1. Summer Enrollment
Plan Year 2018

2. MIDWESTERN STATE UNIVERSITY Human Resources Department
ERS Group Benefits Plan (GBP) - Plan Year 2018 Summer Enrollment June 26 – July 28, 2017 MSU On-line keying phase July 9 – July 22 Completion of forms in HR June 26 – July 27 All changes are effective 9/1/2017

3. ERS Group Benefits Plan (GBP) - Plan Year 2018 Plan Year Changes Effective 09/01/2017
UPCOMING CHANGES
BCBSTX New TPA For Medical
HealthSelect Rates
Dependent Eligibility
Prescription Drugs
Other Changes
Summer Enrollment Links
Questions

4. Employees Retirement System (ERS)
ERS Group Benefits Plan (GBP) - Plan Year 2018 BCBSTX New TPA for Medical
Employees Retirement System (ERS)
Establishes the plan design by determining copays, coinsurance, and deductibles
Blue Cross Blue Shield of Texas (BCBSTX)
Manage the provider network
Process claims
Oversee wellness and disease management programs
Provide customer service
ID cards received in late August – update providers 9/1/2017
Any deductibles or coinsurance already paid will transfer from UHC to BCBXTX on 9/1/2017.

5. ERS Group Benefits Plan (GBP) - Plan Year 2018 BCBSTX New TPA for Medical
What do I need to do?
If enrolled in the HealthSelect plan, make sure your PCP and any specialists are in the HealthSelect network by going to the provider finder at or by calling BCBSTX at
If PCP is still in the network as of 9/1/2017, your designation will transfer from UHC to BCBSTX and will be printed on your new medical ID card
If PCP or specialist is not in the network, you need to nominate your doctor(s) by form on the BCBSTX website, “Publications and Forms”, “Nominate a Provider” or call BCBSTX. THIS IS IMPORTANT!

6. What do I need to do (cont’d)?
ERS Group Benefits Plan (GBP) - Plan Year 2018 BCBSTX New TPA for Medical
What do I need to do (cont’d)?
If PCP does not join the network, you may need to designate a new PCP. If a PCP is not designated, you will pay more for medical services. BCBSTX will send out a letter to anyone who’s current designated PCP is no longer in network as of 9/1/2017.
Consumer Directed High Deductible Plan and HealthSelect Out-of-State participants do not need to designate a PCP, but you will save money by seeing network providers. Go to to make sure your doctor(s) are in the network.

7. Referrals and Prior Authorizations
ERS Group Benefits Plan (GBP) - Plan Year 2018 BCBSTX New TPA for Medical
Referrals and Prior Authorizations
If issued by UHC prior to 9/1/2017, will transfer to BCBSTX
If provider is still in the HealthSelect network, referrals and prior authorizations will be honored through original expiration date
If provider is no longer in the network, referrals and prior authorizations will be honored for 90 days or end date of referral, whichever is sooner.
Beginning 9/1/2017, all new referrals and prior authorizations will need to be issued by BCBSTX
If you are uncertain as to the status of your referrals, call BCBSTX at

8. Currently enrolled in a care management program with UHC?
ERS Group Benefits Plan (GBP) - Plan Year 2018 BCBSTX New TPA for Medical
Currently enrolled in a care management program with UHC?
You will automatically be enrolled in a BCBSTX care management program.
You will receive a letter for BCBSTX notifying you of enrollment, but you can opt out.
You may receive a phone call from a BCBSTX nurse who will review the care plan with you and answer any questions you may have regarding the plan.

9. ERS Group Benefits Plan (GBP) - Plan Year 2018 BCBSTX New TPA for Medical
Transition of care
If currently receiving care for a chronic illness or an acute medical condition, or if you are in your second or third trimester of pregnancy, you may be able to continue in-network health care services from current provider if he/she is no longer in the HealthSelect network after 9/1/2017.
You will need to complete the on-line Transition of Care form and fax it to BCBSTX at If your doctor(s) are not in the network at this time, fax this form ASAP.
You should receive a phone call from a BCBSTX within 5 business days after submitting the Transition of Care form. You will also receive a written reply indicating the decision made by BCBSTX regarding your transition of care benefits. Questions regarding completion of the form or the transition of care process should be directed to BCBSTX at

10. HealthSelect out-of-state plan
ERS Group Benefits Plan (GBP) - Plan Year 2018 BCBSTX New TPA for Medical
HealthSelect out-of-state plan
Applies to members and eligible dependents who live or work outside of Texas; work or home address must be outside the state of Texas.
No longer a $200 per person or $600 per family deductible if accessing in-network services.
Copay for in-network PCP/Specialist visits instead of coinsurance.
Health Select Out-of-State provider finder tool

11. HealthSelect FT Member Premium
ERS Group Benefits Plan (GBP) - Plan Year Comparison of FY17 and FY18 Member Cost
HealthSelect FT Member Premium
FY17 FY18 Change
Member Only $ $ $0.00
Member Spouse $ $ $2.64
Member Children $ $ $1.78
Member Family $ $ $4.42
HealthSelect PT Member Premium
Member Only $ $ $2.30
Member Spouse $ $ $6.26
Member Children $ $ $4.97
Member Family $ $ $8.93

12. ERS Group Benefits Plan (GBP) - Plan Year 2018 Comparison of FY17 and FY18 Member Cost
Consumer Directed HealthSelect FT Member Premium
FY17 FY18 Change
Member Only $ $ $0.00
Member Spouse $ $ $2.36
Member Children $ $ $1.60
Member Family $ $ $3.96
Consumer Directed HealthSelect PT Member Premium
Member Only $ $ $2.30
Member Spouse $ $ $5.98
Member Children $ $ $4.79
Member Family $ $ $8.47

13. Enrolling dependents in medical?
ERS Group Benefits Plan (GBP) - Plan Year 2018 Dependent Eligibility Process
Enrolling dependents in medical?
You must verify eligibility of any new dependent added to medical.
Aon Hewitt will mail a letter outlining steps needed to verify eligibility.
Must submit documentation to Aon Hewitt by deadline.
If documentation is not sent by deadline or if dependent is found ineligible, dependent is dropped from coverage by ERS.
Questions should be directed to Aon Hewitt at

14. ERS Group Benefits Plan (GBP)-Plan Year 2018 Prescription Coverage – Optum Rx
Optum Rx, a subsidiary of UHC, will remain as drug administrator
Copays and deductible remain the same
New ID card will be received in late August with a new phone number listed on the back of the card

15. ERS Group Benefits Plan (GBP)-Plan Year 2018 State of Texas Dental Choice Plan Comparison of FY17 and FY18 Member Cost
State of Texas Dental Choice – 3% increase
Member Costs
FY17 FY18 Change
Member Only $ $ $0.80
Member Spouse $ $ $1.60
Member Children $ $ $1.92
Member Family $ $ $2.72

16. ERS Group Benefits Plan (GBP) - Plan Year 2018 Other Changes
Short Term Disability premiums decrease approximately 1% - $0.26 per $100 of monthly salary, capped at $10,000 monthly.
TexFlex Healthcare annual maximums increase to $2,600
Note: Remember that TexFlex yearly pledges will roll to the new plan year. If you want to change your yearly pledge amount or stop TexFlex, you must make the change in ERS on-line or by completing a form in HR by July 27th at 5 pm. If you are currently maximizing at the $2,550 amount, and you want to continue to maximize, you must make the change in ERS on-line to $2,600.

17. ERS Group Benefits Plan (GBP) - Plan Year 2018 General Information
MSU Summer Enrollment Page
ERS Summer Enrollment Page

18. ERS Group Benefits Plan (GBP) - Plan Year 2018
QUESTIONS ?