2012 annual benefits enrollment. web for employees available from 8:00am saturday, october 1, until...

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2012 Annual Benefits Enrollment

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2012 Annual Benefits Enrollment

Web for Employees http://webemp.okstate.edu/

Available from 8:00am Saturday, October 1, until 6:00pm Monday, October 31, 2011

Review your benefit enrollments for 2012 and make changes

2012 Annual Benefits Enrollment2012 Annual Benefits Enrollment

Review Your Benefit EnrollmentsReview Your Benefit Enrollments

•Health Care

•Dental

•Vision•Life

2012 Health Care Insurance Plans2012 Health Care Insurance Plans

BlueOptions

BlueChoice

2012 HealthCare Premium Chart2012 HealthCare Premium ChartEmployee Only Employee/

SpouseEmployee/Child(ren)

Family

OPSU Cost

Employee Cost

OPSU Cost Employee Cost

OPSU Cost Employee Cost

OPSU Cost Employee Cost

BlueChoice

$ 530.34 $ 0.00 $ 769.64 $ 558.36 $ 659.62 $ 301.66 $ 895.38 $ 851.76BlueOptions

$ 486.90 $ 0.00 $ 706.60 $ 512.64 $ 605.59 $ 276.95 $ 822.04 $ 782.00

Eligibility for BlueCross BlueShieldEligibility for BlueCross BlueShield• Employee Eligibility:

6-Month Regular Appointmentat least 75% FTE

• Health Benefits:Employee Only CoverageEmployee/Spouse CoverageEmployee/Child(ren) CoverageFamily Coverage

• Dependent Coverage:Coverage to age 26

Prevention and WellnessPrevention and Wellness

• Wellness Exams• Immunizations• Early Detection Exams & Testing

Bone Density, Colorectal, Gynecological, Mammograms, PSA

• Blue Access & Personal Health ManagerHealth Risk Assessment, 24/7 NurselineBluePoints, Health Tools & Management

BlueChoice PPOBlueChoice PPO• Preventive and Wellness at 100%• Prescription drug coverage is the same benefit

offered with BlueOptions, top 75 drug list• $25 office visit copay• $500 individual/$1500 family deductible• 80% paid by BlueCross after deductible• Out-of-pocket maximum

BlueOptionsBlueOptions• Preventive and Wellness at 100%• Same prescription coverage benefit offered as

BlueChoice, top 75 drug list• $30 primary care office visit copay, $50 specialist

office visit copay• $750 individual/$2250 family deductible• 80/20 co-insurance BluePreferred Network• 70/30 co-insurance BlueChoice Network• Out-of-pocket maximum

BlueOptions Deductible CreditBlueOptions Deductible Credit• Complete a Health Risk Assessment (HRA) on

BlueAccess for Members– Receive a deductible credit of $250– Reduce your calendar year deductible to $500

• Enroll in Special Beginnings– Receive a deductible credit of $250– Can be combined with the HRA deductible credit– First trimester enrollment is required

Condition Management ProgramsCondition Management Programs• BlueOptions Only• Diabetic Condition Management Program

– Receive a reduction in pharmacy cost• Generic and name brand copays reduced to $10.00 for one

month supply– Enrollment required to receive pharmacy benefit

• Congestive Heart Failure Condition Management Program– 50% reduction on generic and name brand drugs– Enrollment required to receive pharmacy benefit

Healthy InteractionsHealthy Interactions**NEW****NEW**

• Interactive sessions for OSU/A&M’s sponsored health and wellness programs

• Face to face small group sessions– Facilitated by trained, licensed professionals– Sessions in November

Prescription DrugsPrescription DrugsNegotiated Discounts

$4.00 Top 75 Generics $25.00 Other Generics$50.00 Preferred$100.00 Non Preferred$150.00 Triessant Specialty$200.00 Non Triessant Specialty

LESSER of 34-day supply or 200 units

Dental and Vision InsuranceDental and Vision Insurance

• 2012 OSEEGIB Employee Benefits Option Guide is available online at http://hr.okstate.edu

• Add dependent children until age 26• If you cover one dependent, you must cover all

dependents unless they have other group dental or vision coverage

• No changes to plans, minimal change in premiums• For provider listings, sib.ok.gov

ING Supplemental Life InsuranceING Supplemental Life Insurance• No increase in premium rates• No premium changes unless you go into the next 5-

year age-rated bracket• Add $5,000 if not at maximum• At 65, 70, & 75 coverage decreases• OPSU also provides 2 times annual earnings

($200,000 maximum) in life insurance• NEW! ING Travel Assistance Service

OCTOBEROCTOBER IS ANNUAL BENEFITS IS ANNUAL BENEFITS ENROLLMENT MONTHENROLLMENT MONTH

Web for Employeeshttp://webemp.okstate.edu