[et_pb_section fb_built=”1″ _builder_version=”4.27.0″ _module_preset=”default” custom_padding=”0px|||||” locked=”off” global_colors_info=”{}”][et_pb_row _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_heading title=”**This year\u2019s Open Enrollment is Required. It takes place October 1-31.” _builder_version=”4.27.4″ _module_preset=”default” title_level=”h2″ title_font=”|700|||||||” global_colors_info=”{}”][\/et_pb_heading][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”2_3,1_3″ _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”2_3″ _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.5″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n
Please note: Materials are added as they are made available.<\/strong><\/strong><\/p>\n [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.5″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n Open Enrollment is the one time each year you can make changes to your plans or dependents without a Qualified Status Change (QSC). Your benefit selections are effective January 1\u2013December 31 of the following year<\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.0″ _module_preset=”default” custom_padding=”0px|||||” locked=”off” global_colors_info=”{}”][et_pb_row _builder_version=”4.23.4″ _module_preset=”default” custom_padding=”||0px|||” locked=”off” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_heading title=”Enrolling” _builder_version=”4.27.4″ _module_preset=”default” title_level=”h2″ title_font=”Montserrat|700|||||||” title_text_align=”center” custom_margin=”||12px||false|false” global_colors_info=”{}”][\/et_pb_heading][et_pb_divider color=”#E02B20″ divider_weight=”8px” _builder_version=”4.23.4″ width=”90px” module_alignment=”center” custom_margin=”||||false|false” locked=”off” global_colors_info=”{}”][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”2″ make_equal=”on” _builder_version=”4.27.0″ custom_padding=”||0px|||” locked=”off” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.23.4″ custom_padding=”30px|25px|25px|25px|false|false” custom_padding_tablet=”|5%||5%|false|true” custom_padding_phone=”|5%||5%|false|true” custom_padding_last_edited=”on|tablet” custom_css_main_element=”display: flex;||flex-direction: column;” border_color_all=”#0C71C3″ border_width_top=”9px” border_color_top=”#e7e7e7″ border_width_right=”1px” border_color_right=”#e7e7e7″ border_width_bottom=”1px” border_color_bottom=”#e7e7e7″ border_width_left=”1px” border_color_left=”#e7e7e7″ global_colors_info=”{}”][et_pb_blurb title=”How do you complete open enrollment?” content_max_width=”100%” _builder_version=”4.27.5″ _module_preset=”default” header_level=”h3″ header_font=”Montserrat|700|||||||” locked=”off” global_colors_info=”{}”]<\/p>\n Employees can enroll online or use paper forms.<\/p>\n Please return the forms to Human Resources by October 31, 2023.<\/p>\n [\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.23.4″ custom_padding=”30px|25px|25px|25px|false|false” custom_padding_tablet=”|5%||5%|false|true” custom_padding_phone=”|5%||5%|false|true” custom_padding_last_edited=”on|tablet” custom_css_main_element=”display: flex;||flex-direction: column;” border_color_all=”#0C71C3″ border_width_top=”9px” border_color_top=”#e7e7e7″ border_width_right=”1px” border_color_right=”#e7e7e7″ border_width_bottom=”1px” border_color_bottom=”#e7e7e7″ border_width_left=”1px” border_color_left=”#e7e7e7″ global_colors_info=”{}”][et_pb_blurb title=”Surcharges” content_max_width=”100%” _builder_version=”4.27.4″ _module_preset=”default” header_level=”h3″ header_font=”Montserrat|700|||||||” hover_enabled=”0″ locked=”off” global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n Tobacco usage surcharge<\/strong><\/p>\n If you and\/or you spouse\/domestic partner are enrolled in a PEBB medical If you and your spouse\/domestic partner opt out of PEBB medical coverage, Double coverage surcharge<\/strong> Spouse\/domestic partner waives other employer group coverage<\/strong> Midyear Change form if your spouse\u2019s\/domestic partner\u2019s [\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.0″ _module_preset=”default” custom_padding=”0px|||1px||” locked=”off” global_colors_info=”{}”][et_pb_row _builder_version=”4.23.4″ _module_preset=”default” custom_padding=”||0px|||” locked=”off” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_heading title=”2026 Medical Plan Changes” _builder_version=”4.27.4″ _module_preset=”default” title_level=”h2″ title_font=”Montserrat|700|||||||” title_text_align=”center” custom_margin=”||12px||false|false” global_colors_info=”{}”][\/et_pb_heading][et_pb_divider color=”#E02B20″ divider_weight=”8px” _builder_version=”4.23.4″ width=”90px” module_alignment=”center” custom_margin=”||||false|false” locked=”off” global_colors_info=”{}”][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n Doula services<\/strong>: Doula services will now be available. Services include eight pre- and post-natal care visits, plus delivery.<\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”2″ make_equal=”on” _builder_version=”4.27.0″ custom_padding=”||0px|||” locked=”off” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.23.4″ custom_padding=”30px|25px|25px|25px|false|false” custom_padding_tablet=”|5%||5%|false|true” custom_padding_phone=”|5%||5%|false|true” custom_padding_last_edited=”on|tablet” custom_css_main_element=”display: flex;||flex-direction: column;” border_color_all=”#0C71C3″ border_width_top=”9px” border_color_top=”#e7e7e7″ border_width_right=”1px” border_color_right=”#e7e7e7″ border_width_bottom=”1px” border_color_bottom=”#e7e7e7″ border_width_left=”1px” border_color_left=”#e7e7e7″ global_colors_info=”{}”][et_pb_blurb title=”Providence Health Plan and Moda Health” content_max_width=”100%” _builder_version=”4.27.4″ _module_preset=”default” header_level=”h3″ header_font=”Montserrat|700|||||||” hover_enabled=”0″ locked=”off” global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n There is a mandatory pharmacy program now required for certain regular medications. If you take certain regular medications, you will have two options to fill these prescriptions. Examples of regular medications are those for high blood pressure or high cholesterol that are filled monthly. The options are:<\/p>\n \u00bb Use the mail-order program. No matter which option you pick, you will get a 90-day supply of your medicine. Your copay (the amount you pay) will be the same as if you paid for two and a half 30-day supplies of medication. If you decide not to use these options, you may pay the full price for your medicine. Also, the money you pay won\u2019t count toward your plan\u2019s deductible or the plan\u2019s out-of-pocket maximum.<\/p>\n Providence Health and Moda Health are partnering with Garner.<\/strong><\/p>\n Garner helps connect Providence Health and Moda Health medical plan members with high-quality care. The providers listed in the directory are called \u201cTop Providers.\u201d Garner is especially useful when looking for specialists or a new provider.<\/p>\n When you choose to visit a Garner-approved provider, you can be repaid for the costs for your visit. This includes your deductible, copay, or coinsurance. It also includes other services like labs, prescriptions, and X-rays when they\u2019re ordered by your Garnerapproved provider. You may be repaid up to: Note: You\u2019re not required to use Garner. Your Providence Health or Moda Health medical plan network will remain the same even if you don\u2019t use Garner.<\/p>\n You can set up a Garner account starting Oct. 1 to search for Garner providers. You won\u2019t get repaid for any care from a Garner-approved provider before Jan. 1, 2026<\/p>\n Providence Health medical plans<\/strong> You will also receive new ID cards with a new member ID number. Besure to share your new ID card with your providers.<\/p>\n [\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.23.4″ custom_padding=”30px|25px|25px|25px|false|false” custom_padding_tablet=”|5%||5%|false|true” custom_padding_phone=”|5%||5%|false|true” custom_padding_last_edited=”on|tablet” custom_css_main_element=”display: flex;||flex-direction: column;” border_color_all=”#0C71C3″ border_width_top=”9px” border_color_top=”#e7e7e7″ border_width_right=”1px” border_color_right=”#e7e7e7″ border_width_bottom=”1px” border_color_bottom=”#e7e7e7″ border_width_left=”1px” border_color_left=”#e7e7e7″ global_colors_info=”{}”][et_pb_blurb title=”Moda Health medical plans” content_max_width=”100%” _builder_version=”4.27.4″ _module_preset=”default” header_level=”h3″ header_font=”Montserrat|700|||||||” hover_enabled=”0″ locked=”off” global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n [\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”2″ make_equal=”on” _builder_version=”4.27.0″ custom_padding=”||0px|||” locked=”off” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.23.4″ custom_padding=”30px|25px|25px|25px|false|false” custom_padding_tablet=”|5%||5%|false|true” custom_padding_phone=”|5%||5%|false|true” custom_padding_last_edited=”on|tablet” custom_css_main_element=”display: flex;||flex-direction: column;” border_color_all=”#0C71C3″ border_width_top=”9px” border_color_top=”#e7e7e7″ border_width_right=”1px” border_color_right=”#e7e7e7″ border_width_bottom=”1px” border_color_bottom=”#e7e7e7″ border_width_left=”1px” border_color_left=”#e7e7e7″ global_colors_info=”{}”][et_pb_blurb title=”Kaiser Permanente medical plans” content_max_width=”100%” _builder_version=”4.27.4″ _module_preset=”default” header_level=”h3″ header_font=”Montserrat|700|||||||” hover_enabled=”0″ locked=”off” global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n New doula network<\/strong> Wellness coaching<\/strong>: access free wellness coaching over the phone. Wellness tools<\/strong> through Calm and Headspac<\/p>\n Kaiser Permanente Dental Plan<\/strong><\/p>\n [\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.23.4″ custom_padding=”30px|25px|25px|25px|false|false” custom_padding_tablet=”|5%||5%|false|true” custom_padding_phone=”|5%||5%|false|true” custom_padding_last_edited=”on|tablet” custom_css_main_element=”display: flex;||flex-direction: column;” border_color_all=”#0C71C3″ border_width_top=”9px” border_color_top=”#e7e7e7″ border_width_right=”1px” border_color_right=”#e7e7e7″ border_width_bottom=”1px” border_color_bottom=”#e7e7e7″ border_width_left=”1px” border_color_left=”#e7e7e7″ global_colors_info=”{}”][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.0″ _module_preset=”default” locked=”off” global_colors_info=”{}”][et_pb_row _builder_version=”4.23.4″ _module_preset=”default” custom_padding=”||0px|||” locked=”off” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_heading title=”Dental & Vision Plan Changes” _builder_version=”4.27.0″ _module_preset=”default” title_level=”h2″ title_font=”Montserrat|700|||||||” title_text_align=”center” custom_margin=”||12px||false|false” global_colors_info=”{}”][\/et_pb_heading][et_pb_divider color=”#E02B20″ divider_weight=”8px” _builder_version=”4.23.4″ width=”90px” module_alignment=”center” custom_margin=”||||false|false” locked=”off” global_colors_info=”{}”][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”2″ make_equal=”on” _builder_version=”4.27.0″ custom_padding=”||0px|||” locked=”off” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.23.4″ custom_padding=”30px|25px|25px|25px|false|false” custom_padding_tablet=”|5%||5%|false|true” custom_padding_phone=”|5%||5%|false|true” custom_padding_last_edited=”on|tablet” custom_css_main_element=”display: flex;||flex-direction: column;” border_color_all=”#0C71C3″ border_width_top=”9px” border_color_top=”#e7e7e7″ border_width_right=”1px” border_color_right=”#e7e7e7″ border_width_bottom=”1px” border_color_bottom=”#e7e7e7″ border_width_left=”1px” border_color_left=”#e7e7e7″ global_colors_info=”{}”][et_pb_blurb title=”Delta Dental (Moda Health) Dental Plan” content_max_width=”100%” _builder_version=”4.27.4″ _module_preset=”default” header_level=”h3″ header_font=”Montserrat|700|||||||” hover_enabled=”0″ locked=”off” global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n New dental services will be covered.<\/strong> [\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.23.4″ custom_padding=”30px|25px|25px|25px|false|false” custom_padding_tablet=”|5%||5%|false|true” custom_padding_phone=”|5%||5%|false|true” custom_padding_last_edited=”on|tablet” custom_css_main_element=”display: flex;||flex-direction: column;” border_color_all=”#0C71C3″ border_width_top=”9px” border_color_top=”#e7e7e7″ border_width_right=”1px” border_color_right=”#e7e7e7″ border_width_bottom=”1px” border_color_bottom=”#e7e7e7″ border_width_left=”1px” border_color_left=”#e7e7e7″ global_colors_info=”{}”][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.0″ _module_preset=”default” locked=”off” global_colors_info=”{}”][et_pb_row _builder_version=”4.23.4″ _module_preset=”default” custom_padding=”||0px|||” locked=”off” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.23.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_heading title=”Opt-Out or Decline?” _builder_version=”4.27.0″ _module_preset=”default” title_level=”h2″ title_font=”Montserrat|700|||||||” title_text_align=”center” custom_margin=”||12px||false|false” global_colors_info=”{}”][\/et_pb_heading][et_pb_divider color=”#E02B20″ divider_weight=”8px” _builder_version=”4.23.4″ width=”90px” module_alignment=”center” custom_margin=”||||false|false” locked=”off” global_colors_info=”{}”][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row use_custom_gutter=”on” gutter_width=”2″ make_equal=”on” _builder_version=”4.27.0″ custom_padding=”||0px|||” locked=”off” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.23.4″ global_colors_info=”{}”][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” locked=”off” global_colors_info=”{}”]<\/p>\n Opt-out is a choice that results in PEBB membership. Employees that have other qualifying medical coverage can elect to opt-out of the PEBB medical enrollment and receive a cash payment in their monthly payroll checks. Employee\u2019s MUST attest that all tax dependents have minimal essential health insurance coverage in order to qualify. To continue to opt out of medical benefits in 2026 you must:<\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" **This year\u2019s Open Enrollment is Required. It takes…<\/p>\n","protected":false},"author":417,"featured_media":0,"parent":837,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_lmt_disableupdate":"no","_lmt_disable":"","_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-23529","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/wou.edu\/hr\/wp-json\/wp\/v2\/pages\/23529","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wou.edu\/hr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wou.edu\/hr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wou.edu\/hr\/wp-json\/wp\/v2\/users\/417"}],"replies":[{"embeddable":true,"href":"https:\/\/wou.edu\/hr\/wp-json\/wp\/v2\/comments?post=23529"}],"version-history":[{"count":6,"href":"https:\/\/wou.edu\/hr\/wp-json\/wp\/v2\/pages\/23529\/revisions"}],"predecessor-version":[{"id":32869,"href":"https:\/\/wou.edu\/hr\/wp-json\/wp\/v2\/pages\/23529\/revisions\/32869"}],"up":[{"embeddable":true,"href":"https:\/\/wou.edu\/hr\/wp-json\/wp\/v2\/pages\/837"}],"wp:attachment":[{"href":"https:\/\/wou.edu\/hr\/wp-json\/wp\/v2\/media?parent=23529"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}All PEBB members must complete Open Enrollment, even if you <\/strong>decline or opt out of coverage.<\/strong>
<\/span><\/h3>\n\n
during Open Enrollment. This includes:<\/span><\/li>\n
Flexible Spending Account (FSA).<\/span><\/li>\n
beneficiaries.<\/span><\/li>\n<\/ul>\nIf you don\u2019t complete Open Enrollment by Oct. 31, 2025:<\/strong><\/h3>\n
\n
same. You won\u2019t have an option to change them later.<\/li>\n
paycheck throughout 2026. See Additional Member Costs and
Incentives for more information.<\/li>\n
(FSA). You must enroll or re-enroll each year to participate in an
FSA. You must enroll or re-enroll during Open Enrollment to have a
Flexible Savings Account (FSA) in 2026. FSA enrollments do not roll
over to the next plan year.<\/li>\n<\/ul>\n\n
\nPEBB\u2019s wellness program, the Health Engagement Model or HEM, will no
\nlonger be offered after Dec. 31, 2025 Page 9 of Guide (PDF)<\/a><\/li>\n<\/ul>\n\n
plan and use tobacco products, you\u2019ll pay a monthly surcharge. The fee is
deducted from your pay:<\/p>\n\n
you are not subject to the tobacco usage surcharge.
PEBB offers tobacco cessation programs to help you quit using tobacco and
avoid the surcharge.<\/p>\n
The Oregon state legislature requires a surcharge for those who have
double medical coverage through PEBB and OEBB. This means you\u2019ll pay a
monthly $5 surcharge if you\u2019re an active full-time employee and:<\/p>\n\n
PEBB or Oregon Educators Benefit Board (OEBB) medical plan, and<\/li>\n
your PEBB medical plan.<\/li>\n<\/ul>\n
You\u2019ll pay a $50 monthly fee if your spouse\/domestic partner chooses to
waive their own employer\u2019s (not PEBB) group coverage.You can submit a<\/p>\n
coverage status changes during the plan year. You must send in the change
request within 30 days of status change to your payroll or university
benefits office<\/p>\nGeneral\/All Medical Carriers<\/strong>
<\/strong><\/h3>\n
\u00bb Fill prescriptions at specific, preferred pharmacies. Preferred pharmacies include many chain and independent pharmacies.You can visit your medical plan\u2019s website to find pharmacies that are convenient for you.<\/p>\n
\u00bb $1,000 per year if you have individual coverage.
\u00bb $2,000 per year if you cover yourself and family members.<\/p>\n
Partnership with Collective Health. Providence Health is now partnering with Collective Health. Together, their name will be Providence Health Powered by Collective Health\u00ae. Collective Health will help manage health insurance and medical care. There are no changes to your medical plan coverage or Providence Health\u2019s provider network. However, you will:
\u00bb Use a new, dedicated member services phone number.
\u00bb Use an upgraded website and app.
\u00bb Have new virtual care options for primary care, urgent care, and behavioral health through Galileo.<\/p>\n\n
of Moda Health\u2019s service area, you will have access to an Aetna PPO
network. This network is called the Aetna\u00ae PPO Network through
Aetna Signature Administrators\u00ae. You can visit these Aetna PPO
providers where Moda Health providers aren\u2019t available. This includes
care that\u2019s not urgent or an emergency.<\/li>\n
health support and services through the Behavioral Health 360
program. You can find mental health care with personal support and
a screening tool.<\/li>\n
to offer this type of care. Your PCP may also offer something
comparable.<\/li>\n
2026. Be sure to share your new ID card with your providers<\/li>\n<\/ul>\n
\u00bb Doula Love: www.portlanddoulalove.com<\/a>
\u00bb Community Doula Alliance: www.communitydoulaalliance.com<\/a>
<\/strong><\/p>\n
<\/strong><\/p>\n\n
plan will cover will go up from $1,500 to $2,500.<\/li>\n
age 12 is increasing from $0 to $25.<\/li>\n
dental services will change to also include usual and customary
charges.<\/li>\n
the smile line<\/li>\n<\/ul>\n
\u00bb Sinus lifts and dental implant bone grafting will be covered.
\u00bb Non-IV conscious sedation will be available if you have intellectual or developmental disabilities<\/p>\n\n