SPD: Local Units of Government

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SPD > Benefits > Local Units of Government Benefits for Local Units of Government

2014 Plan Year Questionnaire

It is time once again for the local units of government throughout Indiana to express their interest in the state of Indiana health, dental, and vision plans offered to state employees. Information about the 2013 plans, including benefit plan summaries and benefit plan descriptions of coverage, is available for review below.

Participation in the 2014 plan year, beginning January 1, 2014, is now open. All interested units, including those currently participating, must complete the electronic 2014 Questionnaire online and submit the requested preliminary data by July 12, 2013. This information is necessary for the insurance companies to establish the premiums. Local units who fail to participate in the information exchange by this date will be ineligible to participate in the plans during the 2014 plan year. If you feel there is a possibility that your group will be interested in participating in the state plans for the 2014 plan year, you must complete and submit the requested information by July 12, 2013.

Complete the 2014 Plan Year Questionnaire

Directions:
For groups with fewer than 100 participants, if claim information is not available, you may submit the Gatekeeper Questionnaire to the State Personnel Department, attn: Benefits Division, in lieu of providing claim information. Please note: The Gatekeeper Questionnaire is separate from the electronic questionnaire.