eligibility requirements must be the same as those provided in this coverage, certain enrollment and premium payment procedures will differ for those private policies.
If an employee is covered under an approved alternative State-sponsored policy, please note:
Life insurance enrollment forms for private policies should be submitted by the personnel/payroll office to the private carrier – not to Blue Cross & Blue Shield.
Participant change notifications should also be forwarded to the private life insurance company.
Premiums are billed by, and should be remitted to, the private life insurance company, and should not be sent in to the Department of Finance and Administration, Office of Insurance or Aetna.
Claims should be filed directly with the private life insurance company, and not with the Office of Insurance or Aetna.
Blue & Cross Blue Shield does not maintain any information in its eligibility system regarding private life insurance policy participation. All communication and problem resolution activities relative to a private life insurance policy must be conducted between the employer and/or the employee and the insurance company.
If an employee is retiring from a district that participates in an approved alternative policy, he is eligible to continue coverage under the private policy as a retiree. Similar to this coverage, benefit levels of $5,000, $10,000, or $20,000 can be elected, and the retiree will be responsible for the entire premium. Arrangements must be made directly with the insurance company for payment of the premiums.
If the employer decides to drop the private policy, employees will be offered the opportunity to participate in the group term life insurance coverage through the State Plan. If an employee was participating in the private policy when it was dropped and chooses coverage in the State Plan, he will be considered a “new employee” and will not have to provide evidence of insurability. If an employee was not participating in the private policy when it was dropped and would like to apply for coverage in the State Plan, he will be considered a “late enrollee” applicant, subject to the evidence of insurability requirements.
Who to Contact Aetna may be contacted for matters regarding the State and School Employees’ Life Insurance Plan’s Group Policy GP-876537 by calling toll-free 1-800-523-5065. Aetna should be contacted for any general questions about the following:
Accidental Death and Dismemberment (AD&D) Benefits
Any other information included in the Your Group Plan booklet
Note that Aetna does not maintain specific information on insured individuals such as coverage amounts, current beneficiary designations, premium billings, etc.