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The State Health Plan recently announced strategic priorities and benefit changes designed to provide Plan members with stability and predictability in their health plan benefits. These changes also begin the task of lowering the state’s $43 billion in unfunded liabilities for retiree health benefits. 

Allowing ineligible dependents to participate in the Plan increases the overall cost of our Plan to members and taxpayers.  As an important step towards reducing costs and eliminating waste, the Plan is conducting an audit to verify eligibility of dependents covered by the Plan. This audit will focus on all subscribers with dependents under the age of 75 as of April 19, 2017.
 
In order to ensure continued coverage under the Plan for those dependents, members must respond with the required documentation by July 31, 2017. Failure to respond and produce the required documentation will result in termination of dependents’ coverage under the Plan effective August 1, 2017. 

Members will receive a letter by the end of May, with a request to provide documentation of their dependents which will need to be provided by July 31, 2017.
 
Members will need to upload the required documents using the Document Center in eEnroll, the Plan’s enrollment system. See instructions and video tutorials below​.​

Frequently Asked Questions

 
Instructions for Providing Required Documentation (Click for Step-by-Step Instructions)

  1. Click ENROLL NOW
  2. Select the appropriate yellow box to log into eEnroll

    Please note: If you access eEnroll through another system, such as ORBIT, you will need to follow the appropriate instructions to log into eEnroll.  
  1. Once you are logged into eEnroll a message box will appear: “Dependent Verification Documentation Request”
  2. Click My Document Center in blue or My Documents link on the left side under the "Manage Account" section
  3. You will then be prompted to upload the required documentation within the Document Center. You are able to provide a scanned copy of the document or take a photo with your smart phone and upload it directly to the Document Center as shown below.
  4. If the documentation you provided cannot be verified you will receive notification or you can log back into eEnroll where you can check the status of your verification. 

Members who do not have access to eEnroll can email your document to SHPDependentAudit@benefitfocus.com or fax it to 866-742-6444. You are required to include your Full Name, Dependent’s Full Name, State Health Plan ID number located on your Plan ID card and the name of your employing unit on both the email and fax in order for the document to be accepted. Mailed, hard copy documents will not be accepted.


​                          Instructions for Active Members                                                ​Instructions for Retirees
 


 


Can't view the videos in your web browser?  Active members, click here to view or download. Retirees, click here to view or download.​

Members with questions about this process should contact the Eligibility and Enrollment Support Center at 855-859-0966, Monday through Friday, between 8 a.m. and 5 p.m. EST