Madison County HR

2021 Open Enrollment

Begins: November 2 at 8:00 AM

Ends: November 13 at 5:00 PM

What's New for 2021?

LGHIP Changes:

Drug Formulary Prior Authorization:

OptumRx has changes their 2021 Drug Formulary. Impacted employees will be notified by OptumRx via mail. If a drug has been removed from the 2021 Formulary, the employee must obtain approval from OptumRx before the prescription will be covered. Employees should watch their mail, review the formulary, and contact OptumRx with questions at 1-855-427-4682.

Compliance Audit:

We ask employees to review their health insurance coverage to ensure dependents covered on the plan are eligible for coverage.  If an ineligible dependent is covered under LGHIP, claims made during the period of ineligibility will be reversed to the responsible party and the employee may have to pay the cost of the ineligible expenses. LGHIP may also permanently cancel coverage, as a result.

For more information regarding dependent eligibility, visit:

Payroll Deductions:

Flexible Spending Accounts:

Other things to note:

• 2021 Health Plan summaries are available online at LGHIB.org

• Visit the Employee Portal in the new year to confirm new deductions

• Tier II employees contributions have increased by 1.5%

• Retirement processing now requires 60-days