The choices you make during Annual Enrollment are for benefits effective Jan. 1, 2015, throughDec. 31, 2015. If you are satisfied with the plan in which you are currently enrolled, you do not need to re-enroll in that plan. However, if you are enrolled in the Enhanced 80/20 Plan or the Consumer-Directed Health Plan (CDHP) and wish to maintain or lower your premium you will need to complete the wellness premium credits described below by Oct. 31, 2014. If you do not complete the wellness activities and are enrolled in the Enhanced 80/20 or the CDHP, you will remain in that plan; however, your employee-only premium will be higher.
Wellness Premium Credits
The premium credit activities below are for members enrolled in the Enhanced 80/20 Plan and CDHP.
The subscriber and spouse, if applicable, will need to attest to being a non-smoker or commit to a smoking cessation program. Even if you attested during last year’s Annual Enrollment, you will need to re-attest. The smoker attestation can be completed only during Annual Enrollment through their enrollment system.
The subscriber will need to complete or update the Health Assessment through the Personal Health Portal. If you have taken or updated your Health Assessment between Nov. 1, 2013, and Oct. 31, 2014, through the Personal Health Portal which can be accessed at www.shpnc.org or by phone, it will count toward premium credit. If you are not sure when you completed the Health Assessment or do not have Internet access, call 800-817-7044. Please go ahead and update or complete your Health Assessment now. You do not need to wait until Annual Enrollment.
Primary Care Provider Selection
The subscriber will need to select a Primary Care Provider for himself/herself and any covered dependents. You may select a PCP any time prior to enrollment by logging into the enrollment system. If you already selected a PCP during the last Annual Enrollment or at some other time, you will receive the premium credit. If you have added any dependents, make sure to select one for them as well to receive the credit.
Be on the lookout for your Annual Enrollment Decision Guides in September. There are several resources available to you on the State Health Plan’s website including plan comparisons, videos and a premium rate calculator, go and check them out!