OVERVIEW FOR 2018-19 PLAN YEAR May - June 2018 April K e lly OE BB Rule s Co o rdina to r
EE Plan Management In the MyOEBB Admin Module, select which plans you will offer your employees May 15 – June 15 Required Open Enrollment • All members must make medical, dental and vision elections August 15 – September 15 . • Optional plans (life, AD&D, long term care) will carry forward unless members make changes. 2
All Medical Plans Continuing All the same medical plans will be available for the 2018-19 plan year. There is also a new low-cost high deductible plan available. 3
Prescription Updates For 2018-19, Moda Health medical plans will include changes to prescription benefits encouraging use of value-based medications. 4
ACA/Bronze Plans Also Continuing • No changes to plan design Bronze Plan Eligibility Meet ACA definition of “full-time employee” • Not eligible for benefits under bargaining • agreement No employer contribution allowed • 5
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All Vision Plans Continuing Moda Health Vision Plans Opal, Pearl, or Quartz VSP Vision Plans Choice Plus, or Choice Kaiser Permanente Vision Plan Effective Oct. 1, 2018, the Kaiser plan will include a $100 benefit for non-prescription sunglasses and/or eyestrain computer glasses in lieu of hardware allowance 7
12-Month Waiting Period • Still applies to dental plans A 12-month Waiting Period applies when individuals decline Dental Coverage, then enroll during an Open Enrollment period. If you don’t enroll yourself or a dependent in dental coverage when initially eligible, then choose to enroll during an Open Enrollment period, you or your dependent will be considered a “late enrollee” and will be subject to a 12- month waiting period on all dental plans, meaning only diagnostic and preventive care will be covered for the first full 12 months of coverage. 8
Healthy Futures Program Discontinued Effective October 1, 2018, the Healthy Futures • Program is discontinued. Members no longer required to take a health • assessment or report healthy actions. Online health assessments still available year-round • on carrier websites for members who wish to learn about their health. New and improved wellness offerings are in • development … stay tuned! 9
Optional Insurance Updates • Optional Employee Life, Optional Spouse Life and Basic Life Insurance rates are decreasing • Short Term Disability (STD) plans rates decreasing • Two additional Long Term Disability (LTD) plans available Special enrollment opportunity for Optional Employee Life coverage only. Members will be able to enroll, or increase coverage up to $200,000 without answering Standard Insurance’s medical questions. Regardless of health status, coverage will be guaranteed during this Open Enrollment only! 10
Employee Assistance Program (EAP) Enhancements effective October 1, 2018: Counseling sessions by phone or face-to-face • Critical Incident Stress Debriefing available to • employers as needed with no additional fee Resiliency training available for OEBB Members • 11
Never Miss a Deadline With Text Alerts OEBBreminders.com 12
Additional Resources OEBBplandocs.com – Rates and Plan Comparison Spreadsheets Open Enrollment Booklets coming in July Plan Handbooks coming in August OEBBinfo.com – OEBB website OEBBenroll.com – MyOEBB enrollment site (member module) OEBBwellness.com – Starting point to find all wellness programs and benefits offered by OEBB and our carriers Board Meeting videos and handouts available at: www.oregon.gov/oha/OEBB/Pages/OEBB-Board-Meetings.aspx 13
EE Plan Management May 15 – June 15, 2018 OEBB Member Services 888-469-6322 OEBB.Benefits@state.or.us Hours 8am – 5pm Monday – Friday 14
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