CONTACT GHC MEMBER SERVICES
(608) 828-4853 or (800) 605-4327, request Member Services
GHC Health Flu Clinic Information
Use the Application Access Code that was provided to you in your benefit packet.
For changes (add/delete dependents, waive coverage, etc.) please complete the Employee Enrollment Form and submit to Payroll/Benefits.
Subscriber Change Form - English
Subscriber Change Form - Spanish
Domestic Partner Affidavit
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.
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.
July through June
16-17 GHC Premium Rates
*Note the premium adjustment if the HRA and Bio Screening are not completed (by both
employee and spouse/domestic partner if enrolled) by December 31, 2016.
Forms and Informational Links:
GHC Frequently Asked Questions
Verona Area School District PowerPoint
Why Choose GHC
GHC Premium Comparison
2016 Benefit Summary - HMO Plan
2016 Summary of Benefits and Coverage - HMO Plan
2016 Benefit Summary - POS Plan
2016 Summary of Benefits and Coverage - POS Plan
2016 Benefit Summary - PPO Plan
2016 Summary of Benefits and Coverage - PPO Plan
Find a Primary Care Provider
HMO and POS In-Network Provider Directory
Regional Network Directory
Clinics and Providers
HMO Service Care Guide
HMO/POS/PPO Coverage Map
Urgent and Emergency Care
Complementary Medicine Services
Authorization For Verbal Communication
Wellness Exercise for Excellence Tracking Form
Wellness Reimbursement Flier
Wellness Reimbursement Form
GHC-SCW 4-Tier Complete Formulary Index