slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
New Charter Schools PowerPoint Presentation
Download Presentation
New Charter Schools

Loading in 2 Seconds...

play fullscreen
1 / 14

New Charter Schools - PowerPoint PPT Presentation


  • 109 Views
  • Uploaded on

New Charter Schools. December 16 , 2013. Topics. Legislation Group Setup Electronic Enrollment Eligibility Rates Plans Effective Dates Benefits Group Premiums. Legislation. § NCGS 135-48.54 Charter School Board of Directors must make election in writing

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'New Charter Schools' - maeko


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

New Charter Schools

December 16 , 2013

topics
Topics
  • Legislation
  • Group Setup
  • Electronic Enrollment
  • Eligibility
  • Rates
  • Plans
  • Effective Dates
  • Benefits
  • Group Premiums
legislation
Legislation
  • § NCGS 135-48.54
    • Charter School Board of Directors must make election in writing
    • Election must be made no later than 30 days after charter signed
    • Send to the SHP Executive Administrator and the State Board of Education
    • Election is irrevocable
    • Shall notify each employee of the election in writing
    • Each employee shall acknowledge receipt
new group setup
New Group Setup
  • Contact at State Health Plan (SHP)

Rita Sandoval Rita.Sandoval@nctreasurer.com

  • Complete group setup form and submit to SHP
  • Order new employee kits
    • State Health Plan website www.shpnc.org
  • Electronic enrollment setup – free (required)
    • Benefitfocus – electronic enrollment vendor
electronic enrollment
Electronic Enrollment
  • The State Health Plan is paperless and enrollment is only available electronically.
    • No paper applications are accepted
  • Following receipt of Group Setup form, a Benefitfocus Representative will be assigned to implement the new group onto the eEnroll System.
eligibility
Eligibility
  • Full-time employees
    • 30 or more hours per week
  • Part-time employees – pay full premium
    • 20-29 hours
    • Dependents – employees pay 100% of premium
    • Legal spouse
    • Natural, stepchild, adopted, foster and legal guardian up to age 26
plans for 2014
Plans for 2014

Enhanced 80/20 Plan

NEW: Consumer-Directed Health Plan (CDHP) with HRA

Traditional 70/30 Plan

  • The current Standard 80/20 Plan with a new name to match the new features
  • $0 Affordable Care Act (ACA) Preventive Services
  • $0 ACA Preventive Medications
  • New Wellness Incentives
    • Reduced copays
  • A newhealth plan option
  • A high-deductible medical plan
  • A Health Reimbursement Account (HRA) to help offset the deductible
  • 85/15 Coinsurance
  • $0 Affordable Care Act (ACA) Preventive Services
  • $0 ACA Preventive Medications
  • CDHP Preventive Medication List ($0 deductible)
  • New wellness incentives
    • Additional HRA funds for visiting certain providers
  • The current Basic 70/30 Plan with a new name
  • No incentives available
  • No $0 Affordable Care Act (ACA) Preventive Services
  • No $0 ACA Preventive Medications

Third Party Claims Administrator - Blue Cross Blue Shield of North Carolina

focus on wellness
Focus on Wellness

Enhanced 80/20 Plan

NEW: Consumer-Directed Health Plan (CDHP) with HRA

Traditional 70/30 Plan

  • Wellness premium credits when:
    • Subscriber completes a Health Assessment
    • Subscriber attests for him/herself and spouse (if applicable) to not smoking...or to being in a smoking cessation program
    • Selecting a Primary Care Provider (PCP) for self and all dependents
  • Additional wellness incentives
    • $15 copay reduction for utilizing the PCP (or someone in that practice) listed on the ID card
    • $10 specialist copay reduction for utilizing a Blue Options Designated Specialist
    • $0 inpatient hospital copay for utilizing a Blue Options Designated Hospital
  • Wellness premium credits when:
    • Subscriber completes a Health Assessment
    • Subscriber attests for him/herself and spouse (if applicable) to not smoking...or to being in a smoking cessation program
    • Selecting a Primary Care Provider (PCP) for self and dependents
  • Additional wellness incentives
    • $15 added to the HRA when the PCP (or someone in that practice) listed on the ID card is seen
    • $10 added to the HRA when a Blue Options Designated Specialist is seen
    • $50 added to the HRA when a Blue Options Designated Hospital is utilized for inpatient services
  • No incentives available
  • No $0 ACA Preventive Services
  • No $0 ACA Preventive Medications
monthly premium enhanced 80 20 plan
Monthly Premium – Enhanced 80/20 Plan

*Assumes completion of three wellness activities

Employer Share $448.12

monthly premium cdhp
Monthly Premium – CDHP

*Assumes completion of three wellness activities

Employer Share $448.12

monthly premium 70 30 plan
Monthly Premium – 70/30 Plan

Reminder: Wellness premium credits are not offered under the Traditional Plan.

Employer Share $448.12

effective dates
Effective Dates
  • Effective date is the first of the month or first of the second month following date of hire
  • Dependents must be added at time of hire or due to a qualifying event
      • Dependents must be enrolled within 30 days of the qualifying event or added at annual enrollment
group premiums
Group Premiums
  • Prepaid Plan
    • Billed monthly for the next month
      • i.e., June bill is for July
  • Bills are generated in the middle of the month
  • Premium is due by the 5th of the next month and must be paid as billed
  • If premium is not paid by the due date, claims are held
  • Premiums not received by the fifteenth day of the month following the due date shall be charged 1 ½% interest of the amount due the Plan, per month beginning with the sixteenth day of the month following the due date. (NCGS 135-48.55)
  • eBilling offers paperless invoices, electronic one-time and recurring payments, on-demand and scheduled reporting