This bill mandates that employees eligible for the State Health Benefits Program (SHBP) or the School Employees Health Benefits Program (SEHBP) who do not actively choose a health care plan or waive coverage will automatically be enrolled in the health care plan that has the lowest overall costs for both members and the employer. This determination will be made by the Evaluation Committee, which operates under the oversight of the Division of Purchase and Property in the Department of the Treasury, along with the respective health benefits commissions (SHBC or SEHBC). In cases where no plan is identified as the lowest cost for both members and the employer, employees and their dependents will be enrolled in the plan with the lowest overall costs for the employer.

Additionally, the bill requires the Evaluation Committee, in consultation with program actuaries, to assess and identify the health care plan with the lowest anticipated overall costs for members and the employer before each new plan year begins. The SHBC and SEHBC are also granted the authority to make adjustments to these determinations at any point during the plan year as necessary.