August 17, 2016
State Employee Health Plan changes
Submitted by Human Capital Services
Health insurance plans are changing effective on Jan. 1, 2017.
Employees of Kansas State University are covered with health insurance and benefits from the State Employee Health Plan, or SEHP. The SEHP currently covers all Board of Regents' employees with health, dental and vision insurance as well as additional benefits for managing healthcare costs and finding the best providers. The health insurance plan design for all Kansas employees is constructed by the SEHP and the Kansas Health Care Commission, or HCC, each year.
K-State employees are able to learn about these health insurance changes through the State Employee Health Plan and the Human Capital Services website. If you are not sure what plan you currently have, log into HRIS-Employee Self Service and follow the path Employee Self Service > Benefits > Benefits Summary. Your individual plan information will be listed to the right of "Medical/Prescription" in the chart displayed.
Below is a brief overview of the changes for each plan.
| PLAN A 2016 | PLAN A 2017 | |
| Medical deductible | $400 for employee only; $800 for employee and dependents |
$1,000 for employee only; $2,000 for employee and one dependent; $3,000 for employee and more than one dependent |
| Medical coinsurance (The percentage of cost after deductible is met and before out of pocket max is met.) |
20 percent | 20 percent |
| Primary care physician office visit copayment (The payment made each time until out of pocket expense is met.) |
$30.00 | $40.00 |
| Specialist visit copayment | $50.00 | $60.00 |
| Prescription coinsurance (The percentage of cost for prescriptions after deductible is met and before out of pocket max is met.) |
20 percent for generic; 35 percent for preferred brand name; or 60 percent for non-preferred brand name |
20 percent for generic; 35 percent for preferred brand name; or 60 percent for non-preferred brand name |
| Combined out of pocket maximum | $4,750 for employee only; $9,500 for employee and dependents |
$5,750 for employee only; $11,500 for employee and dependents |
| PLAN C 2016 | PLAN C 2017 | |
| Medical deductible | $2,750 for employee only; $5,500 for employee and any dependents |
$2,750 for employee only; $5,500 for employee and any dependents |
| Medical coinsurance (The percentage of cost after deductible is met and before out of pocket max is met.) |
None | 20 percent |
| Prescription | Subject to deductible | Subject to deductible |
| Prescription coinsurance (The percentage of cost for prescriptions after deductible is met and before out of pocket max is met.) |
None | 20 percent for generic; 35 percent for preferred brand name; or 60 percent for non-preferred brand name |
| Combined out of pocket maximum | $2,750 for employee only; $5,500 for employee and dependents |
$5,000 for employee only; $10,000 for employee and dependents |
| Employee's minimum contribution to Health Savings Account | $600 | $600 |
| Employer's contribution to the employee's health savings account | $1,500 employee only; $2,250 for employee and dependents |
$1,000 employee only; $1,250 Employee and spouse; $1,750 Employee and child(ren); $1,250 Employee, spouse and child(ren) |
There also will be an increase in health insurance premiums for 2017. The table for full-time employees is below. For part time and HealthyKIDS rates, please see the complete rates PDF from the SEHP website.
| 2017 semi-monthly rates for State of Kansas active full-time employees | |||||||
| Employee category |
Plan A |
Plan C |
Delta Dental | Surency Vision | |||
| Aetna | BCBS | Aetna | BCBS | Basic monthly | Enhanced monthly | ||
| Employee only | $39.41 | $35.62 | $37.85 | $31.38 | $6.00 | $3.96 | $7.79 |
| Employee plus spouse | $196.75 | $170.91 | $104.35 | $89.14 | $14.16 | $7.75 | $15.37 |
| Employee plus child(ren) | $129.18 | $113.04 | $69.41 | $58.15 | $12.52 | $7.00 | $13.86 |
| Employee plus family | $341.01 | $299.21 | $172.42 | $150.26 | $20.70 | $10.81 | $21.49 |
We realize these changes are significant. Human Capital Services is here to help. The State Employee Health Plan will host webinars for State of Kansas employees and Human Capital Services will send additional information as it becomes available.
As usual, Kansas State University will host a Benefits Fair on Oct. 6. Mary Spinks from the State Employee Health Plan will be presenting at 9 a.m. and 2 p.m. that day in Forum Hall, K-State Student Union.
Questions? Contact Human Capital Services, Benefits at benefits@k-state.edu.