1. Public Employees' Benefit Board (PEBB)
2. Cost of CORE health insurance coverage (medical, vision, dental, employee basic life)
3. PEBB Health Improvement & Cost Containment Programs (HEM, Tobacco, Other Group Coverage)
4. Eligibility, Enrollment Options, and Timelines
5. How to enroll and/or Make Changes
6. When does coverage go into effect?
7. Medical plans (Core benefit)
8. Dental plans (Core benefit)
9. Vision plans (Core benefit)
10. Employee basic life insurance & Travel Assist (Core benefit)
11. Optional benefits (optional life, disability, long-term care, flexible spending accounts)
12. Health & Wellness Programs
13. Verify your benefit deductions on your earnings statement
14. Required notices
1. Public Employees’ Benefit Board (PEBB)
The Public Employees’ Benefit Board (PEBB) is a labor-management board that designs, contracts and administers benefits for Oregon state employees. These benefits meet IRS code requirements as a Cafeteria Plan, so they provide tax advantages.
2. Cost of CORE Health Insurance Coverage
Effective for 2017 Plan Year Coverage:
- OSU employer contribution is 95% of the premium cost for the plan and enrollment tier you select.
- Employee contribution is 5% of the premium cost for the plan and enrollment tier you select.
- If your base* monthly salary rate is less than or equal to $2,885 (effective 12/1/2016), OSU will pay an additional monthly premium subsidy of $40 toward your premium costs. The monthly subsidy will stop if your base salary later increases above $2,885 per month. *Base salary rate is determined by the Salary Schedule Salary Range/Step and is the full-time equivalent. Differentials, Overtime, etc. do not factor into the base.
Estimate your total Monthly premium costs:
- PEBB Payroll Deduction Estimator - select your plans and answer a couple of questions and the calculator will calculate your monthly premium cost for you.
- Faculty (Unclassified) Employee (.50-1.0FTE) - (select "University Employee" and "Full-time") Employer contribution is 95% (Estimator will show 3% or 5% as the premium share for least costly plan; an Unclassified employee's premium share is 5% for all plans.)
Tax Consequences when adding a Domestic Partner and/or a Domestic Partner's children:
3. PEBB Health Improvement & Cost Containment Programs:
If you enroll in a Medical plan, you must also select your participation status in PEBB’s Health Improvement & Cost Containment Programs. You may be assessed additional monthly surcharges based on your participation status.
Health Engagement Model (HEM) Program
- 2017 HEM program is available only to employees that had coverage effective on or before November 1, 2016.
- Employees hired on or after November 1, 2016 are not eligible to participate in the 2017 HEM program.
- You can participate in the HEM program for the 2018 plan year by electing to participate during Open Enrollment process in October 2017.
- Completed the online health assessment between September 1, 2017 and October 31, 2017.
- You will also complete two health actions before the next Open Enrollment period, October 2018. You will attest to completing these activities with a “Yes/No” question during Open Enrollment in 2018.
- If you elect to participate in the 2018 HEM and you complete the online health assessment by the deadline, you will receive a monthly taxable incentive each month beginning with your December paycheck ($17.50 for employee).
- If you elect not to participate in the 2018 HEM or you did not complete the online health assessment by the deadline, you will not receive the monthly taxable incentive and your medical plan’s deductible will be increased by $100 per person (family maximum of $300).
- For additional information on the 2017 HEM Program
You will be assessed a monthly surcharge based on your and/or your enrolled spouse/domestic partner’s tobacco use.
- If you or your spouse/domestic partner use tobacco, the surcharge is $25 per month.
- If both you and your spouse/domestic partner use tobacco, the surcharge is $50 per month.
- For additional information refer to the PEBB Newly Hired guide
Spouse/Domestic Partner Other Non-PEBB Employer Coverage:
If your enrolled spouse/domestic partner has other employer group coverage available and does NOT enroll in that coverage, you will be assessed $50 per month.
- If your spouse/domestic partner does not have access to employer coverage, there is no surcharge.
- If your spouse/domestic partner enrolls in their employer plan, there is no surcharge.
- If your spouse/domestic partner has access to other PEBB employer coverage and enrolls, opts out or declines, there is no surcharge.
- Other Employer Group Coverage does NOT include: Social Security, TRICARE, student insurance, individual coverage.
- For additional information on the PEBB Newly Hired guide
6. When does coverage go into effect
Generally, coverage goes into effect the first of the month following your online enrollment or receipt of enrollment forms by OSU. Exceptions are when a plan requires review of medical history before approving or denying coverage (Optional Life and Long-term Care insurance). Coverage in these plans goes into effect the first of the month after approval by the plan.