2022 Enrollment Resources
Enrollment Portals
Discover Benefit Options
Ask ALEX
ALEX is an online resource the SEHP uses to walk you through all of your available benefits and explain how they work. ALEX can also help you to compare the various health plan options based on your individual circumstances. Ever wanted to know what the cost difference would be to cover your family on Plan A vs Plan C? Let ALEX do that calculation for you.
What's New in 2022
New Vendors to the SEHP
• Avēsis - New Vision Insurance provider.
• MetLife - New Health Savings Account (HSA) and Health Reimbursement Account (HRA) provider.
Medical and Prescription
• Plan A - Deductible amounts reduced to $900/single and $1,800/family.
• Plan A - Out-of-Pocket (OOP) Maximum reduced to $5,250/single and $10,500/family.
• Plan A - Reduced primary care Copay from $40 to $30.
• Plan C - Out-of-Pocket (OOP) Maximum reduced to $4,500/single and $9,000/family.
• All Plans - Preferred Brand Name Drugs Coinsurance reduced from 40% to 35%.
• All Plans - Non Preferred Brand Name Drugs Coinsurance reduced from 65% to 60%.
• Plan Q will no longer be offered as a medical plan option.
Enrollment Guide
Click Here to view a pdf of the Plan Year 2022 Enrollment Guide
Benefit Resources
- Active Employee Enrollment Presentation (ppsx file with captions)
- Active Employee Enrollment Presentation (mp4 video)
Preferred Drug List
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Preferred Drug List - Effective January 1, 2022
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Preferred Drug List - Effective April 1, 2022
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Preferred Drug List - Effective July 1, 2022
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Preferred Drug List - Effective October 1, 2022
Advanced Control Specialty Formulary
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Advanced Control Specialty Formulary - Effective January 1, 2022
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Advanced Control Specialty Formulary - Effective April 1, 2022
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Advanced Control Specialty Formulary - Effective July 1, 2022
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Advanced Control Specialty Formulary - Effective October 1, 2022
Formulary Exclusions Requiring Prior Authorization
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Formulary Exclusions Requiring Prior Authorization List - Effective January 1, 2022
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Formulary Exclusions Requiring Prior Authorization List - Effective April 1, 2022
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Formulary Exclusions Requiring Prior Authorization List - Effective July 1, 2022
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Formulary Exclusions Requiring Prior Authorization List - Effective October 1, 2022
Injectable and Infused Drugs Covered Under the Pharmacy Benefit
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Injectable and Infused Drugs Covered under the Pharmacy Benefit - Effective January 1, 2022
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Injectable and Infused Drugs Covered under the Pharmacy Benefit - Effective April 1, 2022
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Injectable and Infused Drugs Covered under the Pharmacy Benefit - Effective July 1, 2022
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Injectable and Infused Drugs Covered under the Pharmacy Benefit - Effective October 1, 2022
Premium Incentive Discount Earning Period:
- January 3, 2022 - December 31, 2022
HRA/HSA Contribution Earning Period:
- January 3, 2022 - November 18, 2022
Help Fill in the Gaps of Your Current Coverage
Accident Insurance
Critical Illness
Hospital Indemnity
