[MyOEBB] OEBB EE Plan Management Opens Today
MyOEBB system updates
myoebb at listsmart.osl.state.or.us
Mon May 18 12:43:08 PDT 2020
MyOEBB EE PLAN MANGEMENT IS OPEN UNTIL JUNE 19TH
READ BELOW FOR WHAT'S HAPPENING FOR THE 2020-21 PLAN YEAR!
EE PLAN MANAGEMENT
EE Plan Management is open. EE Plan Management will remain open through Friday, June 19th. If you need assistance, please contact OEBB at:
oebb.benefits at state.or.us<mailto:oebb.benefits at state.or.us> or call us at 888-4My-OEBB (888-469-6322). Please leave a voice mail and someone will return your call.
You can find this module by logging into the MyOEBB Administrative Module at:
https://myoebb.org/oebb/!bms.main<https://urldefense.proofpoint.com/v2/url?u=https-3A__myoebb.org_oebb_-21bms.main&d=DwMFAg&c=7gilq_oJKU2hnacFUWFTuYqjMQ111TRstgx6WoATdXo&r=skRbh2WYOjojsyt50r85TJjIWkTqCGUkXTPMEPuvFwk&m=o0Yrmpo6_imgm1DkhQ2n5Kvvl3tPwBG9k5TREggkBPQ&s=6mY1-LGP1qXIxSb9sV4sA__2QUsA-kMfXm6B0TvV5W8&e=>
Does my entity have to complete EE Plan Management this year?
OEBB is having a passive Open Enrollment this year. What this means for your entity:
* You only have to complete EE Plan Management if:
* You want to add or remove a plan
* You want to change rate structures
* If your entity wants everything to stay the same, simply email OEBB at oebb.benefits at state.or.us<mailto:oebb.benefits at state.or.us> and tell us everything is staying the same.
What does a Passive Open Enrollment mean for my entity?
A passive Open Enrollment means members do not have to enter MyOEBB and complete their online selections this year unless:
* Your entity requires them to complete enrollment, and you inform your members of this condition
* OEBB will leave this language generic on Open Enrollment materials directing members to check with their employer
* You have chosen to discontinue any OEBB plans
* Those members with eliminated plans will need to enter MyOEBB to make a new plan selection or they will be without that specific coverage
* All their other coverages will remain the same
* OEBB will provide reports for the entities to monitor these members
* OEBB will send these members targeted communications
* Members want to add and/or drop a plan
* Members want to add and/or drop a dependent
* Members want to update beneficiaries
* Members want to update personal information
What happens if my entity keeps all plans the same, but we change rate structure?
OEBB will roll your membership over to the same plan/new rate structure during our rollover processes in August. For example:
* For the 2019-20 plan year all your medical plans were a composite rate structure. For the 2020-21 plan year your entity is switching all the medical plans to a tiered rate structure. OEBB will roll these members into the same medical plan/new rate structure so these members will not have to complete open enrollment if they don't want to make changes.
What happens if my entity drops a plan for the 2020-21 plan year?
Members currently enrolled in this plan for the 2019-20 plan year will need to complete Open Enrollment to select a new plan for the 2020-21 plan year. OEBB will have reports available to entities identifying these members. OEBB will also send these members a specialized letter informing them of their current plan ending.
What about members that Opt Out, Waive or Decline coverages?
OEBB will roll these Opt Outs, Waives and Declines forward for each member during the rollover process. They will not be required to complete Open Enrollment unless they want to make a change.
What about my New Hires?
* New Hires with benefits starting October 1, 2020, will still need to enter MyOEBB to complete their New Hire QSC. They can do Open Enrollment after this, but it will not be required.
* New Hires with benefits starting earlier than October 1, 2020 will only need to complete their New Hire QSC. OEBB will roll these elections forward to the 2020-21 plan year during the rollover process. They only need to enter MyOEBB if your entity requires Open Enrollment, your entity drops a plan or if the member wants to make a change.
2020-21 RATES & PLAN DESIGNS
OEBB is pleased to announce the new plan designs and rates have been posted. You can find this information at:
https://www.oregon.gov/OHA/OEBB/Pages/Plans-Offered.aspx
We encourage you to join one of our upcoming webinars to learn more. Scroll down to find the schedule and registration links below.
INSURANCE COMMITTEE WEBINARS
During these webinars you will hear directly from OEBB staff and the carriers. You will also have an opportunity to ask questions. Please click your preferred date/time below to register.
Register by clicking the session you want to attend:
Tuesday, May 19 (10:00 - 11:30 a.m.)<https://webinars.on24.com/OHA/InsComm051920>
Thursday, May 28 (10:00 - 11:30 a.m.)<https://webinars.on24.com/OHA/InsComm052820>
Everyone who registers will receive an email after the session with a link to the slides and recording, so please register even if you can't tune in. You can watch the recording at your convenience and still submit your questions the same way you would live. Your question will be delivered to OEBB staff via email and you can expect a response within the next few business days.
HIGHLIGHTS FOR 2020-21
Medical Plan Highlights
BENEFITS:
* Kaiser Permanente will offer new expanded preventive services prior to deductible under Kaiser Permanente Medical Plan 3.
* Moda members will still have a choice of plans with various deductibles and copays/coinsurance.
* Moda members that already have a PCP 360 selected only need to contact Moda if they want to update their PCP 360 selection. Otherwise, their PCP 360 selection will carry forward.
* Each family member on a Moda medical plan will still have the option to participate in coordinated care and receive an enhanced benefit compared to those who choose not to participate in coordinated care. To receive the enhanced benefit, the member must choose a primary care provider known as a "PCP 360" with Moda. These PCP 360 providers have agreed to:
* deliver full-circle care, coordinating their care with other providers, as needed, and
* be held accountable for the health of the patients who choose them.
* Compared to those who do not choose coordinated care, the enhanced benefit includes:
* a lower individual deductible,
* a lower individual out-of-pocket maximum, and
* lower copays for office, specialist, and alternative care visits.
* Moda is also introducing Moda 360. This service will offer a health navigator which offers personalized support for chronic conditions, coordination with the member's PCP 360 and telemedicine expansion.
* eviCore is changing under the Moda medical plans:
* Members will not have an increased initial approval of PT/OT/ST therapies to 12 visits for a 90-day period.
* An annual alternative care visit limit will be set for 12 visits in lieu of prior authorization.
Select RATES:
* The "Select" rates will be expired as of September 30, 2020. These members will be rolled into the "Traditional" rated plan during the rollover process in August unless your entity drops that plan. The "Select" rates were implemented for the 2019-20 plan year for Synergy and Summit members.
Dental and Vision Plan Highlights
* For the 2020-21 plan year, because members may have had difficulty seeing their dentist during the stay-at-home order, Delta Dental will maintain current incentive levels for members on incentive plans if they did not visit their dentist in the 2019-20 plan year. Members who did visit their dentist will still receive their benefit increase as scheduled.
* Delta Dental will introduce a new hypertension identification program.
* Kaiser Permanente and Willamette Dental Group dental plans will remain the same for the 2020-21 plan year.
* The VSP vision plans will remain the same for the 2020-21 plan year.
Short-term Disability Plans
All employee paid Short-term Disability plans (voluntary and mandatory employee paid) will have their premium rates reduced by 50%. All other plans offered by The Standard remain the same.
We look forward to serving you!
Linda Freeze
OEBB/PEBB Benefits Manager
OREGON HEALTH AUTHORITY
Health Policy and Analytics
linda.freeze at state.or.us<mailto:linda.freeze at oregon.gov>
Phone: 503.378.3329
Cell: 503.881.8740
http://www.oregon.gov/OHA/OEBB
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