This year for Open Enrollment PEBB is allowing a passive Open Enrollment, meaning re-enrollment and Health Engagement Model (HEM) completion is voluntary for most members. In prior years, this has been a mandatory process for all members to complete within the month of October. However, due to the COVID-19 pandemic, PEBB is allowing 2020 benefit enrollments and HEM status to carry forward into the 2021 plan year. Members may still choose to complete Open Enrollment in order to change benefit elections, enroll in Flexible Spending Accounts (FSA), and participate in the HEM, if not already.
The annual Health & Wellness Fair will be virtual this year. During the week of October 5 - October 9, members can join webinars from PEBB, plan providers, wellness providers, and even retirement providers.WHO SHOULD COMPLETE OPEN ENROLLMENT?
Re-enroll if you want to:
- modify benefits elections;
- add or remove dependents;
- enroll in a health or dependent care FSA (FSA's will not carry forward and requires re-enrollment).
Complete the HEM if you want to:
- enroll in the HEM, if not already enrolled (members whose health insurance took effect between November 2019 and October 2020 have not yet been eligible for the HEM and this would be the opportunity to do so).
Detailed scenarios about whether or not re-enrollment and/or the HEM should be completed can be found in the PEBB Open Enrollment and HEM Quick Guide. Members who are happy with their current benefit enrollments and HEM status do not need to complete Open Enrollment. PEBB will not increase your deductible, and if you are already receiving the HEM monthly incentive of $17.50, you will continue to receive this in the 2021 plan year (opt-out members not eligible for the HEM).
OPEN ENROLLMENT STEPS
- Re-Enroll in benefits online by visiting PEBBEnroll.com between October 1st and 31st.
- Complete the HEM (Health Engagement Model or Personal Health Assessment) from your 2020 medical providers’ website by October 31st. Print or digitally save your completion certificate proving eligibility for the HEM incentive, to be supplied to PEBB only if needed. (Note: Opt-out employees and Declines who want to enroll in a Medical plan for the 2021 plan year must complete the HEM. Call PEBB for an access code, 503-373-1102, then log into the Providence website to complete the HEM.) Members who enroll in the HEM receive a $17.50 incentive in their monthly check.
WHAT IS NEW FOR 2021
| Delta Dental |
For members who did not enroll in dental when first eligible, Delta Dental is removing the 12-month wait period for dental procedures and the 24-month wait for orthodontics. |
| The Standard Basic Life Insurance |
The guarantee issue basic life insurance that is automatically included in members' CORE benefits will increase from $5,000 to $10,000. |
| Double Coverage Surcharge |
If you cover a dependent (spouse/domestic partner, and/or dependent children) under your PEBB medical plan and one of your dependents also enrolls in a medical plan through PEBB or the Oregon Educators Benefits Board (OEBB), PEBB will apply a 5$ monthly surcharge. This surcharge only applies to medial coverage and excludes those covered under Retiree plans, COBRA, or members on part-time plans. |
| Flexible Spending Accounts |
Health Care FSA contribution limit will increase to $2,750. |
VIRTUAL HEALTH & WELLNESS FAIR - Webinar Schedule
Due to the COVID-19 pandemic, in-person events will not be held this year. Instead, PEBB and providers are holding webinars for members to attend and ask questions. Visit PEBBWebinars.com to register for upcoming webinars.
Upcoming PEBB webinars are:
- October 7 @ 9:00 am - CORE Benefits
- October 13 @ 1:00 pm - Understanding your FSA
Prior recorded webinars can be found at PEBBonDemand.com, including webinars about the passive Open Enrollment taking place.
Upcoming provider webinars can be found below:
Monday, October 5
| 9:30 am - Providence Medical |
Learn about what is new with Providence Health Plans for the 2021 Benefit year. Interact with Plan representatives and ask questions. Door prize drawing during the presentation. Registration required. Will be recorded later for viewing. |
|
| 11:00 am - TIAA | Join TIAA’s representative for a presentation about retirement savings.
The Starting Line: Why and how retirement savings should begin now.
Registration required. Will be recorded later for viewing. |
Register Here |
| 1:00 pm - Moda Medical and Delta Dental |
Join Moda Health and Delta Dental plan representatives as they present the open enrollment plan changes for the 2021 plan year and answer any questions members may have during these interactive sessions on Microsoft Teams. Registration not required. Not recorded, but offered multiple times. |
Can call in with 1-971-254-1897 Conference ID: 330 031 273# |
| 3:00 pm - ASIFlex |
ASI Flex will walk through what a flexible spending account is, how it can benefit you, and the plan specifics. Registration not required. Will be recorded later for viewing. |
Tuesday, October 6
| 10:30 am & 11:00 am Willamette Dental |
Join Willamette Dental for a high-level overview of Willamette Dental Group. After the presentation, there will be an ample amount of time for Questions & Answers. This webinar repeats at 11:00 am. Registration not required. Will be recorded for later viewing. |
|
| 11:00 am - Moda Medical and Delta Dental | Join Moda Health and Delta Dental plan representatives as they present the open enrollment plan changes for the 2021 plan year and answer any questions members may have during these interactive sessions on Microsoft Teams.
Registration not required. Not recorded, but offered multiple times. |
Join by Phone: 1-971-254-1897 Conference ID: 121 579 743# |
| 3:00 pm - Providence Medical Life Balance Program |
The LifeBalance Program is an online coupon book that’s designed to help you enjoy the activities that keep you feeling fit, happy, and fulfilled. In this webinar, we’ll cover what the program offers, how to set up your account, navigate the website, and redeem offers. Registration not required. Not recorded, but offered multiple times. |
Wednesday, October 7
| 9:00 am - Moda Medical and Delta Dental | Join Moda Health and Delta Dental plan representatives as they present the open enrollment plan changes for the 2021 plan year and answer any questions members may have during these interactive sessions on Microsoft Teams.
Registration not required. Not recorded, but offered multiple times. |
Join by Phone: 1-971-254-1897 Conference ID: 369 077 281# |
| 9:00 am - PEBB Carriers Webinar |
In this session, PEBB and the Health Care Carriers will cover the core Medical, Dental, and Vision benefits for the new plan year 2021. Registration required. Will be recorded for later viewing. |
Recorded webinar can be found at PEBBonDemand.com |
| 2:30 pm - WW (Weight Watchers) |
During this webinar, a WW expert will take you on a guided tour of what's included when you join WW through OEBB, such as 1) An introduction to WW's customized program that matches you with a plan based on your preferences and lifestyle. 2) How WW's science-backed SmartPoints system allows you to eat what you love and still lose weight. 3) A look at WW's award-winning app, plus Coaching and community you can count on. Registration not required. Will be recorded for later viewing. |
Join the Webinar Here |
| 3:30 pm - VSP |
Join VSP for a live webinar to learn more about the vision benefits available to you through PEBB. VSP is hosting a 30-minute video webinar via Microsoft Teams. VSP will present a brief presentation covering the benefits you will receive when you enroll in a VSP vision plan through PEBB. VSP will be available during the webinar to answer your questions via the chat feature. If VSP reaches capacity for the 3:30 pm webinar, they will host a second webinar starting at 4:00 pm at the same link. Registration Required. Will be recorded for later viewing. |
Register Here |
Thursday, October 8
| 9:30 am - Fidelity |
Maximize Social Security in Your Retirement Strategy. Over the course of this presentation, we’ll focus on helping you understand how Social Security works, considerations for choosing when to start claiming your benefit, and the ways Fidelity Investments can help you decide how to make the most of your benefit. Registration required. Not recorded for later viewing, but a pre-recorded version is available on the Fidelity website. |
Register Here |
|
10:00 am - Moda Medical and Delta Dental |
Join Moda Health and Delta Dental plan representatives as they present the open enrollment plan changes for the 2021 plan year and answer any questions members may have during these interactive sessions on Microsoft Teams. Registration not required. Not recorded, but offered multiple times. |
Join by phone 1-971-254-1897 Conference ID: 379 068 568# |
| 10:30 am Oregon Savings Growth Plans (OSGP) 457 |
OSGP is a voluntary retirement savings program available to all employees. In this webinar, OSGP will review:
Registration not required. Not recorded. |
Join the Webinar Here |
| 1:00 - Senior Health Insurance Benefits Assistance (SHIBA) - Medicare |
New to Medicare? Join this session as a SHIBA representative explains the basics of Medicare. This session will help you to:
Registration not required. Not recorded. |
Password: 900336 |
| 3:00 pm - Healthy Team, Healthy U (HTHU)/Stay Well |
Healthy Team Healthy U (HTHU) is a wellness program that is provided by PEBB to PEBB members and dependents who are at least 18 years old. There is no cost, no commitment requirements, and no penalties for not completing the program. HTHU provides resources to help you work towards and achieve your wellness goals. We have recipes, workout videos, a mental health podcast series, personal goal-tracking challenges, and provide education on topics such as sleep, portion control, energy, and stress management. Join the webinar to learn how to get started and how to get the most out of Healthy Team Healthy U! Door prize drawing for attendees. Registration required. Will be recorded for later viewing. |
Register Here |
Friday, October 9
| 10:00 am - Moda Medical and Delta Dental |
Join Moda Health and Delta Dental plan representatives as they present the open enrollment plan changes for the 2021 plan year and answer any questions members may have during these interactive sessions on Microsoft Teams. Registration not required. Not recorded, but offered multiple times. |
Join by phone: 1-971-254-1897 Conference ID: 901 287 729# |
| 11:00 am - The Standard |
Join Standard’s representatives for an informational webinar followed by a Q&A session regarding Short Term Disability (STD), Long Term Disability (LTD), Life Insurance (Basic & Additional), & Accidental Death & Dismemberment (AD&D). Registration required. Not recorded. |
Register Here |
TOOLS FOR OPEN ENROLLMENT
- Where to enroll-
- Go to PEBBEnroll.com to elect 2021 benefits online (open for re-enrollment October 1st through 31st)
- Go to your medical provider's website to complete the HEM (Health Engagement Model)
- Where to find information-
- Visit the PEBB website at PEBBinfo.com where you can find the 2021 plan year information
- Use alex, PEBB's digital benefit counselor who will explain and walk you through your plan options
- 2021 Enrollment Guide
- 2021 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
- Additional Resources-
- Sign up for text or email reminders from PEBB about Open Enrollment by visiting PEBBreminders.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 Medical History Statement by December 31, 2020 (Spouse/Domestic Partners must complete for their coverage)
RESOURCES FOR OPEN ENROLLMENT
SEE WHAT PLANS ARE AVAILABLE TO YOU
- PEBB Statewide member pays 5% of Core premiums
- Moda Synergy member pays 5% of Core premiums
- Providence Choice member pays 3% of Core premiums
MAKE SURE YOUR PROVIDERS ARE IN THE PLAN’S NETWORK
- Use the plan’s provider directory (navigate to your 2020 medical provider's website) to determine who is in-network;
- Then, call the provider you wish to be your primary and ask if they can accept you as a patient (online directories are not always up-to-date, a phone call is a good idea);
- If they accept you, log in to your medical providers' member portal (navigate to your 2020 medical provider's website), or call them, to notify your medical plan of who your primary care provider is.
FIND OUT HOW THE PLAN HANDLES REFERRALS TO SPECIALISTS - CALL THE PLAN AND ASK
- In Coordinated Care Model plans, or CCO's:
- Providence Choice - you typically pay less for specialty services when you see a specialist referred by your primary care provider/medical home.
- Moda Synergy - you will choose a “PCP 360” provider. This is a primary care provider who has agreed to be accountable for your health. Family members can pick the same PCP 360 or a different one.
- In Preferred Provider Plans, or PPO's:
- 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
POST OPEN ENROLLMENT
Flexible Spending Account (FSA) corretions for members who complete Open Enrollment are due by December 11, 2020 (FSA's to not carry forward and require re-enrollment). Members may submit the FSA Open Enrollment form to HR or PEBB, marking the corresponding correction at the top of the form.
All other corrections to member plans can be made until February 27, 2021, by submitting the Open Enrollment form to HR or 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 2020, members who are enrolled in the HEM will get the $17.50 incentive added to their check each month for the 2021 plan year. If this is not in your December check and you newly enrolled in the HEM in October during Open Enrollment, provide the proof of completion and PEBB will update their system. Details and step-by-step guides about the HEM can be found on the PEBB website.
