Individual Provider One (IPOne) is a new payroll system for Independent Providers (IPs) across the state. Hours reported in Provider One not only send IPs a paycheck, but also keep Health Benefit Trust members enrolled in their insurance plan.
If you are an IP and Health Benefits Trust insurance member, here are the top three things to know about how Provider One will work with your insurance.
Effective with your May paycheck:
- IPOne will attempt to automatically deduct the $25 co-premium payment from your first paycheck.
- If there are insufficient funds to cover the $25, another attempt will be made from your second paycheck (on the 15th).
- If IPOne is unable to auto-deduct the co-premium from either paychecks, you will receive a billing statement for the $25 co-premium from the HBT.
Please note: You will not see any health insurance deductions from your paychecks in April. Your coverage will not be affected.
For the next few months while we work with DSHS on the transition to IPOne, your co-premium will be due in the same month as your coverage.
(Example: Co-premium deductions for May coverage will be taken in May. As long as you are eligible, the changes to the deduction schedule will not affect your healthcare coverage.)
We sincerely appreciate your patience and cooperation with these changes, as we try to make your experience during the IPOne transition as smooth as possible.
For any additional questions regarding your insurance, please contact the Member Resource Center (MRC) at 1-866-371-3200, Monday – Friday, 8am – 6pm.
Frequently Asked Questions: Provider One and Your Health Insurance
What is changing?
The timing of the payroll deductions for your health insurance $25 co-premium payment is changing temporarily, while we continue to work with DSHS to ensure that IPOne makes timely co-premium payments.
Should I be concerned about my health insurance?
No, as long as you continue to work at least 80 hours per month and the $25 co-premium is paid, you will not experience any interruptions with your coverage.
Do I have coverage?
If you have worked at least 80 hours per month and the $25 co-premium is paid, you should have coverage. If you are unsure, please contact the MRC.
Do I need to reapply for my health insurance?
No, you do not need to reapply for health insurance if you are a current Health Benefits Trust member and work at least 80 hours per month.
Do I have to self-pay my co-premium now?
As long as you are eligible for HBT coverage, your co-premium payment will be auto-deducted through your payroll. However, if there are insufficient funds available, you may be required to mail in your self-payment.
When will my co-premiums be auto-deducted?
Your co-premium payment will be auto-deducted during your coverage month, from either your first paycheck or second paycheck, depending on availability of funds.
What happens if I don't have enough money in my paycheck to cover the co-premium?
ProviderOne will attempt to auto-deduct the $25 co-premium from the 1st or 15th paycheck. If ProviderOne is unable to deduct, you will be billed for the $25 co-premium.
I received a bill from HBT, what does this mean?
If you received the billing statement, it is because ProviderOne was unable to auto-deduct the $25 co-premium payment from your paycheck. At this time your coverage has not and will not be interrupted.
What are my options for self-paying the co-premium?
Please mail in a check or money order payable to SEIU 775 Healthcare NW Health Benefits Trust. Please include the coverage month in the memo field and mail to: SEIU 775 Healthcare NW Health Benefits Trust, – P.O. Box 6, Mukilteo, WA 98275.
How long do I have to pay the co-premium?
If you received a billing statement from HBT, your co-premium payment is due by the last day of your coverage month.
Why wasn’t my co-premium taken in April for May coverage?
Due to the transition to ProviderOne, no co-premiums will be taken in April for May coverage. The co-premium for May’s coverage will be collected in May and as long as you meet the eligibility requirements, your coverage will not be affected.
Why is this change necessary?
In order for us to transition our members to IPOne with very minimal impact and adjust our systems and processes to accommodate IPOne, we have to temporarily implement this change, which will only last a few months.