Health Insurance
Rates and Buy-Out

Health Insurance Rates

Monthly GIC Product Rates Effective July 1, 2020

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Blank CellBlank CellMONTHLY GIC PRODUCT RATES EFFECTIVE JULY 1, 2020
FOR EMPLOYEES HIRED BEFORE JULY 1, 2003FOR EMPLOYEES HIRED ON OR AFTER JULY 1, 2003
20%25%
EMPLOYEE PAYS MONTHLYEMPLOYEE PAYS MONTHLY
BASIC LIFE INSURANCE ONLY – $5,000 Coverage

 

$1.30$1.63

HEALTH INSURANCE PRODUCTS
(Premium includes Basic Life Insurance)

PRODUCT CATEGORYINDIVIDUALFAMILYINDIVIDUALFAMILY
UniCare State Indemnity Plan/Basic with CIC* (Comprehensive)National Network$278.15$618.32$333.66$740.94
UniCare State Indemnity Plan/Basic without CIC$222.01$490.47$277.52$613.09
UniCare State Indemnity Plan/PLUSBroad Network$145.54$344.60$181.94$430.75
Tufts Health Plan Navigator$160.55$390.23$200.69$487.79
Fallon Health Select Care$167.95$406.49$209.95$508.12
Harvard Pilgrim Independence Plan$184.10$447.58$230.13$559.48
Health New EnglandRegional Network$119.74$283.27$149.69$354.10
AllWays Health Partners Complete HMO$138.39$357.94$173.00$447.43
UniCare State Indemnity Plan/Community ChoiceLimited Network$111.43$273.96$139.29$342.45
Tufts Health Plan Spirit$122.21$292.59$152.77$365.74
Fallon Health Direct Care$124.59$312.51$155.74$390.64
Harvard Pilgrim Primary Choice Plan$133.92$339.52$167.41$424.41
* CIC is an enrollee-pay-all benefit.

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Pre-Tax Premium
Deductions

Contact your payroll coordinator or the GIC with questions.

The Commonwealth deducts your share of health insurance premiums on a pre-tax basis. During Annual Enrollment, or when you experience a qualified status change as outlined on the pre-tax form, you may change the tax status of your premiums:

 

  • If your deductions are taken on a pre-tax basis, you may elect to have them taxed, effective July 1, 2020.
  • If your deductions are taken on an after-tax basis, you may switch to pre-tax effective July 1, 2020.

Health Insurance Buy-Out

To be eligible for the Health Insurance Buy-Out, you must have other non-GIC health insurance coverage through another employer-sponsored plan that meets Internal Revenue Service “minimum value” criteria and must maintain GIC basic life insurance.

What is the Buy-Out Program?

Under the Buy-Out plan, eligible state employees receive 25% of the full-cost monthly premium in lieu of health insurance benefits for one 12-month period of time. Employees in HR/CMS and UMASS agencies will receive the remittance monthly in their paychecks; employees of housing and other authorities will receive a monthly check. The amount of payment depends on your health plan and coverage.

For Example:

State employee with Tufts Health Plan Navigator family coverage:

Full-Cost premium on July 1, 2020 (Monthly):

$1,944.65

12-month benefit =

25% of this premium


Employee receives 12 payroll
deposits or monthly checks of:*

$486.16

Yearly Earnings (12 monthly payments):*

$5,833.92

*subject to federal, Medicare, and state taxes

When to Enroll

There are two buy-out periods, and your reimbursement will be determined based on the GIC product you are enrolled in at the end of the covered period.

  • During Annual Enrollment: If you were insured with the GIC on January 1, 2020 or before, and continue your coverage through June 30, 2020, you may apply to buy out your health plan coverage effective July 1, 2020
  • October 5 – October 30, 2020: If you are insured with the GIC on July 1, 2020 or before, and continue your coverage through December 31, 2020, you may apply to buy out your health plan coverage effective January 1, 2021. The enrollment period for this buy-out is October 5 – October 30, 2020.

Form Submission

Submit your completed Buy-Out form no later than June 1, 2020 for the July 1, 2020 buy-out or October 30, 2020 for the January 1, 2021 buy-out. Forms received after the deadline will not be accepted.

QUESTIONS?

READY TO ENROLL?