Active Member Benefits
What are the two BCBS plans that most active members are eligible for?
What are the BCBS 80/20 and BCBS 70/30 plans
Which TWO SHP groups have their own member support line?
Who are Charlotte Mecklenburg Schools and BEACON
What sorts of SHP members can be found in the Direct Bill group in eBenefits?
Who are Forever RIF members, former legislators, National Guard members, and Town of Kure Beach retirees
What are the two types of RIF?
What are 12 Month RIF and Forever RIF
Where in eBenefits would you find COBRA members for SHP?
What is COBRA
True or False: An analysis case MUST be sent if a member needs their RX coverage manually updated.
False – a real-time update can be performed; see list on Additional Group Info KA in SF
What is the ONE change we can make for Charlotte Mecklenburg Schools members?
What is password resets
We can also assist with Navigational assistance
Manual updates/pharmacy updates (applicable to analysis)
Updates to Medicare Information (redirect for this)
Where can you find surviving spouses/children who continue coverage if an SHP member passes away?
What is Sponsored Dependents
Under which account in eBenefits will you find 12 month RIF SHP members?
What is the member's active employer group (i.e. BEACON, Wake County Public Schools, UNC Chapel Hill, etc.)
Where can you redirect COBRA eligibility questions for SHP members?
Who is their HBR and/or iTedium
Some active SHP members are offered voluntary benefits - such as dental, vision, and life insurance - through ___________.
Who is NCFlex
True or False: ALL SHP members directly log into the benefit portal or eBenefits.
FALSE – some groups SSO!
Can we as the Eligibility and Enrollment Center key changes for SHP Direct Bill members?
What is yes, the Eligibility and Enrollment Center can key enrollments for Direct Bill members
Under which account in eBenefits will you find Forever RIF members?
What is Direct Bill
Who keys changes for SHP COBRA members - including cancelling coverage, keying QLE changes, and establishing COBRA coverage?
Who is iTedium
When are new hire benefits effective for SHP?
What is the first of the month following their DOH OR the first of the 2nd month following their DOH
True or False: Wake County Public Schools offer NCFlex ancillary benefits to their members.
FALSE – they offer ancillary benefits through the Pierce Group – not NCFlex!
Can a surviving dependent come back onto SHP coverage if they cancel their current Direct Bill coverage?
What is surviving spouses can, but surviving children cannot
What are the qualifications for SHP members who experience of Reduction in Force to be applicable for 12 month RIF coverage?
What is they must be covered under SHP at the time of separation from service AND they must have 12 months or more (or fulfilled at least a 10 or 11 month contract with a school system)
What changes CAN the Eligibility and Enrollment Center make?
What are perform PW resets, update PCPs, complete TUA credits for former dependents who elect COBRA, manual updates, and OE changes.
Which SHP QLEs do members get to change their effective date IF they are changing their coverage level?
What are Adoption and Birth
True or False: BEACON members have their own HBRs in addition to BEST Shared Services.
TRUE - they have both!
How bills Direct Bill members for their medical premiums?
What category will 12 Month RIF members have that indicate they are receiving 12 Month RIF benefits?
What is Employment Status Category = Direct Bill: Reduction in Force (RIF)
Who processes dependent verification documentation for COBRA members?
Who is SHP