Benefits FAQ



Benefits FAQ

Benefit
Frequently Asked Questions
1. What is the single best resource to learn about my benefits?
    A: The benefits web site located on the GCPS home page at www.gwinnett.k12.ga.us is the single best resource. Through the web you can access most information from Vendors, State Health, Employee Handbook, Leave Handbook and most commonly used forms. You can get a general summary of benefits costs from the Monthly Premium Schedule.

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2. What is the best way to speak to someone knowledgeable about benefits?
    A: There are a variety of resources available to assist with your questions. If the website does not give you what you need, contact the vendor Customer Care department directly. Each of our Vendor/Providers, maintain a professional, trained customer care staff to assist with issues and questions. The telephone listing is attached to this document.

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3. Who and what is LSBR?
    A: Local Site Benefit Representative. The LSBR is an extension of the Benefits Administration Team. LSBR's are available to assist with issues and questions and are generally located in the office areas of each school or central office.

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4. How do I know which State Health form is needed for my change?
    A: State Health Membership / Dependent & Miscellaneous Update form (color green) is for enrollment in coverage, changes from single to family and family to single coverage. This form is also for updating dependent information, name and address changes. This form should be submitted to the GCPS Benefits Administration Office for processing.

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5. If I don't receive my Health Care Membership ID card and need to have medical attention what do I do?
    A: Call State Health Eligibility 404-656-6322 or your insurance provider. See attached telephone contact listing. They should be able to access your information with your social security number.

    If you are in need of immediate medical care and do not yet have your ID card you may pay the bill and file a claim or request that the physician hold the bill for a few days and then process it.

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6. I went to the primary care physician that I selected under my HMO plan but saw another physician in the office because my physician was not available. Can I assume the other physician in the office is covered under my HMO plan.
    A: Not necessarily, always check. Your doctor might be in the network but other physicians in the same office may not be. If they are not in the network, you may be responsible for the charges. It is best to inquire about this with the office staff or contact State Health or your plan's Customer Service Department.

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7. I recently married, how do I change my name on my insurance plans?
    A: To change your name for the health plan, complete a State Health Membership / Dependent & Miscellaneous Update form. To change your name for the dental, vision, flexible spending and legal insurance, complete a GCPSEmployee Benefits Summary Sheet.
    Other considerations when making name changes are Life Insurance beneficiary, GRS and TRS retirement beneficiary forms. Each has a beneficiary designation change form available on the benefits center or retirement web sites.

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8. Where do I find benefit forms?
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9. When will be benefits be effective?
    A: Benefits become effective for new employees on the first of the month following the first full month of service.

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10. How will I know if my benefits application or changes paperwork has been received? Do I need to do anything else?
    A: You will be contacted by Benefits Administration if there is any information needed to complete your request. Normal processing cycles are approximately 7-14 days depending on payroll cycle. Always check your pay stub to validate your benefits coverage, particularly after a change has been submitted.

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