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Plan Designs and Rates

Overview

The lists below contain premium rates and plan design documents (also known as "plan comparisons" or the "summary of benefits") for OEBB plan offerings for the current and upcoming plan years.

Plan Handbooks

For Plan Handbooks, Evidence of Coverage (EOC) or Benefit Summary documents, see the Plan Handbooks page.

2023-24 Plan Designs
(effective Oct. 1, 2023)

Upcoming Plan Year's Benefit Summaries

Medical/Rx, Dental and Vision Plan Designs 2023-24


Long Term Care Plan Designs 2023-24


EAP Services 2023-24

  • Revised May 22, 2023 to reflect last-minute benefit enhancement to eight visits


"Bronze Plan" (Limited Use - ACA Group only) Medical/Rx Plan Designs 2023-24

2023-24 Premium Rates
(effective Oct. 1, 2023)

Upcoming Plan Year's Rates

Note: These documents show the entire premium paid to OEBB. They do not factor in employer contributions and may not reflect the amount the member will pay for their benefits. Members should contact their employer for their specific out-of-pocket costs.

Medical/Rx, Dental and Vision Rates 2023-24

Life Insurance Rates 2023-24

AD&D - Accidental Death & Dismemberment Rates 2023-24

LTD - Long-Term Disability Rates 2023-24

STD - Short-Term Disability Rates 2023-24

Long-Term Care (Employee Paid) Rates 2023-24

Long-Term Care (Employer Paid) Rates 2023-24


EAP - Employee Assistance Program (Employer Paid) Rates 2023-24

  • Revised May 22, 2023 to reflect last-minute benefit enhancement to eight visits


"Bronze Plan" (Limited Use - ACA Group only) Medical/Rx Rates 2023-24

Imputed Tax Values for Domestic Partner Coverage

Imputed Value Medical/Rx, Dental and Vision Rates 2023-24

COBRA

COBRA Medical/Rx, Dental and Vision Rates 2023-24

COBRA Imputed Value Medical/Rx, Dental and Vision Rates 2023-24

"Category 2" Local Governments Only

Category 2 Special Medical/Rx, Dental and Vision Rates 2022-23

Category 2 Special Imputed Value Medical, Dental and Vision Rates 2023-24

Category 2 Special COBRA Medical/Rx, Dental and Vision Rates 2023-24

Category 2 Special COBRA Imputed Value Medical/Rx, Dental and Vision Rates 2023-24



2022-23 Plan Designs

Current Year's Plan Designs

Medical/Rx, Dental and Vision Plan Designs 2022-23

REVISIONS:

5/23/2022 - clean-up revisions (removing text lingering from last year, re-displaying Incentive Care Visit row accidentally hidden)

5/31/2022 - clean-up revisions (clarifying footnotes and Kaiser Permanente Dental Plan preventive services)

10/17/2022 - corrected Moda Medical Plan 1 Alternative Care and Chiropractic out-of-network benefit

1/13/2023 - new Member Services email address Page 8

Long Term Care Plan Designs 2022-23

EAP Services 2022-23

"Bronze Plan" (Limited Use - ACA Group only) Medical/Rx Plan Designs 2022-23

2022-23 Premium Rates

Current Year's Rates

Note: These documents show the entire premium paid to OEBB. They do not factor in employer contributions and may not reflect the amount the member will pay for their benefits. Members should contact their employer for their specific out-of-pocket costs.

Medical/Rx, Dental and Vision Rates 2022-23

Life Insurance Rates 2022-23

AD&D - Accidental Death & Dismemberment Rates 2022-23

LTD - Long-Term Disability Rates 2022-23

STD - Short-Term Disability Rates 2022-23

Long-Term Care (Employee Paid) Rates 2022-23

Long-Term Care (Employer Paid) Rates 2022-23

EAP - Employee Assistance Program (Employer Paid) Rates 2022-23

"Bronze Plan" (Limited Use - ACA Group only) Medical/Rx Rates 2022-23


Imputed Tax Values for Domestic Partner Coverage

Imputed Value Medical/Rx, Dental and Vision Rates 2022-23


COBRA

COBRA Medical/Rx, Dental and Vision Rates 2022-23

COBRA Imputed Value Medical/Rx, Dental and Vision Rates 2022-23


"Category 2" Local Governments Only

Category 2 Special Medical/Rx, Dental and Vision Rates 2022-23

Category 2 Special Imputed Value Medical, Dental and Vision Rates 2022-23

Category 2 Special COBRA Medical/Rx, Dental and Vision Rates 2022-23

Category 2 Special COBRA Imputed Value Medical/Rx, Dental and Vision Rates 2022-23

Records Request

You can request documents more than two years old by submitting a public records request to OHA. All policies, fees, forms, and instructions related to this process can be found on the Request Records page of the OHA website.