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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. Although we are still dealing with COVID, I think this mandatory open enrollment was pretty successful. As of the close of open enrollment, we had 59,120 newly saved enrollments
in MyOEBB. According to our data here at OEBB, under 6,000 members didn’t go in and complete enrollment. We still have several Community Colleges actively in open enrollment until tomorrow. 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, 2021 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, 2021. 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"><span style="color:#0563C1">https://www.oregon.gov/oha/OEBB/Forms/Open-Enrollment-Correction.pdf</span></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="MsoNormal" style="margin-left:.5in"><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="MsoNormal" style="margin-left:.5in"><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 27<sup>th</sup>.<o:p></o:p></li></ul>
<p class="MsoNormal" style="margin-left:.5in"><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 early next week (1) if they
<i><u>did not complete open enrollment</u></i> (so basically didn’t do anything in our system) or (2) if they
<i><u>did do open enrollment</u></i> but didn’t have an active email for a daily communication.<o:p></o:p></li></ul>
<p class="MsoNormal" style="margin-left:.5in"><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="MsoListParagraph"><o:p> </o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoListParagraph" style="margin-left:0in;mso-list:l1 level1 lfo1">There will be a report deposited in each entity Document Management starting tomorrow. This report will show members who did their open enrollment but did not save their selections.
This report will be deposited on September 17<sup>th</sup>, 24<sup>th</sup> and October 1<sup>st</sup>.<o:p></o:p></li></ul>
<p class="MsoListParagraph"><o:p> </o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoListParagraph" style="margin-left:0in;mso-list:l1 level1 lfo1">You can also check daily for unsaved enrollments from the Home Page – Pending Action Items<o:p></o:p></li></ul>
<p class="MsoNormal" style="margin-left:.25in"><img border="0" width="388" height="96" style="width:4.0416in;height:1.0in" id="Picture_x0020_1" src="cid:image001.png@01D7AADD.945483A0"><span style="font-size:12.0pt;font-family:"Times New Roman",serif"><o:p></o:p></span></p>
<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"><span style="color:#0563C1">https://www.modahealth.com/ProviderSearch/faces/webpages/home.xhtml</span></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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<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:14.0pt;color:#538135">Linda Freeze<o:p></o:p></span></i></b></p>
<p class="MsoNormal"><b><span style="color:#538135">OEBB/PEBB Benefits Manager<o:p></o:p></span></b></p>
<p class="MsoNormal"><b><span style="color:#538135">Oregon Health Authority (OHA)<o:p></o:p></span></b></p>
<p class="MsoNormal">Health Policy and Analytics Division (HPA)<o:p></o:p></p>
<p class="MsoNormal">Oregon Educators Benefit Board (OEBB)<o:p></o:p></p>
<p class="MsoNormal">Public Employees’ Benefit Board (PEBB)<o:p></o:p></p>
<p class="MsoNormal"><a href="mailto:Linda.freeze@dhsoha.state.or.us">Linda.freeze@dhsoha.state.or.us</a><o:p></o:p></p>
<p class="MsoNormal">Desk: (503) 378-3329<o:p></o:p></p>
<p class="MsoNormal">Cell: (503) 881-8740<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
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