How do you know if someone is eligible for the State Group Insurance Pay... »

 5) How do you know if someone is eligible for the State Group Insurance Payment (SGIP) - the Employer's Contribution toward insurance premiums? Why are there so many codes?

An employee is eligible for the State’s Contribution for Insurance Premiums (SGIP) if they work or are budgeted to work at least 50% effort for 4 ½ months or more. Most Retirees and those on Family Medical leave are also eligible.

The payment of the state’s contribution is controlled by the priority code on the BE Screen in the Personnel Database. A numerical priority code on an active insurance coverage indicates that a state contribution toward the payment of the benefit premium may be made. The priority code also indicates the order in which the state’s portion of the money will be applied. For example, a person that has…
Medical Coverage – the state money will only pay towards Basic Life (BL) and Medical Coverage (MED). Priority Codes should be set to 1 and 2 respectively.

A QUICK REFERENCE to follow:

Benefit Eligible – an employee that is eligible to receive the state’s contribution toward insurance premiums.

Certification of other medical coverage – If an employee/retiree certifies that they have other medical coverage, an ‘O’ (the letter O) should be entered in the medical deduct code. The state contribution may then be used to pay premiums such as Alternate Basic Life (BL), Dental (DEN), Vision (VIS), Accidental Death and Dismemberment (ADD) and Long-Term Disability (LTD), based on the SGIP priority codes.

SGIP-ELIG-CD – is used to identify employees who are benefit eligible. Depending on the benefit programs that the employee enrolls in, this code in and of itself will show whether or not the employee is eligible to receive the state’s contribution toward insurance premiums. If the employee/retiree is eligible for the state contribution, this code will be the same as their insurance deduction codes on Screen 106 in the Personnel Database. An ‘E’ will be coded if the person does not have any insurance premiums but is SGIP eligible. Otherwise, SGIP-ELIG-CD should be coded with an 'N'. A '?' in this field means the data entry for this individual is incomplete. SGIP-ELIG-CD is used in the select criteria to determine who is to be included on certain reports, mailing lists, etc.

This page was last updated on 06/11/2010 17:10:45