Supplemental Insurance Coverage. The Employer agrees to allow the Guild to purchase supplemental insurance coverage at Guild member expense, from a vendor of their choice, through payroll deduction. This program will be managed by the Guild who shall receive the total amount deducted from the Guild member’s pay. Payment to the vendor for such coverage shall be the responsibility of the Guild.
Supplemental Insurance Coverage. On October 29, 1997, the Connecticut legislature authorized the establishment of the HUSKY, Part B and HUSKY Plus insurance programs to provide health care coverage for uninsured children pursuant to Title XXI of the Social Security Act. HUSKY, Part A is the program for children’s coverage under Title XIX of the Social Security Act. The HUSKY Plus program was originally comprised of two supplemental health insurance programs to provide services to children whose intensive medical and/or behavioral health needs cannot be accommodated within the basic benefit package offered under HUSKY, Part B. Effective January 1, 2006 the supplemental health insurance program that covered children with intensive behavioral health needs, HUSKY Plus Behavioral (HPB) was eliminated. Emergency mobile, case management, and rehabilitative services previously covered under HPB are now covered under the core HUSKY B benefit package (see Sec. 6.2 and Appendix 6.1). This appendix only addresses the HUSKY Plus Physical program, the program designed to provide coverage to children with intensive physical health needs. General Features of the HUSKY Plus Physical Program The HUSKY Plus Physical (HPP) Plan is a supplemental benefit package for children who are eligible for and enrolled in HUSKY, Part B, with household incomes under 300% of the federal poverty limit (Income bands 1 and 2 only). Children may not apply for coverage under HUSKY Plus unless they have already been determined to be eligible under HUSKY, Part B, and have enrolled in HUSKY, Part B. Children who are eligible under HPP will be dually eligible. That is, children who are determined to be eligible under HPP will continue to receive benefits under HUSKY, Part B, including those physical health services for their special needs diagnoses or conditions that are covered under Part B. As described below, these services will be coordinated by a case management/treatment team composed of case managers from both HUSKY, Part B and one or both of the HUSKY Plus Physical plan, which will maximize the coordination of benefits under both plans and other sources of coverage through federal, state and private support. The case management/treatment team will need to coordinate the development of the Global Plan of Care (GPC) so that services included do not replicate special education services authorized under an Individual Education Plan (I.E.P.) or Individualized Family Service Plan (I.F.S.P.). In the event that the child is eligib...
