HEALTH INSURANCE BENEFITS
Health Benefit Forms
- Blue Cross Active Employees Group Enrollment Form
- Blue Cross Retirees Group Enrollment Form
- Designation of Beneficiary, Basic and Supplemental Life Insurance
- Designation of Beneficiary Form for Minors, UTMA
- Flexible Spending Account Reimbursement Form
- WH-380-E Certification of Health Care Provider for Employee’s Serious Health Condition
- WH-380-F Certification of Health Care Provider for Family Member’s Serious Health Condition
- WH-381 Notice of Eligibility and Rights & Responsibilities
- WH-382 Designation Notice
- WH-384 Certification of Qualifying Exigency for Military Family Leave
- WH-385 Certification for Serious Injury or Illness of Covered Servicemember – for Military Family Leave
- WH-385-V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave
- Request for Family and Medical Leave Absence
- Shared Leave, Transfer of Vacation Hours (EIS-180)
The State offers medical through the Blue Cross of Idaho. Eligible employees can enroll themselves and their eligible dependents for medical coverage, and have the choice of the PPO plan, the Blue Cross of Idaho Traditional Plan, or High Deductible Plan. Review the options of each plan online at Summary of Benefits.
For questions, please contact the HR Benefit Technician at 208-282-3106.
The State offers dental benefits through Blue Cross of Idaho to eligible employees and their eligible family members. You are automatically eligible for the plan if you are enrolled in one of the State's medical plans. Note: Dental is available only if you participate in a State employee medical plan -- you can't elect dental coverage without electing medical insurance. For details about the plans, go to ISU Summary of Benefits.
The State offers vision benefits through Vision Service Plan. You can use any provider you want; however, VSP providers offer discounts and will submit billing to VSP on your behalf. To find participating vision providers, please contact Vision Service Plan, 1-800-877-7195 or go on-line to http://www.vsp.com, on the MEMBERS tab select "FIND A DOCTOR". If you choose to see an out-of-network provider, visit the Benefits & Claims section on the Vision Service Plan Home Page. In order to log into the VSP website, you will need to enter your 9 digit member identification which is also your Blue Cross enrollee identification number, found on your Blue Cross ID card. For other important information, see Summary of Benefits.
Life Insurance Plans
For the financial protection of your family, the State offers a variety of life insurance plans. For a list of the various plans, see Summary of Benefits.
The State group insurance plans each have a monthly premium -- that's the amount it costs per month for coverage under the plan. For some benefits the State pays a portion of the premium and you pay the balance. For others, the State pays the full cost. For certain benefits, you pay the entire premium. Premium costs may vary from one year to the next. See premium amounts and other important information.
The State's Disability Program can help replace a portion of your income if you're unable to work due to a disability. Disability benefits are provided to ISU' benefit eligible employees. The cost of the coverage is provided by the State. For more information, see Summary of Benefits.
After your eligibility for group health care coverage ends, you may be able to purchase continued medical and dental coverage on an individual basis, for a period of time under the Consolidated Omnibus Budget Reconciliation Act of 1985, (COBRA). If you have any questions or need COBRA enrollment forms, contact the Office of Group Insurance, (800) 531-0597, firstname.lastname@example.org or see COBRA.
Employee Assistance Program (EAP)
All employees and their dependents, regardless of whether or not they are enrolled in the medical plan, have up to 5 one-hour sessions per family member each benefit year. Through the program, there are services for emotional, behavioral, mental health and substance abuse issues for each individual. These sessions have no out-of-pocket co-payments and do not count against the available mental health and substance abuse services. EAP benefits must be pre- authorized through ComPsych. Contact them at 1-877-427-2327;or visit www.guidanceresources.com. ID: SOIEAP
Accidental Death and Dismemberment
The Accidental Death and Dismemberment (AD&D) benefit covers all ISU benefit eligible employees. AD&D pays a percentage of annual salary for certain serious physical losses, including loss of life, due to a covered accident. For more information, go to State of Idaho Office of Group Insurance Benefits and Plans.
Employees are eligible for benefits if they are in a benefitted position, working twenty (20) hours or more per week (regularly), and are expected to work beyond five (5) continuous months. Employees have the option to receive coverage only when they meet the eligibility requirements. For information about eligible employees and their dependents, check Eligibility.
When you start work as a benefit eligible employee, you will need to complete the appropriate new hire packet in Human Resources. After your initial enrollment orientation, electing changes can be made with paper applications in Human Resources or by printing the appropriate Forms and then submitting them to HR.
Insurance Effective Date
Insurance benefits will take effect on the first of the month following their start date. The deductible year coincides with ISU's fiscal year, which is from July 1 to June 30. For more details go to State of Idaho Group Insurance Benefits and Plans.
When Coverage Ends
Your coverage under the various State sponsored benefit plans ends on the earliest of these dates:
|You cease to be a State employee if your active status ends||Coverage|
|* Before the 15th of a month||Coverage will continue through the end of that month.|
|* On or after the 15th of a month||Coverage will continue through the end of the following month.|