes for active employees

• It’s not too late to complete Health Quotient for 2011 and use wellness benefits go to www.webmdhealth.com/mississippi

Important Telephone NumbersPayroll check, tax withholding, leave balances, PERS• Tabori McCarty, 601-923-7652

Cafeteria Plan• Aaron Robinson , 601-923-7660

Benefits• Dianne Henderson, 601-923-7751• LaTasha McDonald, 601-923-7756

Human Resources

601-923-7750

Taylor and Sons – One Stop Shop (Introduction)

Will advise telephone number

Questions