Member Benefits

Effective January 1, 2012 the State of Connecticut implemented a Medicare D group prescription drug plan offered through SilverScript, a subsidiary of CVS Caremark.  The State and SEBAC’s goal was to optimize the federal reimbursement for the Medicare Part D, Prescription Drug Program under the 2010 Affordable Care Act.  As State taxpayers we want to make sure that the State received all federal funds that the State is entitled to.  The savings to Connecticut taxpayers can be over $30 million a year!  Learn More>>>

OSC's Answers to Maintenance Drug Program Questions 

Instead of receiving maintenance drugs through the mail, participants may pick up their prescriptions for maintenance drugs at any of these pharmacies. All Big Y, CVS, ShopRite and Stop & Shop pharmacies. Bordornaro’s Pharmacy in Portland, Hope Street Pharmacy in Stamford, and Manchester Pharmacy in Manchester.

"Maintenance medications are those used to treat chronic conditions and are typically taken on a regular basis. If a participant is currently getting a 90-day supply of a medication for a chronic condition at their pharmacy, it is likely a maintenance drug."

"After October 1, 2011 if a participant refills a maintenance drug at participating Maintenance Drug Network pharmacy, the refill should be made for a 90-day supply for one co-pay.   It is the responsibility of the local pharmacist to contact the physician if a 30-day script for maintenance drugs needs to be converted to a 90-day script."

"After October 1, 2011 if a participant refills a maintenance drug at a pharmacy that is NOT participating in the Maintenance Drug Network he/she will only receive a 30-day supply. Following that prescription fill, Caremark will notify the participant directly by mail that their next refill for that medication must be refilled through the maintenance program."

Link to Office of the State Comptroller's Frequently Asked Questions Page

Public Act 08-147 requires group health plans to provide coverage for unmarried children up to the age of 26, regardless of the child’s student or dependent status. A Comptroller's  memorandum explains how the Public Act will be implemented under the State of Connecticut Employee Health Plan. The effective date of implementation is January 1, 2009. To download the Comptroller's Memorandum on this insurance use this link.  To download the agreement SEBAC signed to get pharmacy added to the coverage (only medical was required by statute) use this link.

Please read the Memorandum and rate chart carefully and completely. The Fair Market Value of the insurance for the child who is not a dependent under §152 of the Internal Revenue Code is taxable income to the retiree, and the retiree is required to include the Fair Market Value for this benefit in their taxable income. Retirees with questions as to the tax impact of the inclusion of the Fair Market Value of health benefits for non-qualified children are advised to consult their personal tax advisor.