The NMPSIA open/switch enrollment for medical, dental and vision coverage will be held October 16 - November 17, 2017 for an effective date of January 1, 2018. NMPSIA’s website has been updated with information about available benefits in conjunction with the open/switch enrollment period. Insurance elections entered correctly or turned in during the established switch/open enrollment period will go into effect on January 1, 2018.
BCS will allow employee access to conduct enrollments in NMPSIA’s Online Benefit System at https://nmpsiaonline.nmpsia.com/; you will be able to perform online elections during open/switch enrollment between October 16 - November 17, 2017. The online system will allow these elections through midnight on November 17, 2017.
As you view the updated plan information effective January 1, 2018 and the side-by-side medical plan comparison at nmpsia.com, you will see the medical plans offered by Presbyterian and Blue Cross and Blue Shield of New Mexico (BCBSNM), and New Mexico Health Connections (NMHC).
The HMO Plan offered by NMHC offers a lower deductible, lower calendar year out-of-pocket maximum, and certain lower copayments in comparison to the high and low option medical plans. The rate sheet at nmpsia.com reflects the premium for NMHC as being lower than the BCBSNM high option plan but slightly higher than the Presbyterian high option plan.
We encourage members to visit NMPSIA.com to view plan information, including using the links under the "Insurance Carriers" tab to view providers contracted with each plan. The networks are one of the main differences between each medical carrier. Each of the medical plans are self-insured by NMPSIA, including the NMHC HMO Plan. The NMHC Plan offered by NMPSIA is not the same plan found on the Insurance Exchange.
Further, each medical plan has unique wellness and population health management benefits; this is another area members should take into consideration when making a decision on which medical plan is a good fit.
If enrolling a dependent(s), coverage for the dependent(s) will go into effect January 1, 2018 provided the employee turns in or uploads all required supportive documentation prior to this effective date. (Supportive documentation could include proof of birth, proof of marriage, adoption decree, or proof of other coverage for a dependent being excluded from coverage, etc.)
If the missing supportive documentation is not turned in prior to January 1, the effective date of coverage for the affected dependent(s) will be delayed. Employees have 61 days from January 1 to turn in any missing supportive documentation to prove eligibility for a dependent(s). Coverage for the dependent will then go into effect the first of the month following the day your employee turns in the missing documentation. In order to avoid a delay in coverage for a dependent, work with your employees to make certain any missing documentation is turned in to your office as soon as possible and certainly prior to January 1.
The following changes can be made during this open/switch enrollment period:
NMPSIA Benefit Comparision