Protect Dependent Insurance for Tennessee State Employees

Greetings,

The state of Tennessee has hired a private company, Secova, to “audit” dependent insurance coverage for all state employees, including higher education staff and faculty. 

In order to perform this audit, Secova is requiring state employees who pay for spouse or family coverage to provide proof of relationships and eligibility, including but not limited to income tax forms, marriage certificates, proof of home ownership, birth certificates, etc. If employees do not return the survey by the deadline of September 4, 2009, or if the documentation doesn’t meet the audit’s standards, dependents will be dropped from coverage.  The surveys were mailed out on July 6.  The arrival of these surveys come at a time when faculty with 9-month appointments are often away may be away from home during the summer doing research or pursuing their own continuing education.  For staff late summer prior to the start of the fall term is one of the few times many campus employees are able to schedule vacations.  Additionally, many employees report that the surveys appear to be junk mail upon arriving at their home addresses.

 

Dependents that are dropped can be reinstated, but there’s a catch – a big one.  Requests for reinstatement will be treated as “late applicants,” will be assessed a $75 non-refundable application fee, and will be required to fill out a health questionnaire.  Based on the answers to that questionnaire, these so-called “late applicants” may or may not be accepted for coverage.

 

United Campus Workers calls on the state of Tennessee and its elected officials to do everything they can to extend the September 4th deadline by several months.  Additionally, TBR and UT system officials and campus human resources staff must do more to ensure the delivery of education and assistance to all affected higher education employees. This additional time is absolutely necessary to ensure that all higher education employees have access to proper assistance and educational materials about the audit. It is not feasible to think that these efforts will be successful prior to the start of fall term at college and university campuses across Tennessee.



Send a letter to the following decision maker(s):
Chancellor Charles Manning
Governor Phil Bredesen (if you live in Tennessee)
President Jan Simek
President Shirley Raines
President Sidney McPhee
Your Representative (if you live in Tennessee)
Your State Senator (if you live in Tennessee)

Below is the sample letter:

Subject: Please fix problems with employee's dependent health care audit

Dear [decision maker name automatically inserted here],

The recent news of Secova's state-sponsored audit of dependent insurance coverage has come at one of the worst possible times for many higher education employees. Many 9-month faculty may be away from their home addresses pursuing research projects. Additionally, the late summer is one of the few times when many campus employees are able to schedule vacations given the hectic academic calendar.

For these reasons it is essential that you extend the September 4 deadline for verification further into the fall. Additionally, UT and TBR system and campus administrations must do more to educate campus staff and faculty of this audit, inform us of its legitimacy, and provide greater assistance with the proper completion of all verification forms. Human resources staff on all college and university campuses in particular must make support for this audit their top priority, including on-the-clock general campus information sessions, on-the-clock workshop sessions to assist all individuals seeking help with completing the forms, phone-banking of all affected campus employees, etc.

The stakes for improperly handling this audit are too high to risk continuing in this haphazard, uncoordinated manner. As a leader in this state, please do all you can to mitigate the negative effects of this audit on the people who deliver vital services to the citizens of Tennessee.

Sincerely,

[Your Name]

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What's At Stake:

Many concerns have been raised by faculty and staff.  Below are some important questions that have been raised.

·        Why is the time limit so short?  The survey was mailed on July 6 with a September 4 deadline.  Especially for employees on vacation and faculty who are on 9-month appointments who may be away from home during the summer doing research or pursuing their own continuing education, this could be disastrous.

 

·        Is there an appeal process?  If so, what is it?

 

·        How will employees’ personal information be protected?

 

·        The online verification system is confusing, requiring an identification number that is printed only on the paper verification form, not on the instructions or the letter, and asking for different documents than those referenced in the general description of acceptable verification.

 

·        The online system advises users – after all the documentation has been submitted – that they will be contacted only if additional information is needed.  There is no confirmation that the submission has been received, much less accepted.

 

·        Is the state insurance fund really being defrauded by state employees?  If so, by how much?

 

·        Why was a private contractor hired?  How much is the state paying for this project?  Could it not have been handled by existing personnel?

 

·        How much will it cost the state to reinstate dependents who were mistakenly dropped?

 

·        How much will it cost the state to handle claims for uninsured dependents that should have been covered?

 

·        Why has there been so little communication?  Employees received a one-page notice from the state advising them that the survey was coming, followed a few weeks later by a mailing from Secova containing the survey.  Employees have reported that it looked like advertising, not like an official document.

 

·        Why is Secova’s e-mail address for assistance not responsive?  Employees have reported waiting a week or more for a response, if one comes at all.

 

 

 Given that withdrawal of coverage is the default, there is no question that some spouses or children of state employees will be without coverage for some period of time, and that getting them covered again will be expensive and uncertain.. The most serious problem will be when somebody's sick child or spouse is denied coverage because of this short-sighted state policy.

 


Campaign Expiration Date:
December 31, 2009