Human Resource Management Benefit Updates


2007 Health Plan Changes

The Office of Insurance has made several changes to the State and School Employees' Health Insurance Plan. Please click on the link below to view the changes beginning January 1, 2007.

http://www.deltastate.edu/pages/2670.asp

Mediflex Claims Submission Changes 

Beginning with the cafeteria plan year 2006-2007, all claims are to be sent directly to Employee Benefit Concepts, who is our cafeteria plan administrator. 

Claims, along with receipts, should be mailed directly by the tenth (10TH) of the month. Be sure to keep a copy of the receipts. Those that arrive after the checks have been cut will be carried over to the next month. Be sure to put the correct amount of postage on your claims. Claims can be mailed to:

 

Employee Benefit Concepts

ATTENTION: Pat White

P.O. Box 1458

Tuscaloosa, AL 35403-1458

 

Claims may also be faxed as long as the original is a clear, dark copy. You must send a copy of the signed “claims affidavit” also. The fax number is 205-758-5028.

 

Employees who are claiming dependent care or flex health premiums do not need to send in a claim form each month. Checks will automatically be cut on authority of the contract.

 

All participants in mediflex will receive a booklet with instructions on how to submit a claim. These booklets are designed with 12 NCR sets. The white copy should be torn out and sent in with the receipts. The yellow copy may be left in the booklet for your records. Please do not use more than one (1) claims set per month. Gather all your receipts for the month and send in all at one time with one (1) claim form. MAKE SURE YOUR RECEIPTS ARE READABLE.

 

Receipts must show date of service, type of service and amount charged for the service. Generally whatever would suffice for filing an insurance claim would be acceptable for a mediflex claim. SERVICES MUST BE INCURRED DURING THE CURRENT PLAN YEAR. Unacceptable claims include a cancelled check, a statement showing balance due, etc. Claims with unacceptable receipts attached will be returned.

 

Employees, who have balances in your mediflex account at the end of August 2006, will have the opportunity to collect the balance. Services must be incurred prior to November 15, 2006. You have until November 20th, 2006, to send in claims for this balance. Please use a separate claim form for these claims and clearly mark these claims “2005/06 plan year”.

 

The IRS issued a ruling last year that allowed for a 2 ½ month grace period for mediflex. This ruling allowed an employee who had money left in the mediflex account to have an additional 2 ½ months after the end of the plan year to spend any money left over. After the 2 ½ month grace period is over and an employee had money left in his account, that money will come under the “use it or lose it rule” and he/she would lose the money left. The money reverts back to DSU.

 

When an employee makes an election for a new plan year, he should make estimates based on the twelve-month plan year just as usual. The intention of the IRS is not to give employees 14 ½ months of spending, but to give employees with money unintentionally left over a way to use that money.

State of Mississippi Health Insurance Increases   

Due to the rise in claim expenses for the State of Mississippi, the State Office of Insurance has issued a rate increase for the state health plan. Listed below are the new rates for fiscal year 2009. Please click on the link below to view the current rates effective July 1, 2008.

http://knowyourbenefits.dfa.state.ms.us/Ins%20PDFs/Jul2008Rates.pdf 

 

 

 

 


 

This page is maintained by Lisa Giger. Send questions and comments regarding this site to lgiger@deltastate.edu

 

 

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