benefitssupport.tn.govState of Tennessee - Benefits Administration

Sign in search the help desk | find articles | submit a request Agency Benefits Coordinators (ABCs) PPACA FAQs PPACA Eligibility for International Employee on Visa Our Agency has less than 50 employees. Do we need to file 1094/1095 forms? Why is my Form 1095-C not showing the correct monthly premium amount? I have an employee that was full-time but has now reduced their hours to part-time. They are still eligible for insurance due to PPACA. Can they make changes to their coverage due to this status change? PPACA Documents Patient Protection and Affordable Care Act (PPACA) Information Sheet (state only) PPACA Update - Local Education and Local Government Full to Part Time Changes (State Only) Local Government Required Federal Marketplace Notice Local Education Required Federal Marketplace Notice Higher Education Required Federal Marketplace Notice See all 7 articles State New Hire Documentation for ABCs Employee Checklist Pre-Enrollment Benefits Letter HSA/CDHP Questions How can I get my employer ID? If an agency has started payroll deductions for an employee, but PayFlex is not able to open the employee’s account during the Customer Identification Process (CIP), will the agency be responsible for refunding the employee’s deductions? Is there a minimum amount that employees must contribute? When an employee reaches the age of 55, is the extra contribution allowed at the beginning of the tax year, not just after the employee turns 55? When agencies complete their W-2s, will they need to indicate how much the employee contributed to the HSA? Do agencies have to offer the HSA through payroll or can employees contribute post-tax See all 12 articles Frequently Asked Questions (FAQ) ? How do I run a collections applied report? How does an employee edit their elections in Edison if they’ve changed their mind within the 31 day eligibility period? Can incapacitated children be covered beyond age 26? I am completing Part 3 of the 1095-B per IRS Instructions. What is the correct Part 3 response for our agency? How do I terminate an Employee in Edison (Non-Payroll Agency)? I have an employee that requested a copy of their 1095C tax form from a year prior to 2015. How does the member acquire the needed tax form? See all 20 articles Retirees General Why is the retiree health insurance going up for 2020 and the active employee health premium isn’t? How long may my Incapacitated or Disabled Dependent be covered on the retiree plan? I am a retiree receiving a TCRS pension check. Can I have my HSA contributions deducted from my TCRS pension check pre-tax? Do I have access to Behavioral Health & Substance Use Services? Retirement Insurance Counseling Are retirees eligible for the Employee Assistance Program? See all 12 articles The Tennessee Plan Medicare Supplement Can I apply for the Tennessee Plan during the Medicare Open Enrollment Period? How do I cancel coverage in The Tennessee Plan? How much will my premium be for coverage in The Tennessee Plan? Am I eligible for The Tennessee Plan? Is my spouse eligible for The Tennessee Plan (Supplemental Medical Insurance For Retirees With Medicare)? Vision for Retirees I am receiving a monthly TCRS pension or I am a higher education ORP retiree and I am continuing single coverage on the retiree group health plan, can I enroll in retiree plus spouse coverage on the vision plan? I am continuing spouse only coverage on the retiree group health plan. Can I enroll my spouse on the retiree vision plan? I am over 65 and enrolled on the Tennessee Plan. Am I eligible to enroll in coverage on the retiree vision plan? Dental for Retirees Who do I call if I have specific questions about my dental benefit? Can I cancel retiree dental coverage if I change my mind? What if I recently retired and now have COBRA dental coverage? If I live out of state, can I still enroll in dental coverage? How will the state deduct my dental premiums? My old school system provides other dental coverage. Can I still apply for state-sponsored dental coverage? See all 9 articles Local Government Retiree Group Health Can I change my health insurance carrier when I continue coverage at retirement? If I do not continue group health coverage when I retire because I will have coverage through my spouse , can I apply for coverage later? If I become eligible for Medicare prior to the age of 65, will my insurance be terminated? If I am Medicare eligible when I retire, can I still continue to cover a spouse who is not yet Medicare eligible? Local Education Retiree Group Health Can I change my health insurance carrier when I continue coverage at retirement? If I do not continue group health coverage when I retire because I will have coverage through my spouse, can I apply for coverage later? If I become eligible for Medicare prior to the age of 65, will my insurance be terminated? If I am Medicare eligible when I retire, can I still continue to cover a spouse who is not yet Medicare eligible? Higher Education (UT/TBR) Retiree Group Health Can I change my health insurance carrier when I continue coverage at retirement? If I do not continue group health coverage when I retire because I will have coverage through my spouse, can I apply for coverage later? If I become eligible for Medicare prior to the age of 65, will my insurance be terminated? If I am Medicare eligible when I retire, can I still continue to cover a spouse who is not yet Medicare eligible? State Retiree Group Health I retired from the state and was rehired within 13 weeks to my former agency making me PPACA eligible. I am eligible for ACTIVE coverage. Does my eligibility include TERM Life? Can I change my health insurance carrier when I continue coverage at retirement? If I do not continue group health coverage when I retire because I will have coverage through my spouse, can I apply for coverage later? If I become eligible for Medicare prior to the age of 65, will my insurance be terminated? If I am Medicare eligible when I retire, can I still continue to cover a spouse who is not yet Medicare eligible? Employees ParTNers For Health Wellness Program Who is the vendor for the Wellness Program? Who is eligible to participate? Who is eligible to receive the cash incentive? Will I be charged extraat any timefor participating in this program? Can I opt out of participating in this program? How do I set up my online account to access the ActiveHealth member website? See all 61 articles PPACA (Affordable Care Act) Where to locate the 1095-C form in Edison Can I get insurance through the Marketplace? What is the Health Insurance Marketplace? If I drop my health coverage, am I subject to the healthcare reform law’s penalty? Do the ParTNers for Health plans meet the healthcare reform law’s minimum value requirements? What if I already have coverage through my spouse’s employer? See all 7 articles Workers Compensation How do I reinstate my benefits that were canceled while out on Workers Comp? Leave of Absence If I miss one end-of-the-month payroll check and I have not been enrolled in direct bill, how will my missed premium be caught up? Can I pay my bill before I get an invoice? What are my options if my benefits are canceled due to nonpayment of premiums? When will I get my invoice? I received another invoice, but I am back at work. Do I need to pay this amount? When am I responsible for the full employee and employer portions of my insurance? See all 7 articles COBRA ? What do I do when I get a "bad request" error in Edison? How Do I Cancel COBRA? Is COBRA different than active benefits? What is COBRA? Who is eligible for COBRA? How do I enroll? See all 25 articles Deferred Compensation I recently had a change in job status (examples: rehired, transferred from one agency to another, or returned from a leave of absence). How is my 401k deferral affected? Why is there a two percent 401k deduction on my paycheck? I never enrolled in 401k. I recently made a change to my 401k (or 457) contribution...