Eligibility

Eligibility Requirements

• The employee must be employed with Spartanburg County School District Six in a permanent and full-time basis working 30 or more hours per week.
• A part-time employee may also be eligible based on their position.
• The employee must complete appropriate election forms within 30 days of the date of employment or status change.

Enrollment Deadline: 30 days from hire date

Effective Date: State Insurance

• Employed 1st day of the month –coverage begins on that day.
• Employed 1st working day of the month-coverage may begin the 1st day of that month or the following month.
• Employed after the 1st working day of the month – coverage begins the 1st day of the following month.

Open Enrollment is held each year in October for a January 1st benefit effective date. Please note that the Dental Plan is only available at Open Enrollment in odd-numbered years for a January 1st benefit effective date.

Spouse and children (younger than 26): Eligible dependents may be added to coverage.

No Pre-Existing Conditions for Health Plans

State Standard Health Plan and Savings Plan

• Worldwide access to network hospital/physicians through the Blue Card Program.

Making Changes to Insurance Program:

• Eligible employees may make certain changes to benefits during designated enrollment periods and within 30 days of a family status change or special eligibility situation.

Tobacco/ECigarette User Certification

• Enrolling in a health plan will require certification as a tobacco/ECigarette or non-tobacco user. If only you, as the employee, are enrolled and use tobacco, there will be an additional $40 per month surcharge added to the health premium. If dependents are covered (even if only one out of the group uses tobacco), an additional $60 per month surcharge will be added to the health premium.

  Certification Regarding Tobacco or E-cigarette Use

Transferring Employee

• As an active employee, PEBA Insurance Benefits considers you a transfer if you change employment from one participating group to another with no break in insurance coverage or with a break of employment of no more than 15 calendar days.
• A transfer is not a new hire for insurance purposes.  He must remain enrolled in the same insurance benefits in which he was enrolled at his former employer.
• You must notify Spartanburg County School District Six if you are transferring from another participating group within PEBA.

Additional Information

• Members are encouraged to notify Medi-Call during the first trimester of pregnancy and participate in the Maternity Management Program. However, the State Health Plan no longer financially penalizes a member for failure to do so. Please remember: members are still required to preauthorize any hospital admission, including those related to having a baby, and will be financially penalized for failure to do so. For details, contact PEBA at 1-888-260-9430.