Vanderburgh County Payroll - Insurance Policies

| Auditor's Home |



	Payroll Schedules
	Personnel Policy
	Direct Deposit
	Contact Departments

	Insurance Policies
	Flex
	Deferred Comp
	Retirement
	YMCA

	W-4
	Address Change
	Direct Deposit (Enrollment)
	Direct Deposit (Change)
	Employment Changes

Insurance Policies

Vanderburgh County provides medical group health insurance and life insurance for elected officials and full-time County employees. The County Auditor manages these benefits for all eligible County employees with the exception of the life insurance policies for the Vanderburgh County Sheriff's deputies.

Life Insurance
Effective April 1, 2005, a new Term Life and Accidental Death and Dismemberment Insurance policy will be carried through MetLife on all eligible Vanderburgh County employees.
Eligible employees age 64 and under will receive $15,000 of coverage.

Eligible employees age 64 and over will receive $10,000 of coverage.

Cost will be a penny a month.

Use this link to view the new life insurance policy.

Use this link to print the enrollment form.

Health Insurance
The County offers three health plans, a dental plan, and a vision plan. For more information on benefits summary and forms, use this table:

Insurance Name/ Link to website Plan Information Enrollment Form Change Form

Welborn HMO - Plan 1 -
Deaconess Only Information Enrollment Form Change Form

Welborn HMO - Plan 2 -
Deaconess/St. Mary's Information Enrollment Form Change Form

Welborn POS - Plan 3 - Enhanced
Information Enrollment Form Change Form

HRI Dental (Option 6 / Rider B) Information Enrollment Form Change Form

United Healthcare Vision
(previously called Spectera Vision) Information Enrollment Form Change Form

All changes (including any changes on dependents) should be directed to Jane Laib, Insurance/Retirement Bookkeeper.

Use the table below to access the Medical and Pharmacy Transition forms for the Welborn Health Plans.

Insurance Name/ Link to website Plan Information Medical Transition of Care Report Form Pharmacy Transition of Care Report Form

Welborn HMO - Plan 1 -
Deaconess Only Information Medical Form Pharmacy Form

Welborn HMO - Plan 2 -
Deaconess/St. Mary's Information Medical Form Pharmacy Form

Welborn POS - Plan 3 - Enhanced
Information Medical Form Pharmacy Form

Complete the Medical Transition form if you were / are under a physician's care as of 1/1/09 to continue services.
Complete the Pharmacy Transition form for any medications that you are currently on and are having trouble filling. Write the name of the medications in the Step 2 area ( next to "Step 2:").
The employee should complete all three sections. The doctor does not have to complete anything at this point. (No physician signature is required.) Please fax or mail the completed forms directly to Welborn Health Plans as directed in Step 3.

2009 Insurance Costs and Links to Providers

Insurance Name/E-mail Link Plan Employee Cost Employer Cost Total Cost

Welborn HMO - Plan 1 Employee $42.40 $487.57 $529.97

Welborn HMO - Plan 1 Employee + Spouse $84.79 $975.14 $1,059.93

Welborn HMO - Plan 1 Employee + child or children $80.55 $926.38 $1,006.93

Welborn HMO - Plan 1 Family $127.19 $1,462.72 $1,589.91

Welborn HMO - Plan 2 Employee $45.10 $518.70 $563.80

Welborn HMO - Plan 2 Employee + Spouse $90.21 $1,037.38 $1,127.59

Welborn HMO - Plan 2 Employee + child or children $85.70 $985.51 $1,071.21

Welborn HMO - Plan 2 Family $135.31 $1,556.08 $1,691.39

Welborn HMO - Plan 3 Employee $45.84 $527.18 $573.02

Welborn HMO - Plan 3 Employee + Spouse $91.68 $1,054.38 $1,146.06

Welborn HMO - Plan 3 Employee + child or children $87.10 $1,001.65 $1,088.75

Welborn HMO - Plan 3 Family $137.53 $1,581.55 $1,719.08

HRI Dental (Option 6 / Rider B) Employee $25.50 $25.50

HRI Dental (Option 6 / Rider B) Employee + 1 $52.34 $52.34

HRI Dental (Option 6 / Rider B) Family $89.36 $89.36

United Healthcare Vision (Spectera) Employee $6.83 $6.83

United Healthcare Vision (Spectera) Employee + 1 $11.34 $11.34

United Healthcare Vision (Spectera) Family $19.56 $19.56

Group Health Insurance Plan for Retired County Employees
Pursuant to I.C. 5-10-8-2.6, the group health insurance program, as provided to full-time Vanderburgh County employees, is hereby made available to qualified retired Vanderburgh County Employees. Use the Retirement link to the left under Benefits to see the qualifications.

Humana Medicare Supplement for Retirees:
Beginning June 1, 2008 the Commissioners approved a Medicare Advantage Plan offered by The Humana Group for any Vanderburgh County Retiree or their spouse/widow(er). You are eligible if: you are at least 65 years old, enrolled in Medicare Parts A & B, employee had 10 years of County service and is vested with PERF. You need to contact Morgan Hataway with Humana directly at 812/449-0678 or mhataway@humana.com.
Group Health Insurance Plan for Retired Sheriff Sworn Deputies
Pursuant to I.C. 5-10-8-2.6, the group health insurance program, as provided to full-time Vanderburgh County employees, is hereby made available to qualified retired Vanderburgh County sworn deputies and Sheriffs. Use the Retirement link to the left under Benefits to see the qualifications.

Any comments or questions, email a contact.