Department of Employee Trust Funds
Revised August 27, 2018
No Increase for State Employee Health Insurance for Second Year
For the second consecutive year the state’s Group Health Insurance Program premiums will not increase, as approved by the Group Insurance Board today. The flat rates are a result of reduced pharmacy costs, successful contract negotiations with health plans to keep health care costs down, and use of some of the program’s reserve fund.
Other premium changes for 2019 include:
- State retiree premiums will be level overall; however, because state retirees pay the full premium there are fluctuations among individual health plan rates.
- Local employee and retiree premiums will be more varied and set by each employer. While some health plans were able to reduce their rates, the overall increase is 1.7%.
The Department of Administration’s Division of Personnel Management determines both the state employee contribution to the health insurance premium and the employer contribution to the Health Savings Account. These amounts will be available in early September prior to the annual open enrollment period, October 1-26.
New Health Plan Option
Robin with HealthPartners will be a new health plan choice for 2019. Robin with HealthPartners will cover certain counties in northeastern Wisconsin (including the Fox Valley): Brown, Calumet, Florence, Green Lake, Kewaunee, Manitowoc, Marinette, Marquette, Menominee, Oconto, Outagamie, Shawano, Waupaca, Waushara, and Winnebago.
Robin with HealthPartners will cover care at the following provider systems, in addition to others: Bellin Health, ThedaCare, Aurora Health Care, BayCare Clinic, and Holy Family Memorial.
Other Board Action
The Board approved:
- To remove the exclusion of transgender services and benefits in Uniform Benefits, effective January 1, and defer to medical necessity of treatment as authorized by the health plan.
- A request by the University of Wisconsin Hospital and Clinics to eliminate its Commuter Benefits Program, effective November 1, to avoid a benefits tax liability due to new federal tax law. Employees will have access to funds in open accounts through the end of 2018.
- A two-year contract extension for Navitus Health Solutions to serve as the program’s pharmacy benefit manager for all participants.
- A two-year contract for VSP to provide supplemental vision insurance to state employees and retirees.
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