01. Who is eligible for benefits at OSU?
Classified and unclassified academic and professional employees working at least half-time on appointments of 90 days or longer (or per term for 9-month appointments) are eligible for benefits.
02. When do I enroll? How do I get started once I'm employed?
You must enroll within 60 days of your hire date. Your department will request a benefit packet for you. This will include information about your group orientation session where you may ask questions and get assistance. If you have questions, please contact Employee Benefits for assistance.
03. Do I need to actively enroll for benefits?
There is no automatic coverage. You must complete enrollment to participate in the Public Employee Benefits Board (PEBB) health coverage programs. Even if you choose to opt out of health coverage, you must complete the appropriate enrollment. If declining the benefits package, you will not be eligible for any cash back that may be associated with the benefits package.
04. What is my agency number?
The Agency Number is 58030.
05. I just completed my enrollment. When can I start using the coverage? What information do I need to provide to the doctor's/dentist's office?
You can use the coverage as soon as it is effective. However, it does take some time for the information to be processed through PEBB's system and that of the insurance company. Therefore, you should give the doctor's/dentist's office your group number and subscriber number (this is the YVP# for Regence BlueCross BlueShield and P# for all other carriers), and they can bill the insurance company directly. If you use the coverage right away, your claims may be denied initially. If so, ask the provider to resubmit the claim. In most cases, they will go through the second time. If you continue to have problems, contact Employee Benefits. If you need prescription drugs soon after enrolling, you may have to pay for the prescription; then submit receipts and documentation for reimbursement.
06. What are my group numbers for medical/dental insurance?
To find out what your group numbers are, please visit the Group Numbers page.
07. When will I receive my member cards and plan books?
Cards and books are sent to employees at their home addresses. It can take 6-8 weeks to receive that information. If you do not receive that information, please contact your insurance carrier directly.
08. How do I find out if my doctor is on a provider list?
You can access your insurance carrier's provider list by visiting the PEBB Provider website.
09. How do I change my Primary Care Physician?
Call the insurance carrier directly.
10. Who do I contact if I have specific questions regarding what my medical and dental insurance covers?
If you need specific information regarding what your plan will cover for certain medical and dental services, you will need to contact the carriers directly.
11. What is the phone number for my insurance carrier?
To find out the phone number for your insurance carrier, please visit the Group Numbers page.
12. How can I verify that my enrollments were received and are correct?
You can confirm your choices by checking your earnings statement. (Keep in mind that life insurance changes awaiting approval from Standard Insurance are not deducted until approvals are received by Employee Benefits.) If the plans listed are not correct, please send an email to Employee Benefits stating the problem, or send a copy of your Earnings Statement along with a note stating your area of concern to Employee Benefits. You may also confirm your benefit elections by going to pebb.benefits.
13. I just enrolled for benefits, and my first earnings statement shows double deduction on all my insurance plans. Why?
Insurance benefits are paid a month in advance. Therefore, if your coverage is effective January 1, and your earnings statement with benefits deductions is received January 31, you will see deductions for January and February coverage.
14. I am a 9-month employee. What happens to my benefits over the summer?
If you are designated as an academic-year employee, your benefits are "triple deducted" in May to pay for June, August, and September coverage (June pay covers July benefits). Your employer contribution will continue to be paid for you over the summer for XXX insurances. Your portion of premium payments will be triple deducted also with the exception of Short Term Disability, Long Term Disability and the Flexible Spending Accounts. If you receive cash back you will receive triple cash back. In order to qualify for summer coverage, you must be in an eligible position in the spring and expected to return to an eligible position in the fall.
15. When can I make changes in my benefits plans?
You can make changes in benefit plans during the open enrollment period. The open enrollment period is usually in the fall, with changes being effective January 1 of the next year (with the exception of life insurance increases, which are effective the first of the month following approval by Standard Insurance Company.)
You can also make changes if you experience a "Qualified Family Status Change." Those status changes include (but are not limited to): birth of a baby, adoption, marriage, divorce, death of a dependent, and/or spouse gaining or losing employment. Additional information is provided in your benefits packet. You may download the update forms through the following links: Medical and Dental Update Form, Life and Disability Update Form and FSA Update Form. In most cases, forms must be completed within 60 days of the status change if you wish to make changes. Keep in mind, however, that coverage will usually be effective the first of the month following the date of event and the date the forms are submitted to Employee Benefits, so you will want to consider the timining regarding when you want the coverage to go into effect.
Changes in Designation of Beneficiary can be made at any time.
17. Who do I contact to request forms, brochures and directories?
To request form, brochures or directories, please visit the PEBB web site.
18. How do I enroll a domestic partner in coverage, and how does that impact my benefit deductions?
You can request an Affidavit of Domestic Partnership form for domestic partner coverage by emailing Employee Benefits or downloading the Affidavit of Domestic Partnership form directly. A Domestic Partner (and family) can be listed when you enroll as a new hire, or if they recently became eligible (within 31 days), as long as they meet the criteria defined in the Affidavit. The rates for adding domestic partners are the same as noted for a spouse in the benefits information. Keep in mind, however, that there is an additional cost called the "imputed value" that will be reflected in your taxes. The imputed value is added to your earnings, taxed, and taken back out. The "value" of the benefit is considered taxable and may increase your taxes -- sometimes significantly. We cannot provide you with information regarding the effect on your taxable income; you will need to consult a tax advisor.
19. I am terminating employment/working reduced hours/going on leave without pay. When will my coverage end?
Classified employees must be paid for at least 80 hours per month to maintain benefits eligibility. Academic/professional employees must receive at least 50% of full-time pay in order to maintain benefits eligibility. For any month in which you fall below the eligibility requirements, coverage will end at the end of that month. If you meet the 80-hour/50% pay requirement in the month in which you terminate or go on leave, you will be covered through the end of the following month. It is always a good idea to notify Employee Benefits of any changes in your employment status that might affect your benefits. We receive notification from a variety of sources, but it sometimes arrives in our office after the benefits have already been taken. Overpayments can usually be avoided if we receive timely notification.
19. What happens to my benefits while I am on unpaid family and medical leave?
If you qualify for FMLA, the university's contribution for your medical and dental benefits continues during your leave even if you are on leave without pay. We will let you know in writing when your regular benefits end and when you become eligible for benefits under FMLA. When you are on unpaid leave, you will be required to pay the portion of the medical and dental premium that is normally deducted from your paycheck. You are also eligible to pay for any additional plans you wish to continue during your unpaid leave.
If you return during the 12 weeks allowed under family and medical leave, or the day immediately after the 12 weeks ends, your coverage will be reinstated effective the first of the next month. If you do not return immediately after the 12-week period ends, you must meet the 80 hour rule for classified employees, or the .50 FTE rule for unclassified employees before coverage becomes effective. This means you must work at least 80 hours or .50 FTE in the month you return to be eligible for coverage the following month.
20. How do I continue coverage if I lose benefit eligibility?
The insurance continuation process is handled by a company called BenefitHelp Solutions. When Employee Benefits is notified that an employee is losing benefits eligibility, we notify BenefitHelp Solutions. They then send information regarding the self-pay process and the rates to your home address. For questions regarding the COBRA continuation process, contact Employee Benefits.
21. If my dependents lose eligibility, can they continue coverage under the COBRA program?
A dependent losing eligibility does have the right to self-pay coverage under the COBRA program. Contact Employee Benefits to request a form to delete the dependent from active coverage. When the form is returned to our office, we will notify BenefitHelp Solutions of the status change, and they will provide self-pay information to the dependent losing eligibility.
22. Once I start employment, when will my PERS retirement benefits become activated?
Classified and unclassified employees expected to work 600 hours or more in a calendar year are eligible to participate in the Public Employees' Retirement System (PERS) after completing six consecutive months of service.
Unclassified employees are eligible to choose between PERS or the Optional Retirement Plan (ORP) and will receive information about their retirement options from Employee Benefits. Classified employees will be automatically enrolled in PERS when they are eligible.
23. How do I withdraw my retirement funds if I am terminating employment?
If you are a PERS member terminating employment, and you wish to withdraw your funds, you must request a form directly from PERS by calling them at 1-888-320-7377. The termination paperwork processed by your department will automatically generate the PERS Notice of Separation. Both pieces must be received by PERS before your refund can be processed.
24. Where can I find more information about the benefits plans offered by PEBB?
You can visit the Public Employees Benefit Board (PEBB) website.
25. Are there any counseling services available to employees and their families?
Yes; OSU recognizes that employees may face personal problems that are difficult to solve without outside help. To help employees and their families deal with difficult personal problems, OSU has established an EAP (Employee Assistance Program). The EAP is designed to provide short term effective professional help in solving problems or finding someone who can help.
The EAP is a free confidential service that is provided to OSU faculty and staff who work half-time or more. Dependents are also eligible for the service and are encouraged to use it. You may live anywhere in the State of Oregon and still be eligible.
Eligible employees and dependents may use the cost free referral/counseling services of the EAP for up to three visits per year per family.
More information is available from the EAP provider, Cascade Centers, Inc. at 1-800-433-2320 or at the Cascade Center website.
26. I don't understand my earnings statement and benefit deductions. Can this be explained.
Yes; please go to the Earning Statement Sample where the statement is explained in depth with information regarding the deductions.
Can I cancel coverage?
Employee dental and basic life are required as part of the benefits package. Employees with other medical coverage may opt out of health insurance. New employees may decline the entire benefits package, but by doing so, are also forfeiting the contribution and any cash back they may have received. Long Term Care (LTC) is one of the few deductions that can be cancelled at any time. Employees wanting to cancel the LTC plan must submit their request in writing to Employee Benefits. Requests should include: employee name, SSN, signature, date of signature, and plan to be cancelled. Cancellation is effective the first of the month following the date the form is submitted to Employee Benefits.
I had to miss my employee benefits orientation. Where do I go for assistance with benefit forms?
Please review the benefits overview website where you will find complete information about your benefit options and may sign up online.
If you need further assistance, you may contact the Employee Benefits office at any time (Phone: 737-3103; Campus Location: 204 Kerr Administration Bldg.) for one-on-one assistance with your benefit signup and forms. You will want to have your paperwork completed immediately after hire so that coverages can be activated in a timely manner.
Where can I view all the benefits available to me as an OSU employee?
Please visit the Employee Benefits website which includes most of the information you need regarding your employee benefits. The website includes contact information should you wish to ask further questions about the benefits featured.