Current Health Insurance News and Information

 

IRS 1095-B Health Coverage Statement for tax year 2021

FOR KAISER MEMBERS:

The form 1095-B that you will need to file your taxes will be sent to you from Kaiser if you're a Kaiser member. This form doesn't come from SRJC.

  • SISC Kaiser Permanente members may receive TWO different 1095-Bs from Kaiser Permanente based on their coverage, primarily due to the Kaiser group number restructure effective 10/1/2021. The majority of members will receive a 1095-B for January – September’s coverage, and a second 1095-B for October – December’s coverage. 
  • Employees can also access their tax forms online:

  • Go to kp.org/proofofcoverage and click on kp.org/mytaxdocs

  • Sign into your Kaiser Permanente account

  • To narrow the results, click on Coverage & Benefits on the left-hand side of the screen

  • Click on the document heading MEC (PDF) in the list of documents remaining

FOR BLUE SHIELD MEMBERS:

The form 1095-B that you will need to file your taxes comes from SISC PPO if you're a Blue Shield member. This form doesn't come from SRJC.

 

Retiree information on 1095-B reporting

Companion Care and Kaiser Senior Advantage members are excluded from this reporting. For more information on Medicare and the 1095-B reporting, you may visit the Medicare website: Medicare and IRS Form 1095-B.

 

IRS 1095-C information

The deadline for employers to provide employees with Form 1095-C is March 2, 2022, so if you are considered a full-time employee under the ACA guidelines, you could expect to receive the 1095-C form from SRJC by March.

 

SISC COVERAGE OF AT-HOME COVID-19 TEST KITS

On January 10th, the Biden Administration announced that it will require insurance companies and group health plans to cover the cost of at-home COVID-19 tests for the remainder of the public health emergency.  Effective January 15, 2022, the SISC health plans are covering over-the-counter (OTC) FDA authorized COVID-19 tests purchased for personal use.  The OTC COVID-19 test kits will be covered at a reimbursement rate of up to $12 per test, with a limit of eight tests per covered individual every 30 days.

 

SISC Anthem and Blue Shield Members:

  • Demand for test kits has soared. There will likely be shortages of test kits available for purchase at pharmacies.
  • If a network pharmacy happens to have test kits available, then members may get their test kits at the pharmacy counter with no out-of-pocket costs at the point of sale.

 

SISC Kaiser Permanente Members:

  • Kaiser Permanente will reimburse members for FDA-approved rapid antigen home tests purchased on or after January 15th. Members may log into their KP.org account and submit a reimbursement claim here: KP Member Reimbursement.  
  • Kaiser Permanente, like other health care organizations, has access to a very limited supply of tests.  As the supply of tests increases, Kaiser Permanente is working to make them available to their members through a number of outlets, including mail-order. Visit www.kp.org/coronavirus for the most up-to-date information on supply, testing, and vaccinations.

 

Due to likely shortages of test kits available for purchase, we want to make members aware of other ways to get FDA-approved rapid antigen home tests:

  • Every home in the US is eligible to order 4 free at-home COVID-19 tests delivered to their home. Visit https://www.covidtests.gov/ for more information and to order tests.
  • The U.S. Department of Health and Human Services (HHS) is providing up to 50 million free, at-home tests to community health centers and Medicare-certified clinics for distribution at no cost to patients and community members. A list of community-based sites that provide low or no-cost testing can be found here: https://www.hhs.gov/coronavirus/community-based-testing-sites/index.html

 

Additional information regarding federal government support for school-based COVID testing can be found here: Testing in Schools Fact Sheet Jan 2022.

 

 

OPEN ENROLLMENT

Open Enrollment is every year for medical and vision insurance from August 1 to August 30. The change goes into effect October 1. Open Enrollment for Dental Insurance is once every three years.