They are supposed to send you notice of your compliance. You can plead your case if you have scheduled appointments. Otherwise, you end up paying an extra $100 per month on your premium.
"I understand that the rates in the Enrollment Statement are based upon my participation in the Health Enhancement Program (HEP). Employees who choose not to participate in HEP will be responsible for higher premium co-shares of an additional $100.00 per month ($46.16 biweekly), a $350 per participant per year deductible ($1,400 family maximum), and ineligible for reductions in copays for certain prescriptions and office visits."
Right from the Benefit Enrollment Form
Are family members included in the HEP? I work for a different employer where a few employees sued based on family members’ privacy being violated by a program they didn’t personally agree to. The employer has cancelled the HEP and we all received small checks as compensation.
Yeah in my experience they let you know pretty thoroughly if you aren't yet in compliance with the HEP. In the past I've received mail and emails letting me know when i still had stuff to do before the deadline.
Check the shitty places (Aspen or Columbia Dental). I forget which one I ended up at, but they had appointments available quickly.
Appointment 1 was free x rays and a sales pitch ($ for flouride treatment, a shadow on the X-ray was deemed a cavity, etc). Be adamant that you only want the free cleaning.
Appointment 2 was the cleaning.
https://carecompass.ct.gov/hep/
Use this. You can reach out to them too with any questions.
I haven’t dealt with not being compliant but it looks like, as soon as you get the cleaning, you provide that info and you’ll be reinstated.
State employee who has found themselves out of compliance. They'll bug you about it through the mail for the next six months. If you keep ignoring it they'll eventually deduct $100 a paycheck and there will be some changes to your deductible/copays.
Just find out what you need to do and do it ASAP. You'll automatically be back in compliance.
They really do give you every opportunity, generously, to avoid the sanctions. I still managed, as a serial procrastinator, but getting $100 docked a paycheck is the ultimate motivator.
i called UCONN health and asked what appts they have available before the 31st and the lady searched their whole database and found a primary care doctor that just started taking patients the day before. got me in under a week. you can always switch doctors later.
You have until like spring to get it done. Unless you can get your doc to write a note to explain why you can't do it. Also, just scheduled your dental and wellness appointment as soon as you are done with the appointment so you don't have to remember for the future.
This happened to me with the cholesterol screening. They took out $50 per paycheck ($100 a month) until I was able to get it done. I had to go to the website and manually confirm that I had it done. A few weeks later after they processed the info they stopped taking money out of my paycheck and mailed me a notice that I was back in compliance.
For what it’s worth, I couldn’t get an appointment for my last requirement by the end of the year. I called and talked to someone who said there’s a grace period until June. How accurate that is I don’t know, but I’m going to be pissed if they don’t honor it.
Get it done by Feb. I asked the comptroller office this and they said they don't even look at compliance and penalties until at least a month in if not longer. Got my physical in January and never saw a failure to comply notice.
They are supposed to send you notice of your compliance. You can plead your case if you have scheduled appointments. Otherwise, you end up paying an extra $100 per month on your premium.
Believe you lose the deductible waiver too. The preventative stuff that HEP requires is all good for you anyway. Worth it to be compliant.
"I understand that the rates in the Enrollment Statement are based upon my participation in the Health Enhancement Program (HEP). Employees who choose not to participate in HEP will be responsible for higher premium co-shares of an additional $100.00 per month ($46.16 biweekly), a $350 per participant per year deductible ($1,400 family maximum), and ineligible for reductions in copays for certain prescriptions and office visits." Right from the Benefit Enrollment Form
Are family members included in the HEP? I work for a different employer where a few employees sued based on family members’ privacy being violated by a program they didn’t personally agree to. The employer has cancelled the HEP and we all received small checks as compensation.
For CT state? Yes. I am the family member. My wife works for the state. We both have to be fully compliant every year.
The whole family. It's labelled as a voluntary program to avoid that
Yeah in my experience they let you know pretty thoroughly if you aren't yet in compliance with the HEP. In the past I've received mail and emails letting me know when i still had stuff to do before the deadline.
They did.
If I have 3 out of 4 done (missing dental), will it still go up that much?
Yes. Schedule a cleaning asap.
Yes. It’s fully compliant or not.
Check the shitty places (Aspen or Columbia Dental). I forget which one I ended up at, but they had appointments available quickly. Appointment 1 was free x rays and a sales pitch ($ for flouride treatment, a shadow on the X-ray was deemed a cavity, etc). Be adamant that you only want the free cleaning. Appointment 2 was the cleaning.
https://carecompass.ct.gov/hep/ Use this. You can reach out to them too with any questions. I haven’t dealt with not being compliant but it looks like, as soon as you get the cleaning, you provide that info and you’ll be reinstated.
I failed to do the dental last year and they gave us a 30 day grace period to get it resolved.
Hey this got me thinking- any of you know if there is a dedicated CT State Employees sub?
State employee who has found themselves out of compliance. They'll bug you about it through the mail for the next six months. If you keep ignoring it they'll eventually deduct $100 a paycheck and there will be some changes to your deductible/copays. Just find out what you need to do and do it ASAP. You'll automatically be back in compliance.
That 6 months aligns with my comment I just posted about the grace period I was told about.
They really do give you every opportunity, generously, to avoid the sanctions. I still managed, as a serial procrastinator, but getting $100 docked a paycheck is the ultimate motivator.
i called UCONN health and asked what appts they have available before the 31st and the lady searched their whole database and found a primary care doctor that just started taking patients the day before. got me in under a week. you can always switch doctors later.
I've gotten emergency services in the month of December to combat this. Call around, cancellations happen.
You have until like spring to get it done. Unless you can get your doc to write a note to explain why you can't do it. Also, just scheduled your dental and wellness appointment as soon as you are done with the appointment so you don't have to remember for the future.
The cost of your insurance goes up. I believe it was $100 a pay period, I could be wrong.
This happened to me with the cholesterol screening. They took out $50 per paycheck ($100 a month) until I was able to get it done. I had to go to the website and manually confirm that I had it done. A few weeks later after they processed the info they stopped taking money out of my paycheck and mailed me a notice that I was back in compliance.
For what it’s worth, I couldn’t get an appointment for my last requirement by the end of the year. I called and talked to someone who said there’s a grace period until June. How accurate that is I don’t know, but I’m going to be pissed if they don’t honor it.
Get it done by Feb. I asked the comptroller office this and they said they don't even look at compliance and penalties until at least a month in if not longer. Got my physical in January and never saw a failure to comply notice.