[MyOEBB] OEBB NEXT STEPS AFTER OPEN ENROLLMENT

[MyOEBB system updates]

NEXT STEPS AFTER OPEN ENROLLMENT

Hooray, open enrollment is over!   OEBB staff received 10,811 calls and around 3,400 emails in our office and attended 160 on-location Open Enrollment meetings.  I am sure each of you experienced a significant increase in your calls and emails as well.

OEBB's goal is to offer affordable health care to all eligible school, ESD, community college, city, county and special district employees, early retirees, and their families. We do not want any employees to go without insurance for any period of time.  Therefore we ask you to consider assisting your employees that missed on-line open enrollment to ensure their families have appropriate coverage effective October 1st.

REPORTING
Please use the following reports to assist you administratively over the next couple of weeks:


*         "Subscriber Open Enrollment Activity": This report can be used to track the activity of the subscribers during open enrollment. If you are monitoring whether your employees saved their benefits during open enrollment, you will want to go to the column "Last Saved Benefits Date". The report is sorted by this column with the most recent first.  If you page through to the end of the report you will find any employees who have not yet gone in and saved their benefits. Employees may have modified their benefits without saving those selections. They will still need to be saved to take effect in MyOEBB.  If you see employees on this report that are no longer an employee, check to make sure the employment record has been ended in MyOEBB.

*         "No Medical Dental or Vision 2014": Use this report to identify subscribers who have not gone into MyOEBB and made plan selections.  If an employee has selected benefits but has not yet saved those selections, they will not show up on this report.


*         "Entity Medical Opt Out or Waive": This report lists employees who have opted out or waived medical coverage.  When selecting the End Date make sure to enter a date greater than the first day of the new plan year.  (e.g., 10/02/2014)


*         "Entity Opt Out and Waive": In addition to the above report, this report lists employees who have opted out or waived medical coverage, it also lists by employee group the type of opt out and the other coverage the subscriber has entered into the system and displays the expiration date.  When selecting the End Date, make sure to enter a date greater than the first day of the new plan year. (e.g., 10/02/2014)

Synergy and Summit Networks
With the addition of both the Synergy and Summit networks through Moda we realize that members may need to adjust their medical home selections.  So, we have the following processes in place:


  *   September 16th through September 30th - During this time entities may update medical home choices for members in MyOEBB by clicking on the Medical link and updating via the medical enrollment screen in Enrollment Management.  Entities will have this functionality through September 30th.
  *   October 1st and after - If a member wishes to update their medical home after September 30th they can do so through Moda directly by either calling 1-866-923-0409 or they can send an email to medical at modahealth.com<mailto:medical at modahealth.com>.  It is not necessary to update their medical home selections in MyOEBB after September 30th.

MYOEBB Administrative Module

  *   September 16th - OEBB carriers are receiving their first Post-OE HIPAA files which will include all the 9/30/2014 terminations due to any plan termination rollovers and new enrollments for the 2014-15 plan year.  They will receive another file from OEBB with changes on 9/20/2014 and 9/27/2014.  They will receive a final Post-OE file on 10/01/2014 and weekly thereafter.
  *   September 16th through September 30th - We have an Open Enrollment Segment in the MyOEBB Enrollment Management program specifically to allow entities to easily enroll employees.  This feature will be available through September 30th.  When you use the Open Enrollment Segment you do not have to assign a QSC to an employee to accommodate changes.  Please remember to use a New Hire QSC when appropriate to avoid a 12-month wait on Dental and Vision plans.  Proactive steps to enroll members using this Open Enrollment Segment before October 1st will minimize the worry for employees and the workload for office staff.
  *   October 1st through October 31st - Your administrative office will be able to assign an "Open Enrollment" QSC to back-date coverage effective October 1st.  Make sure to use a "QSC Event Date" of 9/30/2014 to ensure a "Coverage Effective Date" of 10/01/2014.  Again, OEBB encourages your entity to assist employees not currently enrolled in insurance benefits using the Enrollment Management program in MyOEBB, but this is an entity's choice.  Please note that OEBB has specified in our Post Open Enrollment mailings for members to contact their entities by Friday, October 10th of any errors in their benefits.


  *   November 1st - Employees not enrolled in benefits as of November 1st will need to contact OEBB to formally appeal their right to enroll in benefits.  We sincerely hope to see all employees with insurance, but OEBB will continue to respect the authority and decisions of entities as we have in past years.


MAILINGS

  *   September 19th - OEBB will pull data from MyOEBB for those entities whose Open Enrollment period ended September 15th or earlier to be used in the Post Open Enrollment mailing.  We are targeting a mail date of September 29th.
  *   September 26th - OEBB will pull data from MyOEBB for those community colleges that extend open enrollment until September 25th to be used in the Post Open Enrollment mailing.  Also, on this date, OEBB will be pull data for our annual letter informing members who will be subject to a 12-month waiting period on Dental and Vision plans.
  *   October 1st - OEBB will email electronic pdf's of the Post Open Enrollment mailing to those requesting email.  Our USPS Post Open Enrollment and 12-month wait mailings should also be arriving at homes this week.


Our OEBB team stands ready to assist your entity with any enrollment issues or questions during the coming months as well as throughout the year.  Thank you for your continued cooperation. Your efforts made the 2014 OEBB Open Enrollment yet one more success for OEBB members.

Linda Freeze
Benefits Manager
Oregon Educators Benefit Board
1225 Ferry Street SE
Salem, OR 97301
Office:  (503) 378-3329
Fax:  (503) 378-5832

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