For eligible members that have retired before age 65, the State Employee Health Plan (SEHP) offers a variety of benefits through our Direct Bill Program.

PREMIUM REFUNDS DUE TO DEATH OF DIRECT BILL MEMBER, SPOUSE, OR DEPENDENT DEATH

PREMIUM REFUNDS – IMPORTANT

The primary member enrolled in the Direct Bill program, or a primary member’s authorized representative, is responsible for notifying the SEHP in writing within 31 days of a change in family status, including due to the death of a primary member, spouse or dependent. If the primary member or authorized representative does not notify the SEHP within 31 days of a change in family status due to the death of the primary member, spouse, or dependent, their premium refund for any premiums paid during this period is limited to the following:

• If the SEHP is notified after 31 days but within 24 months of the date of death of a primary member, spouse, or dependent, a maximum of 12 months of paid premiums will be fully refunded.

• If the SEHP is notified 24 months after the date of death of a primary member, spouse, or dependent, the primary member or their authorized representative will not be eligible for any premium refund.

Example: If a primary member’s monthly premium payment is $200.00 per month and the SEHP is notified in writing in the 8th month after death, the primary member or their authorized representative would receive a premium refund of eight months of the actual monthly premium paid on behalf of by the primary member for a total refund of $1,600.

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