Health Insurance - GHC

Eligibility for Coverage:
Employee must work a minimum of 30 hours per week.
Coverage is effective the first day of employment.
Dependent eligibility: 
Spouse, Domestic Partner and/or Dependents up to age 26.

Employer Contributions:

Employee Group

Scheduled Hours Per Week of Primary Assignment

District Contribution %

Certified (Teachers)

At least 30

89% of HMO premium

Administrative

At least 30

89% of HMO premium

Hourly Support

At least 37.5

89% of HMO premium

Hourly Support

30 – 37.49

70% of HMO premium

Confidential, Supervisory Technical

At least 30

89% of HMO premium


Plan Year
July through June


2018-2019 HEALTH INSURANCE PREMIUM RATES
*Note:  there is a premium adjustment if the HRA is not completed by employee by December 31, 2018.


Documents & Forms:

Enrollment Form 
GHC Enrollment Form

Change Forms -  (ADD/DELETE DEPENDENTS, WAIVE COVERAGE, ETC.)
SUBSCRIBER CHANGE FORM - ENGLISH
SUBSCRIBER CHANGE FORM - SPANISH

Domestic Partner Affidavit
DOMESTIC PARTNER AFFIDAVIT 

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

Other 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


CONTACT GHC MEMBER SERVICES

(608) 828-4853
(608) 605-4327
GHCSCW Website
member_services@ghcscw.com






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