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Department of Human Resource Management
Office of Health Benefits
June 6, 2023
New COBRA Administrator
Effective July 1, 2023, PayFlex Systems USA, Inc. will serve as the new COBRA Administrator for the Commonwealth of Virginia State Health Benefits Program. As part of the administration, they will be responsible for the following services:
• Takeover of enrolled qualified beneficiaries
• COBRA election and termination process
• Premium billing and online member payments
• Late Payment Reminder Mailing
• Eligibility updates to carriers
• Plan year updates
They will also be responsible for issuing the following letters/notices:
Current COBRA participants will receive a takeover letter and a set of coupons to be submitted along with their check, money order or cashier’s check. The coupons also include a summary of the plan(s) they are currently enrolled in. PayFlex has a monthly billing cycle. Premiums are due the first of every month with a 30 day grace period.
Any premiums owed up to June 30, 2023, should be remitted to your current carrier. Premiums paid beyond the July 1 date will be communicated to PayFlex from the Office of Health Benefits and should be reflected in the members coupons.
Effective July 1, 2023, beneficiaries can access their account online at www.payflex.com. After completing the registration, they may:
• View the benefit plans you are enrolled in.
• Validate your paid to date and payment amount due.
• Make a payment – either one time or set up recurring payments.
For Qualified Beneficiaries within their 60-day enrollment period, they should continue sending COBRA enrollment form(s) and payment to the address indicated in your original Qualifying Event letter from the Commonwealth of Virginia Office of Health Benefits. PayFlex will be notified of any enrollments or payments and your PayFlex account will be adjusted.
Please note this is a change in Administration only. The qualified beneficiary’s current coverages will continue with the same carriers. For claims questions, contact the appropriate carrier. COBRA questions should be directed to the PayFlex Systems COBRA Department at 888-678-7835 Toll Free Phone (TTY:711) Monday through Friday, 7:00 am to 7:00 pm Central Time.
Thank you!
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