PEBB EBB Ope pen En Enrollment ollment Its Mandatory! Oc - PowerPoint PPT Presentation

PEBB EBB Ope pen En Enrollment ollment It’s Mandatory! Oc October ober 1- 31, 1, 201 017

▪ 2-Ste Step Proce cess ss for comp mpleting eting Open Enrollment llment* 1. 1. Enroll ll in plans and elect ct Health th Engag agemen ment Model (HEM) M) partici cipation for 2018 – To continue in or make changes to your current plans and elect HEM participation, enroll online https://pebbbenefits.oha.oregon.gov/bms_web/!pb.main or or – Submit enrollment forms to the Benefits Office before 5:00 pm on October 31, 2017 2. 2. Complete te your Health th Assessm sment nt (HA) in your current nt (2017) medical cal plan – If you are enrolled in a medical plan and elect to participate in the HEM for 2018 http://www.oregon.gov/oha/pebb/Pages/Health-Assessment.aspx * Additional steps are required if you enroll in or make changes to life or long term care insurance ▪ All new, current nt an and retur urni ning ng emplo loye yees es must st tak ake ac acti tion on for 2018 benefits fits Open Enrollment information and forms available online http://hr.uoregon.edu/openenrollment

Heal alth th En Engagement ement Mode del (HEM) EM) ▪ Enroll in HEM during Open Enrollment (online or by paper form) ▪ Employee only - complete Health Assessment (HA) in current medical plan website by 10/3 /31/ 1/17 – Prov ovid iden ence HA has a new look ok May log in and out as many times es as you want durin ing October er ▪ – Print int a copy of your Comple letio tion Cer ertifi tificate for your ur pers rson onal recor ords ds (do not send nd to the he Bene nefits its Office) e) ▪ Complete 2 healthy activities by October 2018 ▪ Opt Out participants are not eligible to participate ▪ If you do not participate in the HEM – Pay a higher medical plan deductible – Do not receive monthly incentive

Fa Failu lure to take ke action on by Oc October ober 31, 1, 201 017 You will pay:  Increased medical plan deductible  Additional $100/person  Tobacco Surcharge (even if you don’t use tobacco)  Spouse/Domestic Partner Surcharge (if enrolled on your medical plan

What’s Changing?

Medi dical al Pla lan ▪ All medical ical plan ans (except cept Kai aise ser) r) – Increase out-of-network coinsurance from 30% to 40% – Increase out-of-network hospital costs from 30% to $500 copay + 40% ▪ Specific cific medical ical plan ans – Providence Choice ▪ Increase in-network office visit copayment o Full time plan- $5 to $10 per visit o Part time plan - $30 to $40 per visit – Moda Synergy ▪ Increase in-network office visit copayment o Full time plan- $5 to $10 per visit o Part time plan - $30 to $40 per visit  Closed prescription formulary (employees affected by this change will be contacted by Moda)

Dental tal Pla lan ▪ ODS DS/Mo /Moda (Del elta ta Denta ntal) l) – Preventative care costs (cleanings, exams) will no longer accrue towards out-of-pocket maximum – more money to spend on other services ▪ Willame lamette te – Mouth guards covered ▪ Kai aise ser – Available in Lane County (dental only) ▪ Office is located at 1011 Valley River Way, Eugene

Heal alth thcar care Fl Flexible ible Spe pending ding Ac Account unt ▪ Annual al max aximum mum increase eased from $255 550 to $2600 600

What’s Not Changing?

Medi dical al Op Opt Ou Out ▪ Opt Out participants must: ▪ Re-enroll for Opt Out (online or paper form) during open enrollment ▪ Attest est to having minimum essential coverage for all eligible family members through an alternate employer sponsored group health plan ▪ Proof of coverage no longer required ▪ $233/month taxable cashback ▪ No action taken: – Maintain medical Opt Out – Maintain dental and/or vision (if enrolled) – Accessed higher tobacco premiums on life insurance (if enrolled)

Sur urchar harges es ▪ Tobacc acco Use – $25/month if employee or spouse/domestic partner use tobacco – $50/month if both use tobacco – Higher life insurance premiums ▪ Spouse se/Do /Domestic mestic Par artner ner Other her Cover erag age – $50/month if your spouse/domestic partner waives coverage through their employer – Surcharge does not apply if spouse has other PEBB medical coverage

Fl Flexible ble Spe pending nding Ac Account unts (FS FSAs As) ▪ Healthcar althcare an and Depen pendent dent Car are – Annual enrollment required – Dependent Care FSA maximum contribution $5000/year – Minimum contribution $20/month – Contributions for 2017 will end 12/31/17 ▪ Deadline to incur cur eligible expenses and draw out of your 2017 account is 3/15/18 ▪ Deadline to submit it for reimbursement on 2017 funds is 3/31/18 2017 funds remaining after 3/31/18 will be forfeited ▪

Calc lcula ulation tion of Healthc lthcar are and Depe pendent ndent Care FS FSA contributions tributions Total al = Number mber of X ANNU NUAL AL Monthly nthly contri ntribu bution tion pay aycheck checks receive ved Contr tributio ibution am amoun unt (10 10 or 12) ▪ If you have a 9-month contract, you will make 10 10 monthly contributions – Contributions will NOT be deducted from any summer pay – Summer expenses can be submitted for reimbursement upon your return in the fall ▪ If you have a 9-month contract and elect to receive 12 paychecks (deferred pay), you will make 12 monthly contributions – Contributions will be deducted from your summer pay – Summer expenses can be submitted at any time

Op Optional ional Benefi nefits ts (Life, e, di disa sabi bilit lity & AD ADD) ▪ Remind inders: ers: – Enrollment or increase in employee or spouse life insurance will require submission of a Medical History Statement directly to Standard Insurance and is effective upon approval Short and Long Term Disability enrollments subject to a pre-existing – condition clause

Reminders nders ▪ Employees and retirees leaving the University in December should complete Open Enrollment – coverage end date will be January 31, 2018. ▪ Dependent children who turn 26 in 2017 will automatically be terminated December 31, 2017 and receive COBRA continuation information - no action required. ▪ Status changes (divorce, termination of domestic partnership, marriage, birth, etc.) occurring in 2017 require submission of a Midye year ar Chan ange Form rm withi hin 30 day ays of t the he chan ange. e.

PEB EBB Au Audi dit

PEB EBB Depe pendent ndent Au Audi dit Review ew ▪ Star arting ting November mber 201 017 PEBB will begin gin reviewing iewing depen endent dent records to ensur ure eligib igibility ility ▪ Phase ased ap appr proach ach – Phase 1 Employees who add dependents during Open Enrollment – Phase 2 Employees hired 11/1/17 or later – Phase 3 Employees not yet reviewed ▪ Employe oyees es will be contact acted ed directl ctly by PEBB ▪ Documenta mentatio tion proving eligi igibilit bility will be requir ired ed (i.e. mar arri riag age, e, birt rth cert rtif ifica icate tes, s, tax ax returns rns, immig migratio tion docume ments, nts, etc. c.) ▪ Submi mit do documenta entatio tion di direct ctly ly to PEBB ▪ Additio tional al inform rmatio tion av avai ailable able http://www.oregon.gov/oha/PEBB/Pages/Dependent-Eligibility-Review.aspx

Le Let us us b be yo your ur so sour urce! ce! ▪ Commun munica icatio tions an and Inform rmatio tion – Direct ct Emai ails to UO ac accou ount nts – Aroun undt dtheO ar articl icles – Direct ct mai ail from PEBB – UO Benefit its Website site https://hr.uoregon.edu/hr-programs-services/benefits/benefits-annual-open-enrollment ▪ UO Benef nefit its Staf aff – Kathryn Daniel, kdaniel@uoregon.edu or 541-346-2964 – Lynn Petersen, lynnp@uoregon.edu or 541-346-3086 – Cindi Peterson, cindip@uoregon.edu or 541-346-2956 ▪ PEBB http://www.oregon.gov/OHA/PEBB/Pages/index.aspx