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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Dear Business Managers, Superintendents & Benefits Administrators:<o:p></o:p></span></p>
<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"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">We are proud to share this good news from Moda Health/Delta Dental of Oregon:<o:p></o:p></span></p>
<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">OEBB members currently enrolled on Dental Plan 4</span></b><span style="font-size:12.0pt;font-family:"Arial",sans-serif">
<b>who move to the new Delta Dental Premier Plan 5</b> <b>this Open Enrollment</b>
<b>will receive incentive credit on their new Plan 5 based on their previous utilization history.</b> Delta Dental will credit 10% for each year the member received dental services on an OEBB Delta Dental plan. So members will end up with 70, 80, 90 or 100%
incentive level benefits on Plan 5 based on their previous utilization. <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">Moda’s system will apply this credit automatically as long as the member’s employer has not changed. If a member’s OEBB employer
<i>has</i> changed, the member will need to contact Moda’s Dental Customer Service directly once Plan 5 is in effect and ask Moda to review their claims from their previous OEBB employment and manually apply any incentive credit due.<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">Moda explained that they are authorizing this credit because Plan 4 and Plan 5 have similar benefit levels, and members currently enrolled in Plan 4 will no longer have a comparable
constant (non-incentive) plan option available. <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">Notes regarding other transition scenarios:<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" style="margin-left:.5in;text-indent:-.25in;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-size:12.0pt"><span style="mso-list:Ignore">-<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Members who move from Plan 4 to Plan 1 will not receive an incentive credit and will start at the 70% incentive level because Plan 1 is an existing option and is a
full incentive plan. <o:p></o:p></span></p>
<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="MsoListParagraph" style="text-indent:-.25in;mso-list:l0 level1 lfo1"><![if !supportLists]><span style="font-family:"Calibri",sans-serif;color:windowtext"><span style="mso-list:Ignore">-<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="color:windowtext">Members who move from Plans 1, 2 or 3 to Plan 5 will receive their incentive level for Class 1 and 2 services. Class 3 Services will be paid at Plan 5’s constant benefit level.
<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="MsoListParagraph" style="text-indent:-.25in;mso-list:l0 level1 lfo1"><![if !supportLists]><span style="font-family:"Calibri",sans-serif;color:windowtext"><span style="mso-list:Ignore">-<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="color:windowtext">Members who move from Plan 6 to Plan 5 will not receive an incentive credit, because Plan 6 is an existing option that is continuing.<o:p></o:p></span></p>
<p class="MsoListParagraph"><span style="color:windowtext"><o:p> </o:p></span></p>
<p class="MsoListParagraph" style="text-indent:-.25in;mso-list:l0 level1 lfo1"><![if !supportLists]><span style="font-family:"Calibri",sans-serif;color:windowtext"><span style="mso-list:Ignore">-<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="color:windowtext">And, as always, members who move from a Kaiser or Willamette Dental plan to a Delta Dental incentive plan will not receive any credit and will start at the 70% incentive level.<o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-left:0in"><span style="color:windowtext"><o:p> </o:p></span></p>
<p class="MsoListParagraph" style="margin-left:0in"><span style="color:windowtext">If you have further questions about dental plan transitions this Open Enrollment, please contact OEBB Member Services at 888-469-6322 or
<a href="mailto:oebb.benefits@state.or.us">oebb.benefits@state.or.us</a>. <o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-left:0in"><span style="color:windowtext"><o:p> </o:p></span></p>
<p class="MsoListParagraph" style="margin-left:0in"><span style="color:windowtext">Thank you,<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Jackie Cowsill<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Communications Coordinator<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">OREGON HEALTH AUTHORITY<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Health Policy and Analytics Division<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Oregon Educators Benefit Board<o:p></o:p></span></p>
<p class="MsoNormal"><a href="mailto:Jackie.Cowsill@state.or.us"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#0563C1">Jackie.Cowsill@state.or.us</span></a><u><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:blue"><o:p></o:p></span></u></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Phone: 503-378-5353<o:p></o:p></span></p>
<p class="MsoNormal"><a href="http://www.oregon.gov/OHA/OEBB"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#0563C1">www.oregon.gov/OHA/OEBB</span></a><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"><o:p> </o:p></span></p>
<p class="MsoNormal">*Note: My email address now ends in <b>@state.or.us.</b> Please delete my old address
<a href="mailto:jackie.cowsill@oregon.gov"><span style="color:#0563C1">jackie.cowsill@oregon.gov</span></a> from your address book -- it will no longer work after May 31, 2017.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
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