Opting Out and Opt Out Incentive Information

Eligible employees
include full-time Faculty, full-time and part-time: Classified, Managerial, Academic Professionals, Confidentials. Part-time Faculty may opt out of medical and vision coverage, but are not eligible for the incentive.

As of October 1, 2008, full-time and non-faculty part-time benefits eligible employees can choose to opt out of medical, vision and dental coverage if they have other group medical coverage.  Full-time and non-faculty part-time employees who choose to opt out will receive an incentive payment of up to $200.00 per month if documentation of other group medical coverage is provided. Electing this option will provide you up to an additional $200.00 per month on your paycheck (prorated for non-faculty part-time employees according to budgeted FTE). The opt out incentive will be taxed.  Part-time Faculty may opt out of medical and vision coverage if they have other group or individual medical insurance, but part-time faculty are not eligible for the incentive payment.

You can apply for the opt out at open enrollment or with a qualifying event.  Opt out enrollments received by the 15th of the month will become effective the first of the following month. Your medical, vision and dental benefits will cease the last day of the month prior to the payroll that includes your opt out election.

You will be able to re-enroll in one of PCC’s medical, vision and dental plans at a later date with certain restrictions. See the Guidelines to Mid-Year Changes. It is important that you read this summary to understand under what conditions you can return to PCC medical, vision and dental coverage. This option will not work for everyone. Even if you are or can be covered under another group health (e.g., through a spouse’s or domestic partner’s plan), opting out of your PCC coverage may not be the best option for you.

To evaluate whether or not to opt out of your PCC medical, vision and dental coverage you need to consider the following factors in addition to the guidelines to mid-year changes:

  • How much will you save (if any) in monthly premiums to switch to another medical, vision and dental plan? Remember, savings is only one factor to consider when evaluating the ability to opt out.
  • What will your out-of-pocket medical, vision and dental expenses be if PCC medical, vision and dental coverage is eliminated?
  • Does the non-PCC plan(s) have a pre-existing condition clause(s) and does it require a health statement: Are there benefit coverage differences?
  • Will this change cause you to have to change your physician?
  • How much do you use your medical, vision and dental benefits and how much do you think you will use the benefits in the future?
  • How long will you have access to other group medical coverage?

If you want to opt out, then you must complete the OEBB online form or complete a paper form and return it to Human Resources/Benefits, Downtown Center 321. If you have questions, contact a Benefits Specialist