HEALTH INSURANCE BENEFITS
Health Benefit Forms
- FY24 Medical and Dental Enrollment Application
- Blue Cross Retirees Group Enrollment Form
- Basic Life Insurance Beneficiary Designation Form
- Voluntary Term Life Enrollment and Beneficiary Designation Form
- Designation of Beneficiary Form for Minors, UTMA
- Flexible Spending Account Reimbursement Form
- WH-380-E Certification of Health Care Provider for Employee’s Serious Health Condition
- WH-380-F Certification of Health Care Provider for Family Member’s Serious Health Condition
- WH-381 Notice of Eligibility and Rights & Responsibilities
- WH-382 Designation Notice
- WH-384 Certification of Qualifying Exigency for Military Family Leave
- WH-385 Certification for Serious Injury or Illness of Covered Servicemember – for Military Family Leave
- WH-385-V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave
- Request for Family and Medical Leave Absence
- Shared Leave Donations to Other State Agencies
- Shared Leave Donation to ISU Employees Form
- Summary of Benefits FY24
The State offers medical through the Blue Cross of Idaho. Eligible employees can enroll themselves and their eligible dependents for medical coverage, and have the choice of the PPO plan, the Traditional Plan, or High Deductible Plan. For premiums and full details see: Idaho Office of Group Insurance Medical website.
For questions, please contact the HR Benefit Technician at 208-282-3106.
The State offers dental benefits through Blue Cross of Idaho to eligible employees and their eligible family members. For premiums and full details see: Idaho Office of Group Insurance Dental website
The State offers vision benefits through Vision Service Plan. You can use any provider you want; however, VSP providers offer discounts and will submit billing to VSP on your behalf. To find participating vision providers, please contact Vision Service Plan, 1-800-877-7195 or go on-line to http://www.vsp.com, on the MEMBERS tab select "FIND A DOCTOR". If you choose to see an out-of-network provider, visit the Benefits & Claims section on the Vision Service Plan Home Page. In order to log into the VSP website, you will need to enter your 9 digit member identification which is also your Blue Cross enrollee identification number, found on your Blue Cross ID card. For full details see: Idaho Office of Group Insurance Vision website
Basic Life Insurance: Life insurance is provided by ISU at no cost to the employee. Coverage is in the amount of one times the employee's annual salary rounded up to the nearest thousand.
Volunteer Term Life Insurance: Employees may purchase additional term life insurance up to 3x their annual salary as well as additional spouse and dependent coverage.
For premiums and full details see: Idaho Office of Group Insurance Life-Disability website
The State's Disability Program can help replace a portion of your income if you're unable to work due to a disability. Disability benefits are provided to ISU' benefit eligible employees. The cost of the coverage is provided by the State. For full details see: Idaho Office of Group Insurance Life-Disability website
Because life happens, your benefit needs may change. The Idaho Office of Group Insurance or your HR Benefits Technician can assist you with benefit changes. For questions please contact the HR Benefit Technician at 208-282-3106.
For full details see: Idaho Office of Group Insurance Life Events website
After your eligibility for group health care coverage ends, you may be able to purchase continued medical and dental coverage on an individual basis, for a period of time under the Consolidated Omnibus Budget Reconciliation Act of 1985, (COBRA). If you have any questions or need COBRA enrollment forms, contact the Office of Group Insurance, (800) 531-0597, email@example.com or see COBRA.
Employee Assistance Program (EAP)
All employees and their dependents, regardless of whether or not they are enrolled in the medical plan, have up to 5 one-hour sessions per family member each benefit year. Through the program, there are services for emotional, behavioral, mental health and substance abuse issues for each individual. These sessions have no out-of-pocket co-payments and do not count against the available mental health and substance abuse services. EAP Benefits are provided by BPAHealth with access to BetterHelp.com. For full details see: Idaho Office of Group Insurance EAP website
Accidental Death and Dismemberment
The Accidental Death and Dismemberment (AD&D) benefit covers all ISU benefit, eligible employees. AD&D pays a percentage of annual salary for certain serious physical losses, including loss of life, due to a covered accident. For full details see: Idaho Office of Group Insurance Life-Disability website
Employees are eligible for benefits if they are in a benefited position, working twenty (20) hours or more per week (regularly), and are expected to work beyond five (5) continuous months. Employees have the option to receive coverage only when they meet the eligibility requirements. For full details see: Idaho Office of Group Insurance Eligibility Enrollment website
When you start work as a benefit eligible employee, you will need to complete the appropriate new hire packet in Human Resources. After your initial enrollment orientation, electing changes can be made with paper applications in Human Resources or by printing the appropriate Forms and then submitting them to HR.
Insurance Effective Date
Insurance benefits will take effect on the first of the month following their start date. The deductible year coincides with ISU's fiscal year, which is from July 1 to June 30. For full details see: Idaho Office of Group Insurance Eligibility Enrollment website
When Coverage Ends
Your coverage under the various State sponsored benefit plans ends on the earliest of these dates:
|You cease to be a State employee if your active status ends||Coverage|
|* Before the 15th of a month||Coverage will continue through the end of that month.|
|* On or after the 15th of a month||Coverage will continue through the end of the following month.|