Skip to main content

Health Insurance – Plan Year 2019 – Open Enrollment is October 1-31, 2018

From the State Employee Health Plan: 

Open Enrollment for the State Employee Health Plan (SEHP) will begin October 1, 2018.

This year is again an Active Enrollment for active employees covered under the SEHP. Employees will be required to select their health plans for 2019 by logging into the Member Administration Portal (MAP) - https://sehp.member.hrissuite.com/ and completing their elections during the month of October. Members that do not complete their elections will be defaulted to the Qualified High Deductible Health Plan - Plan N with a Health Reimbursement Account.

NEW FOR PLAN YEAR 2019

  • Dental will be a standalone option for 2019. You will not need to enrolled in medical to select dental coverage next year.
  • NueSynergy is replacing Optum Bank as the administrator for the Health Savings and Health Reimbursement Accounts.
  • Ask Alex, a coverage advisor tool, will be available to help members review their plan options.

For more information and videos on  the PY 2019 options, visit our website:  http://www.kdheks.gov/hcf/sehp/OE-NSEG-2019.htm

Summary of Benefits and Coverage

The State Employee Health Plan (SEHP) offers health plan coverage options. Choosing a health plan option is an important decision. To help you make an informed choice, the SEHP has made available to you a Summary of Benefits and Coverage (SBC), which summarizes important information in a standard format to help you compare your options. www.myalex.com/kansassehp/2019

The SBC will be available online after October 1st at: www.kdheks.gov/hcf/sehp/SBC.htm  

Paper copies will be available free of charge by calling the health plan vendor’s toll free number - listed below.

  • Aetna - 1-866-851-0754
  • Blue Cross Blue Shield of Kansas - 1-800-332-0307

For more information on Plan Year 2019, visit our website - www.kdheks.gov/hcf/sehp/default.htm beginning the week of October 2nd or email us at: kdhe.Benefits@ks.gov

Plan Year 2019 Quick Links:

Health Insurance – Plan Year 2018 – Open Enrollment is October 1-31, 2017

Summary of changes for plan year 2018 -  pdf -  The good folks at the State Employee Health Plan put this together to inform us of all the changes occurring in the 2018 plan year.  Please take a look at it.  The big change –->The SEHP now has five medical plan options to choose from – Plans A, C, J, N, and Q.

Enrollment for Plan Year 2018 is an ACTIVE enrollment. This means members must log in and make elections for 2018 coverage - 2017 elections will not roll over to 2018. Members that do not make an election for Plan Year 2018 will be defaulted to Plan N through their current carrier and at the same coverage level with an HRA.

NOTES:

Employees that have waived coverage for Plan Year 2017 and do not make elections during Open Enrollment for 2018 will continue in waived status for 2018.

Employees enrolled only in the optional Surency Vision Program do not need to make elections during Open Enrollment for 2018 to continue on vision only insurance.

Membership Administration Portal (MAP) website: https://sehp.member.hrissuite.com/  This is the website where you go to log into your individual account and actually make your elections.  If you have forgotten your password, then you need to re-register your account.  Contact the Central Office if you do not know your Employee ID.

State Employee Health Plan website:  http://www.kdheks.gov/hcf/sehp/default.htm  This website contains all the resources you need to answer any questions regarding your benefits.  It's a good idea to be familiar with this website.

Open Enrollment Handbook

Premium Rate Schedule - premiums are shown prior to the HeathQuest discount

Here is a document put together by Blue Cross Blue Shield that compares the five different plans.

 

HealthQuest Rewards Program

The HealthQuest Rewards Program is optional and employees and spouses are not required to participate to be covered under the health plan. There is no additional cost to employee’s premiums for not participating but they will be paying the base rate (undiscounted rate) for their insurance coverage.

Plan A Members:

From January 1, 2018 through December 31, 2018 employees and spouses enrolled in medical plan A of the State Employee Health Plan (SEHP) have the opportunity to earn credits by participating in various well-being activities offered through HealthQuest. Those who complete the REQUIRED Health Assessment (worth 10 credits) and earn a total 40 credits will receive a premium incentive reduction in 2019. Employee and Employee/Children Coverage will earn a $480 reduction for 2019 and Employee/Spouse and Employee/Family – both the Employee and Spouse can earn a $240 reduction ($480 total) for 2019.

Plan C, J, N, and Q Members:

From January 1, 2018 through December 31, 2018 employees and spouses enrolled in medical plan C of the State Employee Health Plan (SEHP) have the opportunity to earn credits and HRA/HSA dollars by participating in various well-being activities offered through HealthQuest. Those who complete the REQUIRED Health Assessment (worth 10 credits) and earn a total 40 credits will receive a premium incentive reduction in 2019. Employee and Employee/Children Coverage will earn a $480 reduction for 2019 and Employee/Spouse and Employee/Family – both the Employee and Spouse can earn a $240 reduction ($480 total) for 2019. They will also earn HRA/HSA dollars per activity (up to $500 per employee and spouse) to be deposited in 2018.

Credits for Annual Preventive Exams

You no longer have to worry about manually entering your annual preventive exams to earn HQ credits! Credits will automatically be uploaded to your account after your SEHP medical insurance vendor has processed the claim. The SEHP medical vendor will send a file directly to Cerner (the HQ vendor) showing the credits earned and you will be notified by an email from Cerner when the credits are applied to your account.

--

A summary of the options to earn credits is listed in the table below.  For additional assistance, please refer to these tools and resources:

Credits are tracked on the wellness portal at https://kansashealthquest.cernerwellness.com. Each employee will need to open an account on the wellness portal.

More information can be found here:  http://www.kdheks.gov/hcf/healthquest/default.htm

Access HealthQuest programs toll-free at 1-888-275-1205

 

Sick Leave Bank Policy

F.    Sick Leave Bank

  1. Participation shall be voluntary. Those who choose to participate shall contribute one (1) day of their accumulated sick leave to the bank at the beginning of their period of participation.
  2. Teachers may enroll in the sick leave bank at the beginning of each contract year but must submit the appropriate form by October 1. Any teacher on duty from the beginning of the contract year desiring to enroll after October 1 must wait until the following year. Teachers hired after the beginning of the contract year who desire to enroll must do so within thirty (30) calendar days after their first day at work or by October 1 of the current contract year, whichever is later.
  3. Only participating teachers are eligible to draw from the bank. Each person, before using the bank, shall deplete his or her accumulated sick leave.
  4. Teachers shall not be allowed to withdraw days from the sick leave bank for any days for which workers' compensation benefits are received.
  5. In order for a staff member to participate in the employee/family sick leave bank, he or she must donate one day of sick leave at the beginning of each school year.  
  6. A staff member upon retirement may donate two days to the sick leave bank.   
  7. A committee of eight (four teachers K-3 (1), G4-6 (1), G7-8 (1), G9-12 (1), three classified, and a building principal) shall grant or deny any request made to the sick leave bank for sick leave days.  Requests for sick leave days should be made to the sick leave bank administrator.  Decisions approved by the majority of the committee are final.

The committee members shall use the following criteria in administering the bank and rendering their decision.
a.    Medical evidence of serious illness
b.    Employee has used all accumulative leave days
c.    History of use of sick leave during the year

  1. Sick bank leave may be requested by the employee for illness, injury, or death in the immediate family (Re:  ARTICLE III, I). The central office shall maintain records of sick bank use.
  2. Requests must be accompanied by physician’s statement and indicate estimated number of sick days requested.
  3. Eligible participants may join the sick leave bank by donating one day of his/her accumulated sick leave each year until such time as the bank reaches a maximum of 200 days. In the event that the maximum is met only new members will donate days. 
  4. Total amount of sick leave granted from the bank by the committee for one person cannot exceed twenty (20) working days per school year.
  5. Any employee who is a member of the sick leave bank who has used up all accumulated sick leave, as well as all twenty (20) sick leave bank days, may petition the sick leave bank committee to solicit individual donations from employees. The petition will indicate the number of days needed along with a statement of need that explains the circumstances for which the additional days are being requested.