Open Enrollment 2019-2020

August 15 to September 15

This Benefits Open Enrollment is mandatory!

Everyone who is eligible must enroll or opt out in the MyOEBB online system at OEBBenroll.com by the deadline of September 15, 2019.

The Moda medical plans are changing.  See the plan crosswalk and comparison charts for more information.

Your previous medical, dental and vision enrollments will NOT roll over to the 2019/20 benefit year.

If you do not enroll in a plan or opt out by the September 15th deadline, you will be enrolled in the default medical plan, Kaiser Medical Plan 3, for yourself only, without vision or dental coverage.

Open Enrollment is your opportunity to:   

  • Enroll in medical, vision and dental plans
  • Add or drop dependents
  • Opt out of insurance (Must have other group medical coverage to opt out)
  • Enroll or change Health Savings Account (HSA), optional if enrolling in Moda 6 or Kaiser 3
  • Enroll or change optional life insurance or accidental death and dismemberment (AD&D)
  • Enroll or change Long-Term Care (LTC) insurance plan
  • Update personal information

Note:  Open Enrollment for Flexible Spending Accounts (FSA) will occur in November and will be effective January 2020

Open Enrollment Checklist – 2019 Open Enrollment Action Checklist [pdf]

 

Provider networks

Moda and VSP allow the use of any licensed provider.  If enrolled in a Moda medical plan, each covered individual must choose a PCP 360 with Moda for that individual to receive the enhanced “coordinated care” benefit when using a provider in the Connexus network.  If an individual has not chosen a PCP 360 with Moda, they will receive the “non-coordinated” benefit if using a provider in the Connexus network.  Any services by a provider outside the Connexus network will be paid at the “out-of-network” level regardless of whether or not the individual has chosen a PCP 360 with Moda.

Willamette Dental Group and Kaiser Permanente both require you to use their facilities and contracted providers to have services covered.  If you are currently covered by a different carrier and switching to one of these plans, be aware that you will most likely need to change providers.

IMPORTANT REMINDER – 12 month waiting period for dental services:  If you did not enroll yourself or a dependent in dental coverage when initially eligible, then choose to enroll during an Open Enrollment period, you or your dependent will be considered a “late enrollee” and will be subject to a 12-month waiting period on all dental plans, meaning only diagnostic and preventive care on the dental plans will be covered for the first full 12 months of coverage.

Every effort has been made to report information accurately.  However, all information, including the amount of any benefit and employee eligibility for benefits, is subject to and governed by the terms and conditions of the applicable contract, policy or plan document.  In all cases where any of the information provided in this guide differs from the amount of benefit actually provided, the terms of the legal documents will control.

Please check your October 1st paycheck to ensure any payroll deductions reflect the enrollment decisions you have made.  Notify Benefits immediately if anything appears to be incorrect.