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<p class="MsoNormal"><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif">NEXT STEPS AFTER OPEN ENROLLMENT<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">We made it! Open enrollment has ended! OEBB staff received over 11,100 calls and over 3,500 emails in our office, attended 163 on-location open enrollment meetings and over
51,000 subscribers completed their enrollments online. I am sure each of you experienced a significant increase in your calls and emails as well. We sincerely appreciate all the important work you do, both during Open Enrollment and all year long.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">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
<b>we ask you to please consider assisting your employees that missed online open enrollment to ensure their families have appropriate coverage effective October 1<sup>st</sup>. </b>
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#44546A"><o:p> </o:p></span></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#548235">Administrative Rule 111-040-0025 (1) (a) allows employing entities to make corrections within a 45 day period.
<b>Please do not refer your employees back to OEBB</b> to complete any open enrollment selections or changes, as OEBB will direct them back to you. Each employing entity has unique policies for their employees. We encourage you to please assist your employees
in making any open enrollment selections or corrections. <o:p></o:p></span></i></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#44546A"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#44546A"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif;text-transform:uppercase">M</span></b><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Y<span style="text-transform:uppercase">OEBB Administrative Module<span style="color:#44546A">
</span></span></span></b><b><i><u><span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:red;text-transform:uppercase"><o:p></o:p></span></u></i></b></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="margin-bottom:12.0pt;mso-list:l1 level1 lfo1"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">September 16<sup>th</sup> – OEBB carriers are receiving their first Post-OE HIPAA files which will include all the 9/30/2015
terminations due to mandatory open enrollment plan termination rollovers and new enrollments for the 2015-16 plan year. They will receive another file from OEBB with changes on 9/19/2015 and 9/26/2015. They will receive a final Post-OE file on 10/01/2015
and weekly thereafter.<o:p></o:p></span></li><li class="MsoNormal" style="margin-bottom:12.0pt;mso-list:l1 level1 lfo1"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">September 16<sup>th</sup> through September 30<sup>th</sup> - 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 30<sup>th</sup>. When you use the Open Enrollment Segment you
<b><i>do not</i></b> 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 1<sup>st</sup> will minimize the worry for employees and the workload for office staff.<o:p></o:p></span></li><li class="MsoNormal" style="margin-bottom:12.0pt;mso-list:l1 level1 lfo1"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">September 16<sup>th</sup> through September 30<sup>th</sup> – Entities will have the opportunity to update Healthy Futures
participation in the MyOEBB Administrative Module under Enrollment Management. After September 30<sup>th</sup>, admins will not be able to update a member’s Healthy Futures participation for the 2015-16 plan year.<o:p></o:p></span></li><li class="MsoNormal" style="margin-bottom:12.0pt;mso-list:l1 level1 lfo1"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Now through October 15<sup>th</sup> – Members have the opportunity to complete their Health Assessments either through Moda
Health or Kaiser Permanente. Moda Health members can go to </span><a href="http://www.modahealth.com/oebb"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">www.modahealth.com/oebb</span></a><span style="font-size:12.0pt;font-family:"Arial",sans-serif">
and Kaiser members can go to </span><a href="http://kp.org/tha"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">http://kp.org/tha</span></a><span style="font-size:12.0pt;font-family:"Arial",sans-serif"> to complete their assessments. Please
note, members who were enrolled in a Healthy Futures medical plan because they promised to complete their Health Assessments by October 15<sup>th</sup> but then fail to do so will be reverted back to the regular non-incentivized medical plan and may be responsible
for additional charges incurred during this time period. OEBB will mail notifications to these members informing them of the retro change as soon as they are identified – we anticipate a mail date of November 1<sup>st</sup> (see “Mailings” below).<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo1"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">October 1<sup>st</sup> through October 31<sup>st</sup> - Your administrative office will be able to assign an “Open Enrollment” QSC to back-date
coverage effective October 1<sup>st</sup>. Make sure to use a “QSC Event Date” of 9/30/2015 to ensure a “Coverage Effective Date” of 10/01/2015. Again,
<b>OEBB encourages you to assist employees not currently enrolled in 2015-16 insurance benefits to enroll in coverage
</b>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 16<sup>th</sup> of any errors in their
benefits. Also note that OEBB Division 40 OAR authorizes entities to correct enrollment errors reported by eligible employees within 45 calendar days of the open enrollment period end date. OEBB encourages entities to
<b>please assist your employees in correcting open enrollment errors </b>during this time period within your benefits office.<o:p></o:p></span></li></ul>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="margin-bottom:12.0pt;mso-list:l1 level1 lfo1"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">November 1<sup>st</sup> - Employees not enrolled in benefits as of November 1<sup>st</sup> 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.<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo1"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">November 1<sup>st</sup> – Carriers will receive retro changes for OEBB members that didn’t complete their Health Assessments by October 15<sup>th</sup>,
retroactively changing their medical enrollments back to the non-incentivized plans effective October 1<sup>st</sup>.<o:p></o:p></span></li></ul>
<p class="MsoNormal" style="margin-left:.5in"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif">REPORTING<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">The following reports are accessible and may be helpful to you over the next couple of weeks:<o:p></o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="margin-bottom:12.0pt;mso-list:l0 level1 lfo2"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">“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.<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l0 level1 lfo2"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black">“No Medical Dental or Vision 2015”: Use this report to identify subscribers who have not gone into MyOEBB and made plan selections.
If an employee has selected </span><span style="font-size:12.0pt;font-family:"Arial",sans-serif">benefits but has not yet saved those selections, they will not show up on this report.<o:p></o:p></span></li></ul>
<p class="MsoNormal" style="margin-left:.5in"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l0 level1 lfo2"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">“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., 10/02/2015).<o:p></o:p></span></li></ul>
<p class="MsoNormal" style="margin-left:.5in"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l0 level1 lfo2"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">“Entity Opt Out and Waive”: This is a more detailed version of the above report, listing employees who have opted out or waived medical coverage,
but it also lists by employee group the type of opt out and the other coverage the<span style="color:#1F497D">
</span>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., 10/02/2015).
<o:p></o:p></span></li></ul>
<p class="MsoNormal"><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif;text-transform:uppercase">Synergy and Summit Networks<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">With the continuation and growth of the Synergy and Summit networks through Moda we realize that members may need to make their medical home selections. So, we have the following
processes in place:<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">September 16<sup>th</sup> and after – Members enrolled in a Synergy or Summit plan need to select their medical home directly through Moda by either calling 1-866-923-0409 or
they can send an email to </span><a href="mailto:medical@modahealth.com"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">medical@modahealth.com</span></a><span style="font-size:12.0pt;font-family:"Arial",sans-serif">. It is
<b><i>not</i></b> necessary to update their medical home selections if they are continuing in a Synergy or Summit plan from 2014-15 unless they want to change that medical home selection. Moda will also be sending out a communication to members enrolling in
Synergy or Summit network for the first time this open enrollment and members re-enrolling that haven’t selected a medical home.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif">MAILINGS
</span></b><i><span style="font-size:12.0pt;font-family:"Arial",sans-serif">(reference samples will be emailed separately)<o:p></o:p></span></i></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="margin-bottom:12.0pt;mso-list:l1 level1 lfo1"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">September 16<sup>th
</sup>through 18<sup>th</sup> – OEBB will pull data from MyOEBB for those entities whose Open Enrollment period ended September 15<sup>th</sup> or earlier to be used in the Post Open Enrollment mailing, which will include a benefits statement showing each member
their 2015-16 enrollments as well as a letter asking them to review their statement and report any errors to their entity benefits administrator no later than October 16, 2015. (As mentioned above, we encourage you to assist them in correcting errors, but
we support each entity’s policy decisions.) We are targeting a mail date of September 29<sup>th</sup>. This year OEBB will send this communication to all members via USPS (hard copy). We will not send any electronic email communications for this particular
mailing.<o:p></o:p></span></li><li class="MsoNormal" style="margin-bottom:12.0pt;mso-list:l1 level1 lfo1"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">September 28<sup>th</sup> – OEBB will pull data from MyOEBB for those community colleges that extend open enrollment until
September 25<sup>th</sup> to be used in the Post Open Enrollment mailing, which will include a benefits statement showing each member their 2015-16 enrollments as well as a letter asking them to review their statement and report any errors to their entity
benefits administrator no later than October 16, 2015. (As mentioned above, we encourage you to assist them in correcting errors, but we support each entity’s policy decisions.) We are targeting a mail date of September 29<sup>th</sup>. This year OEBB will
send this communication to all members via USPS (hard copy). We will not send any electronic email communications for this particular mailing.<o:p></o:p></span></li><li class="MsoNormal" style="margin-bottom:12.0pt;mso-list:l1 level1 lfo1"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Also on September 28<sup>th</sup> – OEBB will pull data for our annual letter informing members who will be subject to a
12-month waiting period on Dental and Vision plans. This mailing will also be sent USPS hard copy to all affected members – no emails.
<o:p></o:p></span></li><li class="MsoNormal" style="margin-bottom:12.0pt;mso-list:l1 level1 lfo1"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Approximately October 1<sup>st</sup> – BenefitHelp Solutions (OEBB COBRA administrator) will mail letters to members who
dropped coverage completely during open enrollment, dropped a specific healthcare coverage or dropped a dependent from one or all healthcare coverages. This communication will inform members that coverage was dropped during this open enrollment and if a qualifying
event happened they may be COBRA eligible.<o:p></o:p></span></li><li class="MsoNormal" style="margin-bottom:12.0pt;mso-list:l1 level1 lfo1"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Approximately November 1<sup>st</sup> – OEBB will mail USPS (hard copy) notifications to all members being reverted back
to the normal non-incentivized medical plans for not completing their health assessments by October 15<sup>th</sup> as they had promised. The letter will explain that the plan change will be retroactively effective October 1, 2015 and that they may be responsible
for additional charges for medical claims incurred since October 1<sup>st</sup>.<o:p></o:p></span></li></ul>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">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 2015 OEBB Open Enrollment yet one more success for OEBB members.</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><b><i><span style="font-size:14.0pt;font-family:"Cambria Math",serif;color:#ED41B0">Linda Freeze</span></i></b><b><span style="font-size:14.0pt;font-family:"Cambria Math",serif;color:#ED41B0"><o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Gisha",sans-serif">Benefits Manager</span><span style="font-family:"Gisha",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Gisha",sans-serif">Oregon Educators Benefit Board</span><span style="font-family:"Gisha",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Gisha",sans-serif">1225 Ferry Street SE</span><span style="font-family:"Gisha",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Gisha",sans-serif">Salem, OR 97301</span><span style="font-family:"Gisha",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Gisha",sans-serif">Office: (503) 378-3329</span><span style="font-family:"Gisha",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Gisha",sans-serif">Fax: (503) 378-5832</span><span style="font-family:"Gisha",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
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