Insurance PEBARetirement Executive Director
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Health Care Policy Meeting - April 16, 2014



PEBA Board Meeting - April 16, 2014

Parking Information

(State Agency fraud only)
1-855-SCFRAUD or 1-855-723-7283

S.C. Public Employee Benefit Authority

The South Carolina Public Employee Benefit Authority (PEBA) was created July 1, 2012, by the South Carolina General Assembly as part of Act No. 278. PEBA is a state agency responsible for the administration and management of the state's employee insurance programs and retirement systems.

Please use the links at left and above for more information about PEBA and the programs and systems it manages.


Catamaran's Network Pharmacy Lists Now Available

Many retirees enrolled in the State Health Plan recently received a Catamaran network pharmacy list in their welcome packets. The list was an abridged list; Catamaran’s network is comparable to the Express Scripts network.

Most chain and independent pharmacies in South Carolina are members of Catamaran’s network. If a subscriber is not sure the pharmacy he uses is in the network, he can call the pharmacy, visit or search these complete lists of network pharmacies: S.C. Network Pharmacies, Nationwide Network Pharmacies (Alaska to Montana), and Nationwide Network Pharmacies (North Carolina to Wyoming). The pharmacies in the S.C. spreadsheet are listed in ZIP code order; the nationwide spreadsheets are listed in alphabetical order.

Many independent pharmacies are also included in the Retail Maintenance Network, which allows members to fill a 90-day supply of their maintenance medications through a local pharmacy at mail order copays.


ACA's Employer Mandate Delayed Until 2015

On Tuesday, July 2, 2013, the Obama Administration delayed the shared responsibility provision of the Affordable Care Act (ACA) until 2015.

Also known as the “Play or Pay” mandate, the provision requires “Applicable Large Employers” to offer health coverage to all employees, including temporary employees, who work an average of 30 hours or more per week. The coverage also must be affordable and provide a minimum level of coverage. Employers who do not meet these requirements could be assessed fines.

The Administration promised detailed transition regulations regarding this change within a week. In the meantime, PEBA Insurance Benefits is studying how this delay will affect employers, and guidance specifically for benefits administrators will be released when details are finalized.

The U.S. Department of the Treasury posted this bulletin regarding the delay.