Employers: Retirees Returning to Work
When Employers hire Retirees, either immediately at retirement or at a later date, Employers must ensure they transmit a New Hire Record to SHBP within 31 days of their hire date, the same as New Hires.
- For Retirees returning to work in a benefits eligible position: Employers must indicate “Y” in the SHBP Eligible Field to ensure the Retiree has an opportunity to enroll in health coverage within 31 days of their hire date, the same as New Hires.
- For Retirees returning to work in a benefits ineligible position: Employers must indicate “N” in the SHBP Eligible Field to ensure the Retiree continues to have their premiums deducted by their State Retirement System or submit their premium via Direct Pay invoice to ADP’s subcontractor, Wageworks, as applicable.
Frequently Asked Questions
Who Is Responsible for Notifying SHBP When a Retiree Returns to Work in a Benefits Eligible Position?
Employers are responsible for notifying SHBP by immediately transmitting the Retiree on a New Hire Record with eligibility data indicating whether he/she is benefits eligible or ineligible.
When Must the Retiree Enroll in SHBP Coverage After Returning to Work in a Benefits Eligible Position?
The Retiree MUST elect coverage within 31 days of his/her hire date in a benefits eligible position. Since Retirees who return to work in benefits eligible positions are considered New Hires, they are subject to the New Hire eligibility requirements.
How Does the Retiree Enroll in SHBP Coverage After Returning to Work in a Benefits Eligible Position?
Within 31 days of the Retiree’s hire date in a benefits eligible position, he/she must make their New Hire elections by:
- Visiting the SHBP Enrollment Portal 24 Hours a Day/7 Days Per Week (for instructions on registering or logging in the SHBP Enrollment Portal, click here), or
- Contacting SHBP Member Services at 800-610-1863, Monday – Friday 8:30 a.m. to 5:00 p.m. ET and Saturday 8:00 a.m. to 5:00 p.m. ET
Employers must ensure their employees make elections directly with SHBP via the SHBP Enrollment Portal or SHBP Member Services.
Directing your employees to make their elections through any other process than the two options provided above will result in them failing to make an election within the time period required by SHBP; and they must wait until the next Open Enrollment period, unless the employee experiences another Qualifying Event or Special Enrollment Event to enroll in health coverage.