2023 Health Insurance Information
The State of Kansas (through the Kansas Department of Administration) and Kansas State University provide benefits eligible employees with health insurance plans and related programs as part of their total compensation. Enrollment in these programs is optional. The composition and enrollment period changes from time to time.
All insurance coverage begins on the first day of employment.
View the 2023 Health Plan Booklet (pdf) on the State Employee Health Plan website
Plan options and carriers: Aetna or Blue Cross Blue Shield
| Plan A | Plan C | Plan N* | Plan J | |
| Deductible | $800 Employee $1,600 Employee & all dependents
| $2,750 Employee $5,500 Employee & all dependents | $2,750 Employee $5,500 Employee & all dependents | $500 Employee $1,000 Employee & all dependents |
| Coinsurance | 20% | 10% | 35% | 25% |
| Primary care physician office visit copayment | $20 | Subject to deductible | Subject to deductible | Subject to deductible |
| Specialist visit copayment | $40 | Subject to deductible | Subject to deductible | Subject to deductible |
Prescription coinsurance | 20, 35 or 60% | After deductible is met: 20, 35 or 60% | After deductible is met: 20, 35 or 60% | After deductible is met: 20, 35 or 60% |
| Combined out-of-pocket maximum | $5,250 Employee $10,500 Employee & dependent(s) | $4,500 Employee $9,000 Employee & dependent(s) | $6,650 Employee $13,300 Employee & dependent(s) | $7,350 Employee $14,700 Employee & dependent(s) |
*If you currently have medical coverage, and do not re-enroll during the open enrollment period, you will be defaulted to Plan N. Health savings account contribution - Metlife | ||||
| Plan A | Plan C^ | Plan N^ | Plan J | |
| Employee HSA contribution | Not Available | $25 per pay period minimum | No minimum required | Not Available |
| FULL TIME Employer HSA contribution per year | Not Available | $1,000 Employee $2,000 Employee & spouse $2,000 Employee & child(ren) | $500 Employee $1,125 Employee & spouse $1,000 Employee & child(ren) | Not Available |
| PART TIME Employer HSA contribution | Not Available |
$625.20 Employee $1,187.25 Employee & spouse $1,187.25 Employee & child(ren) |
$312.60 Employee $843.76 Employee & spouse $593.76 Employee & child(ren) |
Not Available |
| Deposit Schedule | Not Available | Quarterly, with deposits in January, April, July and October | Quarterly, with deposits in January, April, July and October | Not Available |
| HealthQuest HSA earning potential | Not Available | HSA or HRA Employee maximum of $500 | HSA or HRA Employee maximum of $500 | HRA Employee maximum of $500 |
^Internal Revenue Service (IRS) rules apply. Carefully review HSA requirements for more information. Health reimbursement account contribution - Metlife | ||||
| Plan A | Plan C | Plan N | Plan J | |
FULL TIME | Not Available | $1,000 Employee $2,000 Employee & spouse $2,000 Employee & child(ren) | $500 Employee $1,125 Employee & spouse $1,000 Employee & child(ren) | HealthQuest Rewards Earned |
PART TIME | Not Available |
$625.20 Employee $1,187.52 Employee & spouse $1,187.52 Employee & child(ren) |
$312.60 Employee $843.76 Employee & spouse $593.76 Employee & child(ren) | HealthQuest Rewards Earned |
| HealthQuest HRA earning potential | Not Available | HSA or HRA Employee maximum of $500 | HSA or HRA Employee maximum of $500 | HRA Employee maximum of $500 |
When enrolling in Plan C or N, members have the choice of an HRA or HSA. When enrolling in Plan J, members will need to elect an HRA during the enrollment process in MAP to hold any HealthQuest dollars earned throughout the plan year. Health Savings Account (HSA): Employer funded and may be employee funded; employee owned funds. | ||||
Premium rates
Medical, dental and vision premiums are paid two times per month, or 24 times per year. Note: These are standard premium rates and do not reflect any HealthQuest Rewards Program discount you may have earned.
Dental
- Delta Dental is the dental provider.
- Visit the State Employee Health Plan (SEHP) website for more information.
- The university and employee contribute toward the cost of coverage.
Medical
- Visit the State Employee Health Plan (SEHP) website for more information. All enrollments and changes are done by the employee online in the Membership Administration Portal.
- 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.
- Eligibility: (1) First day of employment, (2) during annual open enrollment, or (3) within 31 days of a qualifying event.
- The university and employee contribute toward the cost of coverage.
Prescription drug plan
- Caremark is the prescription drug provider.
- Visit the State Employee Health Plan (SEHP) website for more information.
- To be eligible, must be enrolled in group health insurance.
- The university and employee contribute toward the cost of coverage.
Vision services plan
- Avesis is the vision provider.
- Visit the State Employee Health Plan (SEHP) website for more information.
- Employee contribution only.
Flexible Spending Account (FSA)
Flexible Spending Accounts (FSA) allows you set aside funds on a pre-tax basis for any qualified medical, dental, vision, or daycare expense. There are five accounts you can enroll in, the Healthcare FSA, Limited Purpose FSA, Dependent Care FSA, Mass Transit FSA, and Parking FSA.
- The Healthcare FSA allows you to be reimbursed for any qualified medical, dental, or vision expense that is not covered by insurance. Common expenses for the Healthcare FSA include copays, prescriptions, eye glasses, and dental services such as orthodontics.
- If you participate in the Health Savings Account (HSA), you can enroll in the Limited Purpose FSA which allows you to be reimbursed for any qualified dental or vision expense while you save your HSA dollars for future medical expenses.
- If you have a dependent under the age of 13 or adult dependent that is physically or mentally incapable of self-care (must spend at least 8 hours in your household), then a Dependent Care FSA can reimburse you for any daycare costs. Common expenses for the Dependent Care FSA include daycare centers, before/after school care, and adult daycare centers.
- Mass Transit FSA allows reimbursement for qualified mass transit tickets or passes, or State of Kansas Vanpools. Unused contributions may be carried over to the following calendar year.
- Parking FSA allows reimbursement for parking associated with your daily commute. Unused contributions may be carried over to the following calendar year.
**Neither the mass transit or parking FSAs may be beneficial for most K-State employees since parking is already deducted pre-tax via payroll. These are statewide SOK benefits and would only apply if you take mass transit to work and/or pay for non-KSU parking on a regular basis that is not reimbursed or deducted by K-State.
FSA Healthcare participants can carry over up to to $570 of remaining FSA funds into the next plan year and those funds may be used for qualified medical expenses incurred during that year. If you are enrolling in a Health Savings Account for the first time and previously had a Healthcare FSA, your funds will automatically carry over into a Limited Purpose FSA.
Dependent Care FSA funds do not carryover. The deadline to submit dependent care expenses is April 30th the following calendar year.
- Visit the State Employee Health Plan (SEHP) website for more information.
The Hartford information
Information regarding The Hartford is available on the State Employee Health Plan (SEHP) website.
Please note that this is not life insurance. These optional plans are to help with medical expenses incurred while hospitalized, after an accident, or for a critical illness.
2022 health insurance coverage review
To review your health coverage and health savings/health reimbursement account information, you must review directly from the State of Kansas Membership Administration Portal (MAP). Your enrollment information will no longer be able to be seen on your benefits summary or broken out on your self-service paycheck.
If you have questions on your enrollment, please feel free to email the State Employee Health Plan directly at SEHPmembership@ks.gov. If you have other questions, please direct them to benefits@ksu.edu and we will assist you.
Steps to enroll for coverage
- Log in to HRIS.
- Navigate to Employee Self Service.
- Select Benefits.
- Select Health Insurance Enrollment.
- You may need to reenter your eID and password.
- Select Kansas State University from the dropdown box.
- Once logged in to the MAP portal, Add Family Member, if applicable.
- Load supporting documents, if applicable.
- Select Enrollments & Events, then Launch Enrollment.
- Make your health insurance selections for coverage.
- Review and select the "I have read and agree..." statement checkbox.
- Select Continue.
- You must print a copy of your health insurance coverage selections for your records (Ctrl+P).
- Log out of the MAP portal.
Dependent documentation must be uploaded when enrolling. For dependents that are non-resident aliens and cannot obtain a social security number (SSN), the employee should use 888111111 when prompted to enter a SSN. For dependent newborns (less than 31 days old) that do not have a SSN, the employee should use 777777777 until the actual SSN is provided. After receiving the actual SSN, the employee should log in to the MAP portal to update to the actual SSN.
Steps to review your coverage
- Log into HRIS as you do to review your paycheck
- Go to Employee Self Service
- Select Benefits
- Select Health Insurance Enrollment
- You may need to reenter your eID & Password
- Select the Benefits tab to review your elections
- After reviewing, be sure to select Logout
Other information
Employees Assistance Program
The State of Kansas offers an award winning Employee Assistance Program (EAP) through ComPsych. Services offered include, but are not limited to: confidential personal counseling, legal advice and discounts, personal money management advice and work-life solutions. There is confidential, expert information on issues that matter to you most, all in one place. It’s one of the best kept secrets around!
RX Savings Solutions
RX Savings Solutions provides a pharmacy technician to speak with about your prescription needs and find ways to lower your prescription drug costs.
