Medical Insurance
Effective January 1, 2009:
NOTE: Enrollment and change forms found on the various medical
plan homepages are not applicable for State of Kansas employees. Contact Benefits Administration, Kansas State University, for the
appropriate enrollment and change forms for these programs.
NOTE: Employees desiring to enroll dependents are
required by the State of Kansas to provide proof of
relationship/dependency for each dependent. Appropriate
documentation would include such items as marriage license
for spouse or birth certificate for children.
The State of
Kansas group health insurance plans
for plan year 2009 are provided by Blue Cross/Blue Shield,
Coventry Health Care and Preferred Health Systems.
For a complete listing of the rules regarding health insurance
benefits, employees should refer to the additional information in the
current Employee Benefits Guidebook at the State of Kansas website:
http://www.khpa.ks.gov/SEHP/Active/EEGuidebk.pdf
(pdf).
The following is a summary description of the health insurance plans
available to most KSU
employees:
Plan A
Blue Cross/Blue Shield, Coventry Health Care of
Kansas or Preferred Health Systems or UMR, A United Healthcare Co.
Network Provider
- Preventive Care -
- Coverage is paid by plan 100%
- Deductible -
- $50 single/$100 family per plan year
- Copayment -
- $20 medical home/$40
medical specialist
- Coinsurance -
- 20% coinsurance
- Coinsurance Maximum -
- $1,100 single/$2,200 family per
plan
year
Non Network Provider
- Preventive Care -
- No coverage
- Deductible -
- $500 single/
$1,500 family per plan year.
- Coinsurance -
- 50% coinsurance
- Coinsurance Maximum -
- $3,650 single/
$7,300 family per plan year
Plan B
Blue Cross/Blue Shield, Coventry Health Care of
Kansas or Preferred Health Systems or UMR, A United Healthcare Co.
Network Provider
- Preventive Care -
- Coverage is paid by plan 100%
- Deductible -
- None
- Copayment -
- $20 medical home/$40 medical
specialist per visit for adults
$10 medical home/$25
specialist per visit children 18 and younger
- Coinsurance -
- 30%
coinsurance
- Coinsurance Maximum -
- $2,200 single/ $4,400
family per plan year
Non Network Provider
- Preventive Care -
- No coverage
- Deductible -
- $500 single/ $1,500 family per plan year
- Coinsurance -
- 50% coinsurance
-
- Coinsurance Maximum -
- $3,650 single/ $7,300 family
per plan year
PLAN C
Coventry Health Care of Kansas, Preferred Health Systems or UMR, A
United Healthcare Co.
Network Provider
- Preventive Care -
- Coverage is paid by plan 100%
- Deductible -
- $1,500 single/ $3,000
family per plan year
(When selecting dependent coverage, the
entire family
deductible must be met before claims are paid for any covered
person.)
- Coinsurance -
- 20% coinsurance
- Coinsurance Maximum -
- $3,000 single/$6,000 family
per plan year
Non Network Provider
- Preventive Care -
- No coverage
- Deductible -
- $2,000 single/ $4,000
family per plan year
(When selecting dependent coverage, the
entire family
deductible must be met before claims are paid for any covered
person.)
- Coinsurance -
- 50% coinsurance
- Coinsurance Maximum -
- $3,650 single/$7,300 family per
plan year
When Eligible: First day of month following 60 days
of employment, during annual open enrollment, or within 31 days of a
qualifying event.
Who Pays: The university and employee
(full-time and part-time) both contribute toward the cost of employee
medical coverage. The university and employee (full-time and
part-time) both contribute toward the cost of dependent medical
coverage.
Website: All health insurance plans have
information at a common website:
http://www.khpa.ks.gov/.
Related Forms:
Related KSU
Policy and Procedures Manual Chapter: 4820 Insurance
Programs
State of Kansas Active Employee Benefits Guidebook -
http://www.khpa.ks.gov/SEHP/Active/EEGuidebk.pdf
(pdf)
Website: State of
Kansas 2009 Health Insurance
Information
Eligibility Table: Health
Insurance Eligibility Table (pdf)
Other Health Insurance