From oebbsuperinfo at listsmart.osl.state.or.us  Thu Jan  4 09:01:34 2018
From: oebbsuperinfo at listsmart.osl.state.or.us (OEBB - Superintendents)
Date: Thu, 4 Jan 2018 17:01:34 +0000
Subject: [OEBBSUPERINFO] SB1067 & how it affects OEBB
Message-ID: <mailman.7.1515085316.1609.oebbsuperinfo@listsmart.osl.state.or.us>

INFORMATION ONLY - NO ACTION REQUIRED


Dear Business Managers, Superintendents & Benefits Administrators:

This past August, just as OEBB was beginning our Open Enrollment period, Governor Kate Brown signed Senate Bill 1067A into law. This law won't take effect until October 2019, but we realize many collective bargaining agreements may also extend beyond this date. Therefore, it is important that OEBB-participating entities understand its impacts.

Upcoming legislative sessions could bring about more changes, and we will continue to keep you informed if/when additional changes occur. In the meantime, the bullet points below should help you understand the impacts of the law as it currently stands.


Here are the changes OEBB members can expect if the current law remains in place as written:

Plans offered by OEBB - October 2019


  *   Members enrolled in OEBB as a subscriber (the benefits-eligible individual whether an active employee, early retiree or COBRA participant), may not enroll as a dependent under another OEBB or Public Employees' Benefit Board (PEBB) plan. OEBB subscribers may enroll as a dependent in another employer plan that is not OEBB or PEBB.
  *   Children may be covered under only one state plan - either through OEBB or PEBB. They may not be covered as dependents under two plans, unless one plan is through another employer that is not OEBB or PEBB.
  *   An OEBB subscriber will no longer be eligible to receive "opt out" payments if the subscriber:
     *   "opts out" of OEBB coverage; and
     *   is enrolled as a dependent under another OEBB or PEBB plan.



  *   An OEBB subscriber will still be eligible to receive "opt out" payments if the subscriber:
     *   "opts out" of OEBB coverage; and
     *   is enrolled as a dependent under another employer plan that is not OEBB or PEBB.



  *   OEBB will perform an enrollment audit each year to be sure enrolled members are eligible.



  *   OEBB and PEBB are now legally required to keep annual premium increases from exceeding 3.4 percent





Hospital reimbursement cap beginning October 2019


  *   A carrier that contracts with OEBB for plans with inpatient and outpatient hospital services must limit hospital claim payments to:
     *   200 percent of Medicare for in-network hospitals; or
     *   185 percent of Medicare for out-of-network hospitals.
  *   Certain hospitals are excluded from the above requirement, including:
     *   A type A or B hospital as defined in ORS 442.470
     *   A rural critical access hospital as defined in ORS 315.613
     *   A hospital that:
        *   is in a county with a population under 70,000; and
        *   is a sole community hospital; and
        *   has Medicare payments composing at least 40 percent of the total annual patient revenue.


  *   A provider reimbursed under this cap may not bill or collect from the patient any balance above the cap.
If you have additional questions, please contact OEBB Member Services at 888-469-6322 or send an email to: oebb.benefits at state.or.us<mailto:oebb.benefits at state.or.us>.

Thank you,
[LindaSignature]
Linda Freeze
OEBB Benefits Manager
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From oebbsuperinfo at listsmart.osl.state.or.us  Fri Jan  5 10:05:21 2018
From: oebbsuperinfo at listsmart.osl.state.or.us (OEBB - Superintendents)
Date: Fri, 5 Jan 2018 18:05:21 +0000
Subject: [OEBBSUPERINFO] Clarification on double-coverage under SB1067
Message-ID: <mailman.15.1515175516.36638.oebbsuperinfo@listsmart.osl.state.or.us>

Dear Business Managers, Superintendents & Benefits Administrators:

We've received some requests for clarification regarding double-coverage under SB1067. The core concept is ... the new law will eliminate double-coverage (including opt-out funds in lieu of coverage) for spouses/partners who are both eligible for a PEBB or OEBB plan. If the spouse/partner's benefits are through another employer (not PEBB or OEBB), nothing changes.

To illustrate, let's look at some scenarios using a hypothetical family of two adults, Mary and John, and their child, Billy.


  1.  If Mary is eligible for OEBB benefits, and John works for some other employer that offers other benefits (not OEBB or PEBB) ... nothing changes for them. All three of them can be double-covered if they want. They could enroll in one plan and opt-out of the other if they wanted to, and receive a cash incentive for doing so. Life goes on as usual.


  1.  If Mary is eligible for OEBB benefits, and John is ALSO eligible for either OEBB or PEBB benefits, that's where the restrictions come in. Each family member can only be covered once, and no opt-out incentives would be allowed.

Option 1: All three enroll under Mary's plan and John waives coverage (no financial incentive).

Option 2: All three enroll under John's plan and Mary waives coverage (no financial incentive).

Option 3: Mary enrolls under her plan, John enrolls under his plan, and only one of them covers Billy. Billy cannot be enrolled in both.

The key to the language we published yesterday was the word "enrolled". Upon first reading, many people didn't lock into the idea that "enrolled" means actually taking the coverage ... it was commonly misinterpreted as being "eligible" for coverage regardless of whether the person actually took the coverage or not.


  *   Members enrolled in OEBB as a subscriber (the benefits-eligible individual whether an active employee, early retiree or COBRA participant), may not enroll as a dependent under another OEBB or Public Employees' Benefit Board (PEBB) plan. OEBB subscribers may enroll as a dependent in another employer plan that is not OEBB or PEBB.
I hope this helps clarify the impact on OEBB members who have a spouse/partner also eligible for OEBB or PEBB benefits.
If you have additional questions, please contact OEBB Member Services at 888-469-6322 or send an email to: oebb.benefits at state.or.us<mailto:oebb.benefits at state.or.us>.
Thank you,
[LindaSignature]
Linda Freeze
OEBB Benefits Manager

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From oebbsuperinfo at listsmart.osl.state.or.us  Mon Jan 29 08:08:13 2018
From: oebbsuperinfo at listsmart.osl.state.or.us (OEBB - Superintendents)
Date: Mon, 29 Jan 2018 16:08:13 +0000
Subject: [OEBBSUPERINFO] OEBB PUBLIC MEETING NOTICE FOR FEBRUARY, 2018
Message-ID: <mailman.149.1517328837.42163.oebbsuperinfo@listsmart.osl.state.or.us>

Message to Oregon Educators Benefit Board (OEBB) Interested Parties:

The Oregon Educators Benefit Board will hold the following public meeting(s) in FEBRUARY, 2018;

TUESDAY, FEBRUARY 6, 2018, 9:00 a.m. - 12:00 p.m.; The OEBB SEOW will meet in public session.

TUESDAY, FEBRUARY 6, 2018, 1:00 p.m. - 4:30 p.m.; The OEBB BOARD will meet in public session.

The agenda for these meetings will be posted on the OEBB Webpage - CLICK HERE FOR AGENDA<CLICK%20HERE%20FOR%20AGENDA> -  on or before Friday, February 2, 2018.  You may view the agenda and attachments, as well as watch the live stream of the meeting on February 6, 2018 - CLICK HERE for the agenda, attachments and to view the live stream<http://www.oregon.gov/oha/OEBB/Pages/OEBB-Board-Meetings.aspx>.

The meetings will be held at:

Health Licensing Office
Boardroom
1430 Tandem Ave. NE, Suite 180
Salem, OR 97301

(PLEASE NOTE THAT THE HEALTH LICENSING OFFICE IS NOT OPEN TO THE PUBLIC UNTIL 9:00 A.M.)

The meeting date, times, agenda items and locations are subject to change.

 ******************
Parking at the Health Licensing Office, 1430 Tandem Ave. NE, Suite 180, Salem, Oregon:
Parking is free of charge in the lot adjacent to the building.  Please DO NOT park in the lot closest to the building as these spaces are reserved for people doing business at the Health Licensing Office. Please park in the larger lot. NO PARKING is permitted on the street.

The meeting location is accessible to persons with disabilities. A request for an interpreter for the hearing impaired or for other accommodations for persons with disabilities should be made at least 48 hours before the meeting to Rose Mann at 503-378-4606.


Rose Mann
Executive Assistant
Oregon Educators Benefit Board
Health Policy and Analytics
rose.mann at state.or.us<mailto:rose.mann at dhsoha.state.or.us>
Desk: 503-378-4606
Cell: 971-240-0137

[OHA_Logo]

CONFIDENTIALITY NOTICE
This email may contain information that is privileged, confidential, or otherwise exempt from disclosure under applicable law. If you are not the addressee or it appears from the context or otherwise that you have received this email in error, please advise me immediately by reply email, keep the contents confidential, and immediately delete the message and any attachments from your system.

?"Hurt Not the Earth." Please consider the environment before printing this e-mail.



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From oebbsuperinfo at listsmart.osl.state.or.us  Mon Jan 29 10:47:56 2018
From: oebbsuperinfo at listsmart.osl.state.or.us (OEBB - Superintendents)
Date: Mon, 29 Jan 2018 18:47:56 +0000
Subject: [OEBBSUPERINFO] OEBB PUBLIC MEETING NOTICE FOR FEBRUARY,
 2018 - REVISED
Message-ID: <mailman.150.1517328837.42163.oebbsuperinfo@listsmart.osl.state.or.us>

Our apologies - the link sent earlier was not working.

Message to Oregon Educators Benefit Board (OEBB) Interested Parties:

The Oregon Educators Benefit Board will hold the following public meeting(s) in FEBRUARY, 2018;

TUESDAY, FEBRUARY 6, 2018, 9:00 a.m. - 12:00 p.m.; The OEBB SEOW will meet in public session.

TUESDAY, FEBRUARY 6, 2018, 1:00 p.m. - 4:30 p.m.; The OEBB BOARD will meet in public session.

The agenda for these meetings will be posted on the OEBB Webpage on or before Friday, February 2, 2018.  You may view the agenda and attachments, as well as watch the live stream of the meeting on February 6, 2018 by clicking on this link - http://www.oregon.gov/oha/OEBB/Pages/OEBB-Board-Meetings.aspx

The meetings will be held at:

Health Licensing Office
Boardroom
1430 Tandem Ave. NE, Suite 180
Salem, OR 97301

(PLEASE NOTE THAT THE HEALTH LICENSING OFFICE IS NOT OPEN TO THE PUBLIC UNTIL 9:00 A.M.)

The meeting date, times, agenda items and locations are subject to change.

 ******************
Parking at the Health Licensing Office, 1430 Tandem Ave. NE, Suite 180, Salem, Oregon:
Parking is free of charge in the lot adjacent to the building.  Please DO NOT park in the lot closest to the building as these spaces are reserved for people doing business at the Health Licensing Office. Please park in the larger lot. NO PARKING is permitted on the street.

The meeting location is accessible to persons with disabilities. A request for an interpreter for the hearing impaired or for other accommodations for persons with disabilities should be made at least 48 hours before the meeting to Rose Mann at 503-378-4606.


Rose Mann
Executive Assistant
Oregon Educators Benefit Board
Health Policy and Analytics
rose.mann at state.or.us<mailto:rose.mann at dhsoha.state.or.us>
Desk: 503-378-4606
Cell: 971-240-0137

[OHA_Logo]

CONFIDENTIALITY NOTICE
This email may contain information that is privileged, confidential, or otherwise exempt from disclosure under applicable law. If you are not the addressee or it appears from the context or otherwise that you have received this email in error, please advise me immediately by reply email, keep the contents confidential, and immediately delete the message and any attachments from your system.

?"Hurt Not the Earth." Please consider the environment before printing this e-mail.



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