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Plan Designs and Rates


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 most recent two plan years.

Records Request

Documents more than two years old may be obtained 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.

Plan Handbooks

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

2021-22 Plan Designs
(effective Oct. 1, 2021)

 Upcoming Year's Plan

Medical/Rx, Dental and Vision Plan Designs 2021-22
Revision History:

5/18/2021 - corrected Moda Med Plan 6 Rx benefit, and updated improved benefits on VSP vision plans. 

5/21/2021 - corrected Moda Med Plan 4 Incentive Office Visit benefit.

Look for revision date (05/21/2021) in the lower right corner of Page 8, BenSumRevDate.png

and refresh your browser if needed. 

Long Term Care Plan Designs 2021-22

EAP Services 2021-22

"Bronze Plan" (Limited Use - ACA Group only) Medical/Rx Plan Designs 2021-22

2020-21 Plan Designs

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