HBR Monthly Webinar

January 16, 2019

Agenda

• CVS MinuteClinic Reminder

• Open Enrollment Exception Deadline

• Social Security Number Terminations

• 1095 Tax Form Information

• 2019 New Employee Resources

• New Employee Checklist

• Contact Validation Emails

• HBR University Update

• 2019 Monthly Webinars

• State Health Plan 101 Webinar Series

2

CVS MinuteClinic Reminder

• Subscribers must visit a CVS MinuteClinic for at least 1 face-to-face

tobacco cessation counseling session before January 31, 2019, or risk

losing their premium credit.

• Subscribers must bring the voucher and their State Health Plan ID card to

each session for the visit to be covered at 100% by the Plan.

• You will need to submit an enrollment exception before January 31, 2019,

for employees who do not live or work within 25 miles of a CVS

MinuteClinic.

3

Open Enrollment Exception Reminder

• Per State Health Plan policy, January 31, 2019,

will be the last day to submit Open Enrollment

exceptions.

• Enrollment exception requests must be submitted

to the Plan within the following time frame:

• Within 60 days of enrollment, termination, or

change in benefit election, or within 30 days of

paycheck deduction or premium payment due

date reflecting enrollment, termination, or

change in benefit election, whichever is later.

4

Social Security Number (SSN) Terminations

• A valid SSN is required for any dependent over 6 months of age enrolled in the

State Health Plan. The SSN is required for 1095 reporting, as well as other federal

reports the Plan must submit.

• To ensure compliance, the Plan mails letters to members who have dependents

without a valid SSN.

• If you have impacted members who haven’t updated their dependent’s Social

Security number, you will be contacted directly with the member details and a

request for you to reach out to these members with this letter to obtain their

valid, unique SSN. If valid SSNs are not provided, dependents will be

terminated.

• Dependents will not automatically be re-enrolled when an SSN is added after the

termination is processed. The only way these dependents can be added back to

the Plan is with a valid qualifying life event (QLE) or through the exceptions

process when a valid SSN is provided.

• Additionally, if there is no valid dependent verification information on file for

these dependents, the exception will not be reviewed.

5

1095 Tax Form Information

• 1095 is a tax document. It provides information needed to report on your tax return for your records only – not for submission.

• This form is NOT needed to submit the tax return. It is simply supporting documentation to keep with your personal tax records.

• Individuals should keep this document and all tax-related documents in the event they are audited.

• Active employees in 2018 should speak with their HBR regarding their 1095 for the months they were employed or on COBRA.

• Individuals with questions about the 1095 should call the number listed on the 1095. This will either be their HR department or the Enrollment and Eligibility Support Center. Retirees will call the State Health Plan office.

• The Plan will be mailing out 1095s by the end of January even though the IRS deadline is 3/2/2019.

6

2019 New Employee Resources Online

• Let us help you welcome your new employees

aboard!

• Our New Employee Resources page will help

your new hires navigate and understand their

State Health Plan options, learn how to enroll,

and better comprehend the value of the

benefit.

• Our new employee materials include:

2019 New Employee Narrated Presentation

2019 New Employee Enrollment Kit

How to Enroll Video (demonstrates how a new

employee enrolls in the State Health Plan via

eBenefits.)

• New Employee Resources box on the

Plan’s home page!

7

New Employee Checklist

• We’ve added a Checklist for New Employee Onboarding to the Enrollment Information page under the HBR section of the Plan’s website.

• The checklist will help you make sure you have successfully oriented new employees regarding their State Health Plan benefits.

8

Contact Validation Emails

• On Friday, January 11, the Plan began sending out emails to all groups

requesting HBRs to verify contact information.

• This is a yearly process to ensure we are contacting the appropriate

individuals for all issues (QLEs, benefits, billing, etc.) to avoid delays

which may impact members.

• The email will come from hbrinquiries@nctreasurer.com

• A Verification Form for your group as well as a guide to help you read the

form will be attached for your review.

• Please reply no later than January 18, 2019, with contact updates.

• If we don’t receive a reply by this date, we’ll assume no updates are

needed and will maintain your group’s contact info as is.

• If you receive the email in error, please reply to all and include the

appropriate party.

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Sample Contact Verification Form

10

HBR University – Mandatory HIPAA Training

• The Plan has developed a HIPAA training that will be required for HBRs to

take through HBR University.

• To date, over 330 HBRs have enrolled in the training since its release in

November.

• The HIPAA training will continue to be released in waves over the next few

months.

• You will receive an HBR Alert via email prior to your training’s start date.

• You will have 30 days from your start date to complete the training.

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2019 Monthly Webinars

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Title When Event Type

HBR Monthly Meeting (February) 02/13/2019 - 10:00a.m. to 11:00a.m. Webinar

HBR Monthly Meeting (March) 03/13/2019 - 10:00a.m. to 11:00a.m. Webinar

HBR Monthly Meeting (April) 04/17/2019 - 10:00a.m. to 11:00a.m. Webinar

HBR Monthly Meeting (May) 05/15/2019 - 10:00a.m. to 11:00a.m. Webinar

HBR Monthly Meeting (June) 06/12/2019 - 10:00a.m. to 11:00a.m. Webinar

HBR Monthly Meeting (July) 07/17/2019 - 10:00a.m. to 11:00a.m. Webinar

HBR Monthly Meeting (August) 08/14/2019 - 10:00a.m. to 11:00a.m. Webinar

HBR Monthly Meeting (September) 09/18/2019 - 10:00a.m. to 11:00a.m. Webinar

HBR Monthly Meeting (October) 10/16/2019 - 10:00a.m. to 11:00a.m. Webinar

HBR Monthly Meeting (November) 11/13/2019 - 10:00a.m. to 11:00a.m. Webinar

HBR Monthly Meeting (December) 12/11/2019 - 10:00a.m. to 11:00a.m. Webinar

State Health Plan 101

• Encourage your employees to attend

our State Health Plan 101 webinars,

held throughout the year.

• These free webinars help your

employees make the most of their Plan

benefits, from online tracking tools and

pharmacy benefits to tips on getting

through Open Enrollment.

• Employees can find State Health Plan

101 webinars, listed by topic, on the

Plan website at www.shpnc.org. Just

scroll down the main page and look for

upcoming webinars!

13

www.shpnc.org

www.nctreasurer.com

Thank You!

Questions?

This presentation is for general information purposes only. If it conflicts with federal or state law, State Health Plan policy or your benefits booklet, those sources will

control. Please be advised that while we make every effort to ensure that the information we provide is up to date, it may not be updated in time to reflect a recent

change in law or policy. To ensure the accuracy of, and to prevent the undue reliance on, this information, we advise that the content of this material, in its entirety, or

any portion thereof, should not be reproduced or broadcast without the express written permission of the State Health Plan.