New Hires

Please take a look at the following resources:

• Active Member Decision Guide
• Plan Options
• Active Member Rates
• Plan Documents

Within 31 days of your hire date in a benefits eligible position.

Within 31 days of your hire date in a benefits eligible position, you must make your 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

Making your election with your employer or through any other process does not satisfy the requirement to make your election directly with SHBP via the SHBP Enrollment Portal or SHBP Member Services.  If you fail to make your election via the two options provided above within 31 days of your hire date in a benefits eligible position, you must wait until the next Open Enrollment period, unless you experience another Qualifying Event or Special Enrollment Event to enroll in health coverage.

The effective date of coverage for New Hires is the first of the month following one full calendar month of employment with an SHBP Employing Entity (e.g., State Agencies and Public School Systems), unless the hire date is concurrent with the First Workday of the month. If the hire date is concurrent with the First Workday of the month, then coverage is effective the first day of the month following the hire date.

Examples

• If hired January 31, 2020, one full calendar month following January is February 1, 2020 – February 29, 2020, and coverage would begin the first day of the month following February, which would be March 1, 2020
• If hired April 1, 2020, since the hire date is concurrent with the first day of the month, coverage would begin the first day of the following month, which would be May 1, 2020
• If hired October 15, 2020, one full calendar month following October is November 1, 2020 – November 30, 2020, and coverage would begin the first day of the month following November, which would be December 1, 2020

Generally, your dependents will be placed in a pending status (meaning SHBP will not cover them immediately) until: 1) the required dependent verification documentation is submitted within 45 days after you make your New Hire election proving your dependent is eligible for coverage, or 2) the deadline to provide the documentation has passed, whichever occurs first.

Yes. Within 45 days after you make your New Hire election, you must provide verification documentation for all dependents you elected to enroll in health coverage, which generally includes the following:

• For a spouse: 1) copy of a certified marriage license or most recent jointly filed Federal Tax Return which includes legible signatures for both member and spouse and 2) spouse's Social Security Number (if your spouse does not have an SSN, please see Note on Social Security Numbers below)
• For a child: a copy of a certified birth certificate or birth card issued by the hospital listing parents by name and 2) child's Social Security Number (if your child does not have an SSN, please see Note on Social Security Numbers below)

To assist you in providing the verification documentation, our Dependent Verification Services (DVS) team will send you a letter with a unique bar code from SHBP within 1 to 2 business days via email if you have an email address on file; and if no email address is on file, the letter will be mailed to you if you have an address on file within 2 to 4 business days. This process is referred to as your DVS Audit and your dependent(s) will not be enrolled in SHBP coverage until you provide the necessary verification documentation proving eligibility for coverage and the DVS team approves your Audit.

Please do not submit verification documentation until you receive your letter from DVS. Providing documentation to anyone, including your employer or other entity not appointed by SHBP for this purpose, or via any other means not provided for in this letter will result in you failing the DVS Audit. If you fail the DVS Audit, you must wait until the next Open Enrollment period, unless you experience another Qualifying Event or Special Enrollment Event to make a change to your coverage. 

If you need to speak with a member of the DVS team, please contact SHBP Member Services via email at [email protected] or via phone at 800-610-1863 and select the appropriate prompt for Dependent Verification Services.

SHBP requires a valid SSN for everyone enrolled in SHBP coverage. However, SSNs are not the only Taxpayer Identification Numbers (TIN) accepted by SHBP. For more information, please see the “Invalid/No Social Security Number (SSN) FAQs”.