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

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

• Who is eligible for health insurance?

• What are the health insurance rates?

• What are my health insurance options?

• Where can I find health forms?

• How do I make a change to my health insurance coverage?

• What Benefits are available other than health insurance?
  (Click continue if prompted)

• How do I contact the insurance companies directly?

• 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:
  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.

• PPO Preferred Provider Option

  The PPO plan is offered  by Office of Group Benefits. You may contact OGB at the following website:

  http://www.groupbenefits.org
  Phone: 1-800-272-8451

• EPO Exclusive Provider Option

  You may contact this provider directly by telephone for information, or visit their website.

  United Healthcare website:
  http://www.myuhc.com/groups/laogb

  Phone: 1-866-336-9374

• 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.

We have open enrollment for health insurance in April. 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.

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.

• American Fidelity Pregnancy Claim Form

• Allstate Wellness Claim Form

• American Fidelity Cancer Claim

• American Fidelity Claim Form

• American Fidelity Disability Claim Form

• Health Insurance Enrollment and Change Form

• Colonial Disability Form

• Pre Existing Condition Form

• KMG Disability Form