[MyOEBB] OEBB-Next Steps After Open Enrollment

Thu Sep 17 10:43:12 PDT 2020

Good Morning -

I hope this open enrollment season was successful for everyone.  We’ve had a very tumultuous year dealing with COVID and wildfires. Thank goodness we decided to do a passive open enrollment!  As of the close of open enrollment, we had 24,676 newly saved enrollments in MyOEBB.  So, over a third of our population still went in and reviewed their benefits and possibly made updates.  We still have several Community Colleges actively in open enrollment until this Friday.  OEBB received thousands (we haven’t counted them yet) of emails and calls during this time. 😊

We now enter the clean-up portion of open enrollment, so I wanted to take this time to remind you of a few important guidelines noted below.  Please remember, we want to make sure everyone has the coverages they need, and our goal should be to work together on this common goal.

  *   Entities are able to fix open enrollment errors/issues using the open segment under Enrollment Management in the Admin Module through September 30th.  You do not have to use a QSC to fix any open enrollment errors/issues.  But, please use a QSC if the member is experiencing a QSC (marriage, birth, divorce, etc.).

  *   From October 1st to October 31st, entities are able to use the “Correcting Processing Errors” QSC to fix errors/issues.  Please make sure any open enrollment errors/issues are fixed to October 1, 2020 since that is the start of the plan year.

  *   Please do not send members to OEBB with open enrollment errors/issues at this time.  Please fix them on your end until October 31, 2020. Employees can send you an email, or use this form to notify you of any needed corrections:
https://www.oregon.gov/oha/OEBB/Forms/Open-Enrollment-Correction.pdf. Make sure you always have written documentation to support changes. Do not make changes based only on verbal instructions.

  *   OEBB will take appeals dealing with non-OE issues at any time of year.

  *   Open enrollment errors/issues brought to your attention starting November 1st should be sent to OEBB as an appeal.

  *   OEBB reviewed all $5 surcharge answers for members yesterday and will continue to run this process to make sure this is accurately reported and invoiced.  OEBB and PEBB staff will contact members newly showing with this surcharge and their admins via email on a continual basis informing members this surcharge is attached to them and their 45-day correction period (if desired).  If members are fine with this double medical coverage and attached $5 surcharge, they don’t have to do anything.

  *   OEBB will be sending dental 12-month wait letters out to members (if this applies to them or one of their dependents) around September 28th.

  *   OEBB will also send letters to members if they are missing a healthcare plan later next week. I anticipate this population will be small as many of our entities did not drop plans this year. 😊

  *   Please make sure your salaries are current so that any salary based plans (LTD, STD, etc) will be calculated correctly.

Lastly, members enrolled in a Moda medical plan should watch their mail for instructions on how to set up their PCP 360, their coordinated care status, etc.  Here are some tips:

  *   Members that want to select or update their PCP 360 can do this by calling Moda at 1-866-923-0409 or by logging into their MyModa account and updating their choice.
  *   Members that already have a PCP 360 set up don’t have to do anything unless they want to change this provider.
  *   Members can access Moda Find Care at the link below:
https://www.modahealth.com/ProviderSearch/faces/webpages/home.xhtml
Follow these steps:

  1.  Members need to search as a guest under the Connexus network.
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  1.  On the next screen, select “PCP 360” under “Type”.
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  1.  Lastly, look for the PCP 360 symbol associated with the provider.
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Thank 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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