Open Enrollment October 1-31 

All rates and plan design decisions are made annually by the State Employees Health Care Commission (HCC). At their June meeting, the Commission voted to implement the below changes for Plan Year 2026:

Deductible and Copay Changes:

• Plan A Calendar Year Deductible will increase from $800 individual/$1,600 Family to $1,000 Individual/ $2,000 Family
• Plan A Specialist Office visit copay will increase from $40 to $60
• Plans C and N the member plus dependent first Deductible will increase to $3,400 to meet IRS guidelines

GLP-1 Changes:

• New eligibility criteria approved for SEHP coverage of GLP-1s prescribed as anti obesity medications

Rates for Plan Year 2025:

• Employee rates will increase 2% effective 1/1/2026

HRA/HSA Contributions for Plans C and N

• No changes to the Employer HRA/HSA contributions.

Dental Rate:

• Employee dental rates increase 3.3%

New flexible spending account vendor

Beginning January 1, 2026, MetLife will manage employee’s Flexible Spending Accounts (FSA.)

MetLife provides FSA options, such as healthcare FSAs, dependent care FSAs and limited purpose FSAs, designed to help employees manage out of pocket healthcare expenses using pretax dollars. These accounts can cover a wide range of eligible expenses.

Benefit and coverage details will be available during Open Enrollment.

Medical and RX Coverage

• No increase in medical premium for Employees.
• No changes to out-of-pocket amounts except for the IRS regulation changes for Plans C&N.
• Plans C & N – The first deductible for Employee + Spouse, Employee + Family, and Employee + Children coverage tiers will be $3,300 to meet the new IRS regulations for members with “non single” coverage. The overall family deductible will remain at $5,500.

Dental Coverage

• No increase in dental premium for Employees.
• Employee only coverage remains at no cost to the employee.
• Annual benefit maximum increased to $2,000 per member.
• Orthodontia Lifetime Maximum increased to $1,500 per member.

Vision Coverage

• Surency Vision will replace Avesis for 2025 as the vision care provider to administer the prescription eyewear benefits.

HSA/HRA Contributions

• 2025 HSA/HRA employer contributions will remain the same as they were in 2024.

Life Insurance

• KPERS Optional Group Life Insurance Open Enrollment  Members can get up to $250,000 in guaranteed coverage during open enrollment (October 1-31) with no health questions. This includes members who have been declined in the past