|
Employee
Insurance Benefits |
|
|
|
Notice : |
|
Effective September 30, 2009, H1N1 flu
vaccine and standard influenza immunization shots
administered at a pharmacy are a covered benefit, subject to
co-payments and deductibles.
Instructions:
Pay for the immunization administered at the pharmacy and
get a receipt (with the date, the cost, the name of the
vaccine, the plan member who received the vaccine and the
name of the provider who administered it) indicating you
paid for the immunization. Sign and date the
form and
send it to the address on the form. If you have EPO or HMO:
For the EPO (UnitedHealthcare), HMO (Humana) and Medical
Home HMO (Vantage) health plans go to www.groupbenefits.org
for links to your respective health plan.
Click Here for
the Flu Vaccine Claim Form
|
|
Notice : |
|
Effective July 1, the Catalyst Rx mail
service pharmacy provider for PPO, EPO and HMO plan members
changed from Walgreens Mail Service to Immediate
Pharmaceutical Services (IPS). One-Time Enrollment To begin
receiving prescriptions by mail, you need to enroll with
IPS-by mail, Internet or telephone. Mail: Complete a
Registration and Prescription Order Form and mail it to IPS.
This form establishes your health, allergy and plan
information with IPS. Internet: Access the Catalyst Rx
website (www.catalystrx.com). Using the OGB plan member’s
Social Security number and birth date, log in to the member
website and follow the instructions for New Enrollment on
the Mail Service page to complete and submit an online
enrollment form. Upon receipt, your enrollment will be
processed within two business days. Phone: Call Catalyst Rx
toll-free at 1- 866-358-9530. Enrollment is available Monday
through Friday from 7 a.m. till 9 p.m. (CST) and Saturday
from 8 a.m. until 4 p.m. (CST). Remember to have your health
and allergy information as well as your prescription member
ID card available prior to placing your call. If you have
questions, call Catalyst Rx Customer Service 24 hours a day,
seven days a week, toll-free, at 1-866-358-9530
|
|
Frequently Asked Questions |
|
|
|
Eligibility: |
-
You may enroll in the Office of Group
Benefits (OGB) program if you are a full-time employee.
-
New
Employees:
Health coverage becomes effective 30 days after the 1st
of the following month.
-
Late
Applicants:
I f you have a qualifying event sign up by the 14th of any month and Insurance is
effective the following month. Insurance premiums are
deducted from your paycheck the prior month of the
effective date.
|
|
For Retirees |
|
The amount of your premium depends on
the number of years you’ve had insurance cover-age. If you
were enrolled with OGB (formally known as the State
Employees Group Benefits Program) prior to November 14,
2001, then you are vested with OGB and your premium will be
subsidized 75% by the State. If you were not vested by this
time, then the percentage of State Subsidy is reduced depending on the number of years you carried health
insurance prior to retirement.
|
|
Years of Participation |
Percentage State Pays
|
| 10 or fewer |
19% of
total premium |
| >10, but < 15 |
38% of
total premium |
| >15, but < 20 |
56% of
total premium |
| 20 or more |
75% of
total premium |
|
|
When you retire you may keep the health insurance through OGB. As a courtesy to the retiree, TRSL
and LSERS will deduct your Health & State offered Life
Insurance from your retirement check; however, it takes
several months for this to occur. In the mean-time, you will
pay LPPS until you see the insurance deduction from
your retirement
Click Here for More Information |
|
Options:
|
-
HMO
Health
Maintenance Organization
For those state employees who prefer to receive their care
through a health maintenance organization, Group Benefits
offers LPPS Employees coverage through Humana. You may
contact Humana
directly at 1-800-564-9159 , or visit their web site.
Humana Health Plan
web site:
http://www.humana.com
Humana Annual Enrollment web site:
http://apps.humana.com/egroups/stateofla/home.asp
*To
obtain provider directory please go to
the
health care
organization website.*If you are not able to access websites please call 686-4230
for booklets.
|
|
Changes |
|
We have open enrollment for
health insurance in October. You are allowed to change
carriers during this time only.
Marriage: Plan member must
complete an enrollment/change form to increase
health and/or dependent life within 30 days of
the marriage. A marriage license is required.
Newborns: Plan member must complete an
enrollment/change form within 30 days from date
of birth. A temporary birth certificate is
required.
Cancellation of Coverage: an
enrollment/change
form must be completed.
Please notify of address changes.
Please include Employee ID # and Social Security
# on all correspondence.
Call 686-4230
Tutti Smith for an appointment to make
insurance changes or to sign up.
|
|
Contact Information |
|
First Financial Group of America administers
all supplemental benefits and can be reached at
866-541-5096
*Open enrollment for all plans other
than Health Insurance is done
in November. Changes will be effective in January.
|
|
Forms |
|
|
