OVERVIEW FOR 2018-19 PLAN YEAR May - June 2018 April K e lly OE - - PowerPoint PPT Presentation

OVERVIEW FOR 2018-19 PLAN YEAR

May - June 2018

April K e lly OE BB Rule s Co o rdina to r

2

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.

3

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.

Prescription Updates

For 2018-19, Moda Health medical plans will include changes to prescription benefits encouraging use of value-based medications.

4

5

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

6

7

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

8

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.

9

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
• n carrier websites for members who wish to learn

about their health.

• New and improved wellness offerings are in

development … stay tuned!

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

• nly!

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

12

Never Miss a Deadline With Text Alerts OEBBreminders.com

13

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

14

EE Plan Management

May 15 – June 15, 2018

OEBB Member Services

888-469-6322 OEBB.Benefits@state.or.us

Hours

8am – 5pm Monday – Friday