Index and Information

Mandatory Retirement Plans – ORP or TRS
Healthcare (Indemnity and PPO)
Healthcare (Blue Choice and Kaiser)
BCBS High Deductible Health Plan
Health Savings Account
Dental (Board of Regents and MetLife) 
Vision (Option 1 or Option 2)  
Board of Regents Life (Basic/Supplemental/Dependent) 
CIGNA Voluntary Term Life and Personal Accident
Prudential Disability
Voluntary Retirement Plans – 403(b) and 457
Flexible Spending Accounts (FSAs) 
Transportation Spending and 529 GA Higher Ed Savings
U.S. Savings Bonds – National Bond and Trust (NBT)
Tuition Assistance Program 
COBRA and Benefits Staff Information
Vendor Contact Information

Please complete the mandatory orientation and beneficiary forms and submit them to the Benefits Office.  For the form entitled “Insurance Application”, complete the Employee Section only, sign the bottom of the form, and complete the beneficiary designation form on the back of the page.  You can access and complete all forms online.  Enrollment forms may be completed online, printed, and submitted to the Benefits office (original signatures are required).

To access Online Benefits Enrollment Forms:  http://www2.gsu.edu/~wwwhre/benefits/forms.htm

Qualifying Events for Changes in Medical, Dental and Vision Coverage:

Because your premiums for medical, dental and vision are deducted from your salary on a pre-tax basis, the IRS has established strict rules regarding the operation of your plans.  The plan choices made by you during your initial eligibility period will remain in effect for the remaining calendar year. 

Exceptions are permitted under IRS rules when a member has a qualifying event.  If you have an event, you are required to notify Human Resources Benefits office within 31 days and complete the appropriate forms.  Some examples of qualifying events include:

• Change in marital status or birth/adoption of a child
• Loss of eligibility status by a covered dependent
• Change in employment status that affects eligibility for coverage
• Change in residence to a location outside of a healthcare plan’s service area

PPO Out-Of-Network:

The plan has a comprehensive network of providers and facilities that have signed direct contracts with the networks.  It is always your choice to select to use either an in-network or an out-of-network provider.  An out-of-network provider has not signed an agreement to accept the network’s fee schedule as the maximum payment amount for services rendered.  This means you may be subject to balance billing.   Some examples of events where this may occur include:

• An anesthesiologist attached to your physician, but is not in-network (1st Medical Network or Beech Street).
• Lab services attached to your physician, but are not in-network (1st Medical Network or Beech Street).

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