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

PEBB EBB Ope pen En Enrollment

• llment

It’s Mandatory! Oc October

• ber

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

• r

make changes to your current plans and elect HEM participation, enroll

• nline

https://pebbbenefits.oha.oregon.gov/bms_web/!pb.main

• r
• r

– Submit enrollment forms to the Benefits Office before 5:00 pm

• n

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

• r

make changes to life

• r

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

• n

for 2018 benefits fits

Open Enrollment information and forms available

• nline

http://hr.uoregon.edu/openenrollment

Heal alth th En Engagement ement Mode del (HEM) EM)

▪ Enroll in HEM during Open Enrollment (online

• r

by paper form) ▪ Employee

• nly
• complete

Health Assessment (HA) in current medical plan website by 10/3 /31/ 1/17

– Prov

• vid

iden ence HA has a new look

• k

▪ May log in and

• ut

as many times es as you want durin ing October er

– Print int a copy

• f

your Comple letio tion Cer ertifi tificate for your ur pers rson

• nal

recor

• rds

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

• n

by Oc October

• ber

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

• n

your medical plan

What’s Changing?

Medi dical al Pla lan

▪ All medical ical plan ans (except cept Kai aise ser) r)

– Increase

• ut-of-network

coinsurance from 30% to 40% – Increase

• ut-of-network

hospital costs from 30% to $500 copay + 40%

▪ Specific cific medical ical plan ans

– Providence Choice

▪ Increase in-network

• ffice

visit copayment

• Full

time plan- $5 to $10 per visit

• Part

time plan

• $30

to $40 per visit

– Moda Synergy

▪ Increase in-network

• ffice

visit copayment

• Full

time plan- $5 to $10 per visit

• 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

• ut-of-pocket

maximum – more money to spend

• n
• ther

services

▪ Willame lamette te

– Mouth guards covered

▪ Kai aise ser

– Available in Lane County (dental

• nly)

▪ 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

• r

paper form) during

• pen

enrollment ▪ Attest est to having minimum essential coverage for all eligible family members through an alternate employer sponsored group health plan

▪ Proof

• f

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

• n

life insurance (if enrolled)

Sur urchar harges es

▪ Tobacc acco Use

– $25/month if employee

• r

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

• ther

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

• ut
• f

your 2017 account is 3/15/18 ▪ Deadline to submit it for reimbursement

• n

2017 funds is 3/31/18 ▪ 2017 funds remaining after 3/31/18 will be forfeited

Calc lcula ulation tion

• f

Healthc lthcar are and Depe pendent ndent Care FS FSA contributions tributions

▪ 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

Monthly nthly contri ntribu bution tion am amoun unt

X

Number mber

• f

pay aycheck checks receive ved (10 10

• r 12)

=

Total al ANNU NUAL AL Contr tributio ibution

Op Optional ional Benefi nefits ts (Life, e, di disa sabi bilit lity & AD ADD)

▪ Remind inders: ers:

– Enrollment

• r

increase in employee

• r

spouse life insurance will require submission

• f

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

• f

domestic partnership, marriage, birth, etc.)

• ccurring

in 2017 require submission

• f

a Midye year ar Chan ange Form rm withi hin 30 day ays

• f

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

• r

later – Phase 3 Employees not yet reviewed

▪ Employe

• yees

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

• unt

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