Health Insurance - GHC

2017-18 GHC Premium Rates
*Note  theRE is a  premium adjustment if the HRA IS not completed by employee by december 31, 2017. 

2017-18 Certificates, benefit summaries & Sbc's 
GHC HMO Benefit Summary FINAL 2017.PDF
GHC HMO Certificate 2017.pdf
GHC HMO SBC FINAL 2017.PDF
GHC POS Benefit Summary FINAL 2017.PDF
GHC POS Certificate 2017.pdf
GHC POS SBC FINAL 2017.PDF
GHC PPO Benefit Summary FINAL 2017.PDF
GHC PPO Certificate 2017.pdf
GHC PPO SBC FINAL 2017.PDF


GHC Enrollment Form

FOR CHANGES (ADD/DELETE DEPENDENTS, WAIVE COVERAGE, ETC.) PLEASE COMPLETE THE SUBSCRIBER CHANGE FORM AND SUBMIT TO PAYROLL/BENEFITS.
SUBSCRIBER CHANGE FORM - ENGLISH
SUBSCRIBER CHANGE FORM - SPANISH 

DOMESTIC PARTNER AFFIDAVIT 


CONTACT GHC MEMBER SERVICES

(608) 828-4853 or (800) 605-4327, request Member Services
member_services@ghcscw.com
GHCSCW Website


Forms and Informational Links:
Urgent and Emergency Care
Virtuwell
Complementary Medicine Services
GHC MyChart
GHC NurseConnect
Authorization For Verbal Communication
Wellness Exercise for Excellence Tracking Form
Wellness Reimbursement Flier
Wellness Reimbursement Form
GHC-SCW 4-Tier Complete Formulary Index

Group Health Insurance

Verona Area School District shall pay 89% of the HMO monthly premium cost (or the equivalent HMO cost of the POS and PPO plans) of the single or family health plan for Administrative, Certified, and Non-Union Support staff working 80% of more of what is considered full time (Certified Staff-37.5 hours per week, Administrative and Non Union Support 40 hours per week).  Verona Area School District shall pay 89% of the monthly premium cost of the single or family health plan for union Support staff working 37.5 hours and above per week.  Verona Area School District shall pay 69% of the monthly premium cost of the single or family health plan for union Support staff working from 30-37.49 hours per week.  

Eligibility Requirements

Employee working a minimum of 30 hours per week.
Coverage is effective the first day of employment.
Dependent eligibility-Spouse/Domestic Partner and Dependents up to age 26.

Plan Year
July through June