2025 Open Enrollment
Tuesday, October 15 through Friday, November 8 at 11:59 p.m.

Open Enrollment is a time for any eligible employee to enroll, cancel, or make changes to their current insurance coverage.
Your new coverage will begin January 1, 2025. Premium changes will be seen on your December 2024 paychecks.

If you do not want to change any benefits for the 2025 Plan Year, do nothing and everything will remain the same.

Use the following links from SHBP to help choose a plan and enroll.

If you have questions about enrollment or would like to enroll in an SHBP plan, please contact SHBP Member Services.

You can Skip the Phones by using SHBP Employee Portal or the ADP app.

You can also call SHBP Member Services to enroll online at 800-610-1863

Extended Open Enrollment hours Mon-Fri 8:30-7:30 & Sat 8:00-5:00

Employees may save time and make their health benefits selection/change online at the State Health Benefit Plan employee portal above. If you previously registered and forgot your User Name or Password, click on “Need Help Signing In”. If you do not know the answers to the security questions, contact SHBP Member Services at 800-610-1863 to assist you with the password reset process. First time users, go to SHBP Employee Portal and click on “Register Here” and follow the prompts.

First time users must use the Registration Code: SHBP-GA 

• After making your election, remember to print your confirmation which includes your confirmation number. 

• You may go online as many times as you like, but the last election confirmed at the time Open Enrollment closes will be your election for the 2025 Plan Year.  Once Open Enrollment is closed, you will be able to go online to SHBP Employee Portal and view your 2025 election, or declare a qualifying event. 

• To help with your enrollment choices, the State Health Benefit Plan has included Decision Support Tools as part of the Enrollment Portal.  You will be provided with personalized, easy to understand information to assist you in making educated health care decisions. 

• You CAN elect coverage with your mobile device on the ADP app or website.

• The latest version of Adobe Flash must be on your computer. 

• The SHBP Member Services Email System is available year-round to eligible employees who have registered in the SHBP Enrollment Portal.   SHBPservicecenter@adp.com

January 1 - December 31, 2025

*NOTE: An additional $80 will be added to the monthly premium shown above if you or your covered dependents use a tobacco product.

Preventative care is covered at 100% for all plan options with no deductibles.

See SHBP Active Member Decision Guide for a more detailed description of the plans.
2025 Active Member Decision Guide

Please study the plans thoroughly before making your selection.

A TRICARE voluntary, member-pay-all supplemental health benefit is available to SHBP eligible individuals who are also eligible for TRICARE which is the military health benefit program. The TRICARE Supplement does not participate in Sharecare.   This program is not available to members over age 65.  Please call 866.637.9911 for more information.

1. CVS Caremark has been selected to administer prescription drug pharmacy benefits for members who choose Anthem/BCBSGA or UnitedHealthcare.  This does not mean members have to go to a CVS Pharmacy for their prescriptions. CVS Caremark has a broad pharmacy network.

2. The tobacco surcharge has not changed; it will continue to be $80.00 per month. 

3. Open Enrollment (OE) and certain qualifying events (QE) are opportunities to add eligible dependents to your coverage.  SHBP requires documentation confirming eligibility of newly added dependents covered under the Plan.  Please see the Eligibility and Enrollment Provisions at www.shbp.georgia.gov for the acceptable documentation.  Upon request, be prepared to submit this documentation.  If you elect to cover dependents and do not provide documentation necessary to verify eligibility by the deadline, your dependents’ coverage will be terminated and no refund will be issued.   

    

4. If you have questions or concerns about PeachCare for Kids, please call 877.427.3224 for information.

    

5. Employee Health Plan Decision Guides are available at www.dch.georgia.gov/shbp. Anyone enrolled in SHBP coverage will meet the Affordable Care Act’s (ACA) requirements to maintain health coverage with essential benefits. You may wish to explore your choices provided by the Affordable Care Act and the Health Insurance Marketplace Options; however, you are encouraged to make an informed decision. www.healthcare.gov.

    

6. Sharecare will administer well-being resources and incentive programs for members.

Please see the 2025 SHBP Active Member Decision Guide for information about wellness incentives.

Go to www.BeWellSHBP.com or call 888.616.6411 for more wellness incentive details and information.

•  In order to continue your State Health Benefit Plan (SHBP) coverage as a retiree, you and any dependents you want covered must be enrolled in the Plan while you are an active employee prior to your retirement. If you are not enrolled in SHBP and wish to carry coverage as a retiree, you will need to enroll during Open Enrollment the year prior to your retirement.

• If you make a change during Open Enrollment but retire before the change can become effective on January 1, your elections prior to Open Enrollment, including your Plan Option, Tier and covered dependents will remain the same.

• If you are retiring and under age 65, and 1) fall under the Annuitant Basic Subsidy Policy then your Plan Options and rates are the same as for active employees and the Tobacco Surcharge question will apply or 2) fall under the Annuitant Years of Service Subsidy Policy then your Plan Options are the same as for active employees, but your rates are based on your Years of Service in a State retirement system (e.g., TRS or ERS), and the Tobacco Surcharge question will apply.

• If you are retiring and are age 65 or older, you have the option of enrolling in a Medicare Advantage with Prescription Drugs (MAPD) Plan Option if you submit your Medicare Part B enrollment information, or remaining in a non-MA Commercial option. Medicare Advantage Plan Options are the only Plan Options subsidized by SHBP for Retirees age 65 and older.

• Once retired, you will have a Retiree Option Change Period (ROCP) that will allow you to change your Plan Option. You may add dependents only if you have a qualifying event (QE).

• Please refer to the Retiree Decision Guide for additional information regarding your SHBP coverage and options as a retiree.

Annuitant Subsidy Policies

The State Health Benefit Plan (SHBP) has two subsidy policies that determine the amount of subsidy Annuitants (Retirees) will receive from SHBP to cover the cost of their premiums.  The amount of the subsidy a Retiree receives from SHBP lowers the monthly premium amount Retirees pay for their SHBP coverage.  The two subsidy policies are:

• Annuitant Basic Subsidy Policy (Old Policy)

• Annuitant Years of Service Subsidy Policy (New Policy)

SHBP rate calculators are available online at www.shbp.georgia.gov to assist Retirees with estimating their premiums during the 2025 Plan Year.  For questions regarding the Policies, please contact the SHBP Member Services Center at 800.610.1863. 

The information provided in this email is a summary of changes for the 2025 Plan Year.  It is intended only to highlight principal benefits. 

Please refer to the Active Employee Decision Guide for more details.

Any employee who is having difficulty going online will need to contact Paige Southall at 229.671.6046 or Ext. 1046 for assistance.

TRICARE Supplement
866.637.9911
https://info.selmanco.com/ga_shbp