Open Enrollment | Human Resources

Benefit Fair Backgroud

Open Enrollment is a mandatory two-step process where all benefit-eligible employees elect benefit options for the coming plan year, taking effect January 1, 2023.

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POST OPEN ENROLLMENT

Flexible Spending Account (FSA) corrections for members who complete Open Enrollment are due by December 16, 2022 (FSAs do not carry forward, re-enrollment is required annually). Members may submit the FSA Open Enrollment form to PEBB, marking the corresponding correction at the top of the form.

All other corrections to member plans can be made until February 28, 2023, by submitting the Open Enrollment form to PEBB, marking the correction option at the top of the form.

Members who are new to the HEM this Open Enrollment should save a copy of their completion certificate or final page showing it has been completed. Since PEBB members pay benefits a month in advance, starting in December 2022 payroll, members who are enrolled in the HEM will get the $17.50 incentive added to their check each month for the 2023 plan year (will be -$17.50 in paystub). If this is not in your December check and you are newly enrolled in the HEM in October during Open Enrollment, provide the proof of completion to PEBB and PEBB will update their system. Details and step-by-step guides about the HEM can be found on the PEBB website.

TWO-STEP PROCESS TO COMPETE OPEN ENROLLMENT

TWO-STEP PROCESS TO COMPETE OPEN ENROLLMENT

Go to PEBBEnroll.com to elect 2023 benefits online (open for re-enrollment October 1st through 31st):
- Paper forms may be completed and submitted to HR within the month of October (HRS@sou.edu, digitally upload documents to the HR Secure Inbox).
- 2023 Open Enrollment Form
- 2023 Open Enrollment Flexible Spending Form
Go to your medical provider's member portal to complete the HEM (Health Engagement Model) health questionnaire:
- Moda Synergy: Moda Health Member Login, Moda Printable Instructions, and Information on Moda's Momentum Health Assessment; Contact Moda for assistance at 1-844-776-1593 or Momentum@modahealth.com
- Providence Choice and Statewide: Providence Health Member Login, Providence Printable Instructions; Contact Providence for assistance at 1-877-569-7768

HEALTH & WELLNESS FAIR + FLU SHOT CLINIC - TUESDAY, OCTOBER 11, 10 AM - 2 PM

HEALTH & WELLNESS FAIR

The annual Health & Wellness Fair will be back in person this year it will be held on October 11 from 10 am to 2 pm in Stevenson Union (SU) Area (basement). Health, wellness, and retirement providers will be in attendance and available to discuss their programs with employees. In addition to the Health & Wellness Fair, PEBB will be hosting a virtual benefits fair that will run through October 31, with events held throughout the month of October, including live Q&A sessions with PEBB and on-demand resources from plan providers. Please visit PEBBs 2023 Plan Information webpage for more details.

FLU SHOT CLINIC

A Flu Shot Clinic will also be held during the Health & Wellness Fair. Flu shots are administered on a first-come-come-first-serve basis and employees will need to review the below-linked flu shot documents and bring the completed consent form to the clinic.

WHAT IS NEW

Change to Lowest Cost Medical Plan (employee’s 3% monthly premiums vs. 5% monthly premiums)	Starting with the 2023 plan year, the Providence Choice Medical plan will again be the lowest-cost plan for SOU employees. This means that members enrolled with Providence Choice will begin paying 3% for core benefit monthly premiums, instead of 5%. Members enrolled with Moda Synergy in 2023 will now pay 5% for core benefit monthly premium. Members who prefer to be enrolled in the lowest-cost medical plan may change their medical election to Providence Choice during Open Enrollment.
Providence Choice and Statewide	New manufacturer coupon Rx program — You may be able to pay less for high-cost specialty drugs by using a manufacturer’s coupon. New diabetes prevention program — PHP will send eligible members an invitation to join Omada, a new interactive weekly lifestyle training program. New medically necessary breast reduction surgery benefit — PHP is adding coverage for women’s breast reduction surgery in cases where it’s medically necessary, such as to relieve back pain.
Moda Synergy	Change to diabetic testing supplies — Glucose monitors and testing supplies will only be covered under the prescription drug benefit beginning January 1. You can now only buy diabetic testing supplies directly from participating retail or mail-order pharmacies. Diabetes prevention program — Moda Health will send eligible members an invitation to join Livongo - Healthy-living. New medically necessary breast reduction surgery benefit — Moda is adding coverage for women’s breast reduction surgery in cases where it is medically necessary, such as to relieve related back pain. Cancer infusion therapy changes — If you receive cancer therapy drugs from a hospital outpatient infusion center, you may be redirected to another site of care to receive this treatment.
Delta Dental Plans	Enhanced orthodontia benefit (PPO and Premier plans) — Delta Dental is increasing the orthodontia benefit to $1,800 per person per lifetime. This increased coverage applies to both the PPO and Premier plans.
VSP Vision	Enhanced frame allowance benefit — The frame allowance will be increased for glasses purchased from Walmart or Sam’s Club. Lower copay for retinal screening (Plus plan) — VSP is reducing the copay for retinal screenings to $10.

TOOLS & RESOURCES

PEBB VIRTUAL BENEFITS FAIR OCTOBER 1-31

Visit PEBB's 2023 Virtual Benefits Fair for 24/7 on-demand access to learn about PEBB benefit plans and review your 2023 plan year choices, register here. Visit the Auditorium for recorded videos from plan providers, the Exhibit Hall for detailed plan information, and the Decision Center for tools to make elections.

WEBINARS

Join PEBB on October 5 from 1 pm - 3 pm to hear PEBB and plan providers discuss 2023 benefits and ask questions. THIS WEBINAR HAS PASSED, BUT A RECORDING CAN BE VIEWED HERE.

Plan providers also have on-demand recordings available for members, accessible through the PEBB Virtual Benefits Fair, located in the Auditorium. Recorded webinars from prior years can be found below in Plan Details.

PEBB 2023 PLAN RESOURCES

Visit the PEBB website at PEBBinfo.com where you can find the 2023 plan year information
Use alex, PEBB's digital benefit counselor who will explain and walk you through your plan options
2023 Enrollment Guide
2023 Summary of CORE Benefits
Estimate your monthly payroll deductions with PEBB's Payroll Estimator Tool
Compare plans side by side with PEBB's Plans Benefits Comparison tool
Sign up for text or email reminders from PEBB about Open Enrollment by logging into the PEBB member portal at PEBBenroll.com
SOU's agency code is 58040. You may need this when logging into your medical provider's website.
Review a glossary of Health Care Terms
If you increased life insurance, be sure to complete The Standards Online Medical History Statement

SEE WHAT PLANS ARE AVAILABLE TO YOU

Providence Choice members will now pay 3% of Core premiums
PEBB Statewide members pay 5% of Core premiums
Moda Synergy members will now pay 5% of Core premiums

MAKE SURE YOUR PROVIDERS ARE IN THE PLAN’S NETWORK

Use the plan’s provider directory to determine who is in-network.

FIND OUT HOW THE PLAN HANDLES REFERRALS TO SPECIALISTS

In Coordinated Care Model plans or CCOs:
- Providence Choice - you typically pay less for specialty services when you see a specialist referred by your primary care provider/medical home (referral required for specialty services).
- Moda Synergy - you will choose a “PCP 360” provider. This is a primary care provider who has agreed to be accountable for your health (no referrals are needed for in-network providers, as long as PCP360 is selected).
In Preferred Provider Plans or PPOs:
- PEBB Statewide is a preferred provider organization (PPO) plan, where you may see any provider; however, you pay more when you see out-of-network providers, including specialists
alex, PEBB's digital benefit counselor, can also help you determine how your plan handles referrals

PLAN PROVIDER INFORMATION

CORE BENEFITS

PROVIDENCE CHOICE &

PROVIDENCE STATEWIDE

Providence Member Services can be reached at 1-877-569-7768, Monday through Friday, 8 am to 5 pm (open until 8 PM on October 31). Log into the myProvidence member portal for more information and to complete your HEM.

MODA SYNERGY

Moda member services can be reached at 1-844-776-1593. Log into the Moda Member Dashboard for more information and to complete your HEM.

WILLAMETTE DENTAL

Willamette Dental can be reached at 855-433-6825 Monday - Friday, 7 am -6 pm.

2023 Willamette Dental Plan Summary
2023 Willamette Dental Enrollment Guide
2023 Willamette Dental Pre-Recorded Webinar (halfway down the page)
List of Office and Specialty Locations

DELTA DENTAL PPO &

DELTA DENTAL PREMIER

For members who have Moda Synergy Medical, Delta Dental can be reached at 1-844-776-1393. For members who are not enrolled in Moda for medical, Delta Dental can be reached at 1-844-827-7100. Delta Dental members can log into the Moda Member Dashboard for member-specific information (Moda and Delta Dental members will use the Moda Member Dashboard).

VSP

VSP can be reached at 1-800-877-7195. For the hearing impaired, call 800-428-4833 for assistance. Log into the VSP member portal for more member-specific information.

OPTIONAL BENEFITS

THE STANDARD

LIFE, DISABILITY, TRAVEL

Standard Insurance Company provides group Life, Accidental Death, and Dismemberment (AD&D), Short Term Disability, and Long Term Disability to PEBB members. The Standard can be reached at 1-800-242-1888 from 8 am - 5 pm daily. The Standard's Travel Assistance can be reached at 866-455-9188 for the United States, Canada, Puerto Rico, U.S. Virgin Islands, and Bermuda, or call collect at 240-330-1380 for worldwide assistance.

Basic Life Insurance at a Glance ($10k automatic coverage for all members)
Life and AD&D Benefit
Long Term Disability
Short Term Disability
Travel Assistance
Life Services Toolkit
Electronic Medical History Statement (For members enrolling or increasing life insurance)
PRIOR YEAR:
- Webinar Slides
- Video: Your Benefits Explained

ASIFLEX

FLEXIBLE SPENDING ACCOUNTS

The State of Oregon offers pre-tax spending programs you can use to save money. The Health Care Flexible Spending Account is a PEBB-sponsored benefit program that allows you to use pre-tax money to pay for certain out-of-pocket medical, vision, and dental expenses, and now certain over-the-counter items. Enrolling in the Health Care FSA can lead to savings of up to 40% on each dollar that is set aside for medical expenses you are going to incur anyway. The Dependent Care Flexible Spending Account allows you to save on child or elder care expenses (e.g. babysitting, daycare, in-home care for an older dependent incapable of self-care). Flexible spending account participants can file claims via the free mobile app, online by signing into your account, or by fax at 877-879-9038. Please also consider signing up for direct deposit and electronic communications via email or text as this will also reduce paper usage and wait times. ASIFlex can be reached at 800-659-3035 Monday through Friday, 5 am - 5 pm, and Saturdays 7 am -11 am, or at asi@asiflex.com. Participants can log into the ASIFlex member portal for member-specific information.

ADDITIONAL BENEFIT RESOURCES

PERS

OREGON SAVINGS GROWTH PLAN 457 (OSGP)

PERS will be holding their annual Expo on October 5 and 6, members can sign up for presentations from PERS, PERS Health Insurance Program (PHIP), and the Oregon Savings Growth Plan 457 (OSGP). PERS Member Services can be reached at 1-888-320-7377 or online via their online email submission tool.

ORP

TAX DEFERRED INVESTMENT 403(b) (TDI)

Oregon Public Universities Retirement Plans OPURP, who administers the ORP retirement programs and TDI voluntary retirement savings program, can be reached at 541-346-5784 or at opurp@uoregon.edu. OPURP works with TIAA and Fidelity for ORP and TDI Plan Fund Sponsors. TIAA can be reached at 1-800-842-2252 and their OPURP member website is located here. Fidelity can be reached at 1-800-343-0860 and their OPURP member site can be reached here.

OPURP Website
5-minute Retirement Guide
TDI 403(b) and OSGP 457 Comparison (compares both voluntary retirement savings plans)
OPURP Newsletters

STUDENT LOAN FORGIVENESS/SAVI

(THORUGH TIAA)

Take advantage of a new student debt solution from Savi that makes pursuing generous federal programs like reduced payments and loan forgiveness easier.

SAVI for Oregon Public Universities

SHIBA

SENIOR HEALTH INSURANCE BENEFITS ASSISTANCE

The Senior Health Insurance Benefits Assistance is through the State of Oregon and is a free program that uses trained counselors to educate and advocate for Oregonians with Medicare.