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<p class="MsoNormal">Good Morning - <o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">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. <span style="font-family:"Segoe UI Emoji",sans-serif">
😊</span><o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">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.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l1 level1 lfo1">Entities are able to fix open enrollment errors/issues using the open segment under Enrollment Management in the Admin Module through September 30<sup>th</sup>. 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.).<o:p></o:p></li></ul>
<p class="MsoNormal"><o:p> </o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l1 level1 lfo1">From October 1<sup>st</sup> to October 31<sup>st</sup>, 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.<o:p></o:p></li></ul>
<p class="MsoNormal"><o:p> </o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l1 level1 lfo1">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:<br>
<a href="https://www.oregon.gov/oha/OEBB/Forms/Open-Enrollment-Correction.pdf">https://www.oregon.gov/oha/OEBB/Forms/Open-Enrollment-Correction.pdf</a>.
<b>Make sure you always have written documentation to support changes. </b>Do not make changes based only on verbal instructions.<o:p></o:p></li></ul>
<p class="MsoNormal"><o:p> </o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l1 level1 lfo1">OEBB will take appeals dealing with non-OE issues at any time of year.<o:p></o:p></li></ul>
<p class="MsoNormal"><o:p> </o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l1 level1 lfo1">Open enrollment errors/issues brought to your attention starting November 1<sup>st</sup> should be sent to OEBB as an appeal.<o:p></o:p></li></ul>
<p class="MsoListParagraph"><o:p> </o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l1 level1 lfo1">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.<o:p></o:p></li></ul>
<p class="MsoListParagraph"><o:p> </o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l1 level1 lfo1">OEBB will be sending dental 12-month wait letters out to members (if this applies to them or one of their dependents) around September 28<sup>th</sup>.<o:p></o:p></li></ul>
<p class="MsoListParagraph"><o:p> </o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l1 level1 lfo1">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.
<span style="font-family:"Segoe UI Emoji",sans-serif">😊</span><o:p></o:p></li></ul>
<p class="MsoListParagraph"><o:p> </o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l1 level1 lfo1">Please make sure your salaries are current so that any salary based plans (LTD, STD, etc) will be calculated correctly.<o:p></o:p></li></ul>
<p class="MsoNormal" style="margin-left:.5in"><o:p> </o:p></p>
<p class="MsoNormal" style="margin-bottom:12.0pt">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:<o:p></o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="margin-bottom:12.0pt;mso-list:l1 level1 lfo1">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.<o:p></o:p></li><li class="MsoNormal" style="margin-bottom:12.0pt;mso-list:l1 level1 lfo1">Members that already have a PCP 360 set up don’t have to do anything unless they want to change this provider.<o:p></o:p></li><li class="MsoNormal" style="mso-list:l1 level1 lfo1">Members can access Moda Find Care at the link below:<o:p></o:p></li></ul>
<p class="MsoNormal" style="mso-margin-bottom-alt:auto;text-indent:.5in"><a href="https://www.modahealth.com/ProviderSearch/faces/webpages/home.xhtml">https://www.modahealth.com/ProviderSearch/faces/webpages/home.xhtml</a><o:p></o:p></p>
<p class="MsoNormal" style="text-indent:.5in">Follow these steps:<o:p></o:p></p>
<ol style="margin-top:0in" start="1" type="1">
<li class="MsoNormal" style="margin-left:.5in;mso-list:l0 level1 lfo2">Members need to search as a guest under the Connexus network.<o:p></o:p></li></ol>
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<p class="MsoNormal" style="text-indent:.5in"><o:p> </o:p></p>
<ol style="margin-top:0in" start="2" type="1">
<li class="MsoNormal" style="margin-left:.5in;mso-list:l0 level1 lfo2">On the next screen, select “PCP 360” under “Type”.<o:p></o:p></li></ol>
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<p class="MsoNormal" style="text-indent:.5in"><o:p> </o:p></p>
<ol style="margin-top:0in" start="3" type="1">
<li class="MsoNormal" style="margin-left:.5in;mso-list:l0 level1 lfo2">Lastly, look for the PCP 360 symbol associated with the provider.<o:p></o:p></li></ol>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Thank you!<o:p></o:p></p>
<p class="MsoNormal"><b><i><span style="font-size:16.0pt;color:#1F3864">Linda Freeze<o:p></o:p></span></i></b></p>
<p class="MsoNormal"><b><i><span style="font-size:12.0pt;color:#1F3864">OEBB/PEBB Benefits Manager<o:p></o:p></span></i></b></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt;color:#1F3864">OREGON HEALTH AUTHORITY<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif;color:#44546A">Health Policy and Analytics<o:p></o:p></span></p>
<p class="MsoNormal"><u><span style="font-family:"Arial",sans-serif;color:#0563C1"><a href="mailto:linda.freeze@oregon.gov">linda.freeze@state.or.us</a></span></u><u><span style="font-family:"Arial",sans-serif;color:#4472C4"><o:p></o:p></span></u></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif;color:#44546A">Phone: 503.378.3329<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif;color:#44546A">Cell: 503.881.8740<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif;color:#44546A">http://www.oregon.gov/OHA/OEBB<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A"><img border="0" width="159" height="60" style="width:1.6583in;height:.625in" id="Picture_x0020_1" src="cid:image014.jpg@01D68CDF.484ADDF0"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif;color:#44546A">CONFIDENTIALITY NOTICE</span><span style="font-size:14.0pt;font-family:"Arial",sans-serif;color:#44546A"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif;color:#44546A">This email may contain information that is privileged, confidential, or otherwise exempt from disclosure under applicable law. If you are not the addressee or it appears from the
context or otherwise that you have received this email in error, please advise me immediately by reply email, keep the contents confidential, and immediately delete the message and any attachments from your system.
<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
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