Appeal Process for Employees Enrolled in Partnership PPO Health Plan

For Your BenefitIf you are currently enrolled in the state of Tennessee’s Partnership PPO health insurance plan and received a letter explaining you will be transferred to the Standard PPO plan for 2015—but feel you were notified in error—you are encouraged to file an appeal by August 31.

According to the state, some letters were sent by mistake, and correction letters will be mailed soon. However, the state recommends that members go ahead and file appeals to Healthways by August 31 to ensure review.

Appeal Process

Step 1—Complete the appeal form

Step 2—File your appeal by August 31:

Attention: State of TN Appeal
701 Cool Springs Blvd.
Franklin, TN 37067

Appeals will be reviewed by Healthways and a determination will be made within ten business days of receiving the appeal. Written notification of whether the appeal was overturned or upheld will be sent once a decision is made.

As a reminder, meeting the Partnership Promise for 2014 is a three-step process for most members and covered spouses.

If you have additional questions after filing an appeal, contact the UT System Payroll Office at 865-974-5251. UT cannot access your health information but might be able to help in other ways.