DHRM - Department of Human Resource Management


About Us
Contact Us
Benefits Administration
Health Benefits Program Administration Manual Transition Matrix
HIM Section (revised 6/1/05) HIM Table of Contents HBP Admin Manual Update Available Date New Section Title and Link
  Frequently Used Terms    
1.1 HIPAA Privacy    
1.2 Agency Benefits Administrators    
1.3 Cost Containment    
1.4 Description of Health Benefits Plans 0911 About the Health Benefits Plans
1.5 Retroactivity    
2.1 Eligible Employees    
2.2 When Coverage Begins and Ends    
2.3 Cost of Coverage for Active Employees    
2.4 Types of Membership    
2.5 Medicare Benefits for Active Employees 0711/0713 Active Employees/Family Members Eligible for Medicare
2.6 Retiree Coverage 0114/0617 The State Retiree Health Benefits Program
2.7 Extended Coverage 1011/1213 Extended Coverage/COBRA
2.8 Certificates of Coverage    
3.1 Summary of Enrollment Deadlines    
3.2 Qualifying Mid-Year Events    
3.3 Procedure to Enroll for First Time 0911 Initial Enrollment for Newly Eligible Employees
3.4 Changing Type of Membership    
3.5 Canceling (Waiving) Coverage    
3.6 Enrollment When There is a Health Care Coverage Order    
4.1 General Instructions:  When There is a Qualifying Mid-Year Event    
4.2 Marriage    
4.3 Separation and Divorce    
4.4 Death of Spouse or Dependent    
4.5 Change in Dependent’s Coverage    
4.6 Birth/Adoption or Placement for Adoption of a Child    
4.7 Child Turning Age 23    
4.8 Child Over Age 23 Incapable of Self-Support    
4.9 Child Who Marries    
4.10 Child Who Becomes Self-Supporting    
4.11 Adding Dependents to a Family Contract    
4.12 Change of Name or Address    
4.13 Enrollees Eligible for Medicare 0711/0713 Active Employees/Family Members Eligible for Medicare
5.1 Leave of Absence with Full Pay    
5.2 Educational Leave—Full or Partial Pay    
5.3 Leave of Absence Without Pay (including Family and Medical Leave)    
5.4 Returning from Leave Without Pay    
5.5 Changing Employment Status from Full-Time to Part-Time    
5.6 Transferring Between Agencies    
5.7 Coverage at Retirement 0114/0617 The State Retiree Health Benefits Program
5.8 Processing Retirement Benefits 0114/0617 The State Retiree Health Benefits Program
5.9 Workers’ Compensation Cases    
5.10 Death of Employee 1111 Survivor Coverage
5.11 Terminating Employment    
5.12 Suspension and Reinstatement    
5.13 Termination and Grievance Reinstatement    
5.14 Virginia Sickness and Disability Plan/Long Term Disability 0811/0114 Long Term Disability (LTD) – Virginia Sickness and Disability Plan and Other LTD Programs
6.1 Faculty on 9, 10 or 11-month Appointments    
6.2 Employees’ Dependents who do not have a Social Security Number 0911 Initial Enrollment for Newly Eligible Employees
7.1 Coordination of Benefits    
7.2 Claims Procedures    
7.3 Information and Assistance for Benefits Administrators    
7.4 Forms