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 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.

2019-20 Plan Designs
(effective Oct. 1, 2019)

Upcoming Year's Plan

Medical/Rx Plan Designs 2019-20
current revision = v3 5/20/2019
Document tracking revisions to Medical/Rx Plan Design document since original publication

Dental Plan Designs 2019-20

Vision Plan Designs 2019-20

Long Term Care Plan Designs 2019-20

EAP Services 2019-20

"Bronze Plan" (Limited Use - ACA Group only) Medical/Rx Plan Designs 2019-20

2019-20 Premium Rates
(effective Oct. 1, 2019)

Upcoming 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 2019-20

Life Insurance Rates 2019-20

AD&D - Accidental Death & Dismemberment Rates 2019-20

LTD - Long-Term Disability Rates 2019-20

STD - Short-Term Disability Rates 2019-20

Long-Term Care (Employee Paid) Rates 2019-20

Long-Term Care (Employer Paid) Rates 2019-20

EAP - Employee Assistance Program (Employer Paid) Rates 2019-20

"Bronze Plan" (Limited Use - ACA Group only) Medical/Rx Rates 2019-20

Imputed Tax Values for Domestic Partner Coverage

Imputed Value Medical/Rx, Dental and Vision Rates 2019-20

COBRA