Tobacco Cessation Form Included in 2010 State Health Plan

The enrollment period for the 2010 State Health Plan (SHP) is now open and will extend into April, with coverage and benefits taking effect July 1.  A new component of the SHP this year places all members in a 70/30 Basic Plan, unless they meet the requirements for enrollment in the 80/20 Standard Plan based on compliance with a tobacco cessation requirement.

Smoking members and dependents who wish to enroll in the 80/20 Plan will be required to join a tobacco cessation program.  Once enrolled, those members may later be required to submit a one-page, physician-signed certification form.  Patients are expected to begin bringing these forms into doctors’ offices later in 2010.  The form may be completed by a physician, physician assistant, or nurse practitioner.

A copy of the form is available on the SHP website, at


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