Brothers and Sisters;

Attached you will find a letter from the Division of Pension and Benefits, Health Benefits Policy and Planning that outlines the details of a special open enrollment period for members who are now enrolled in the Horizon HMO plans.

As we informed you several months ago, Horizon was awarded the bid for all members in the SHBP who are not medicare enrollees in 2019 for the current period. This eliminated the ability of any member in the SHBP to remain in the Aetna plans. As a reminder, this was done through a bidding process in which the PBA had no role.  One of the most noticeable differences between the Aetna and Horizon HMO plans are the accessibility to providers based on geography. The Horizon plans have a smaller access area.

In a break from past practices, the Division has undertaken an initiative to allow anyone currently enrolled in a Horizon HMO to change to a PPO plan to better serve our members.

This special enrollment will run from February 17th, 2020 Through February 28, 2020 and the new plans will have an effective date of April 1, 2020. This open enrollment does not apply to prescription plans.

The letter is self-explanatory, please contact the office with any questions.


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