Medical Mutual

Medical Mutual of Ohio (MMO) administers our medical plan.

CVS Caremark manages our prescription benefits.

 

To participate in a health plan, benefits-eligible employees may enroll within 31 days from date of hire, qualifying event, or during our annual Open Enrollment period held in October.

To change or cancel enrollment outside of our annual Open Enrollment period, a qualifying event, such as loss of coverage, marriage, birth/adoption, divorce, legal separation or annulment, or death must take place. Changes may be made within 31 days from the date of the qualifying event.

The Supreme Court made a ruling that employers and universities can deny contraceptive coverage to their employees and students based on religious objections. Oberlin is making no changes to the health plan coverage regarding reproductive health or rights.

2021 Health Plan Comparison Documents:

 

 

 

Our provider network is called SuperMed PPO.

For providers outside of Ohio, you will use the Aetna Open Choice PPO network. To search for a medical facility, physician or specialty physician, search the provider network. 

Dependent Coverage

A spouse or same gender domestic partner of an Oberlin College employee is required to participate in his/her employer sponsored health care plan if: he/she has access to continuous group health coverage through his/her employment, and the employer contributes at least 50 percent of the premium. If these conditions are met, the spouse/domestic partner must enroll in his/her employer’s health care plan.

If your spouse or same gender domestic partner is eligible to participate in our health plan and you cover him/her, a Spousal Coordination of Benefits form must be completed and updated annually during open enrollment.

If you enroll in a medical plan, your ID card from MMO will include pharmacy benefit information. 

Replacement ID cards may be ordered:

  1. By calling Customer Care at 
  2. Going online to My Health Plan
  3. Download the mobile app

Dependents age 18 and older, will be issued an ID card. 

Download the Mobile App for free from the Apple App Store or Google Play by searching for MedMutual.

Email: human.resources@oberlin.edu

Confidential Fax: (440) 775-8438

U.S. Mail: 173 W. Lorain St. Suite 205 Oberlin, OH 44074

 

Benefits Enrollment Form (active employee) 

Cancellation Form (active employee) 

Retiree Benefits Enrollment/Opt Out of Medical Plan Form 

Retiree Dental and Vision Cancellation Form

Faculty, A&PS, and Confidential employees have the option to enroll in a Consumer Driven Health Plan (CDHP) High Deductible PPO Plan with a Health Savings Account (HSA) or a Traditional PPO OAPA Plan A with Medical Mutual of Ohio (MMO).

Traditional PPO OAPA Plan A

Consumer Driven Health Plan (CDHP) High Deductible PPO Plan with a Health Savings Account (HSA)

 

  Summary of Benefits and Coverage  Summary Plan Description 
employee only  2021 SBC 2021 SPD
employee + spouse/domestic partner 2021 SBC 2021 SPD
employee + child(ren) 2021 SBC 2021 SPD
family (employee + spouse/domestic partner + child(ren)  2021 SBC 2021 SPD

 

 

OCOPE members have the option to enroll in a Consumer-Driven Health Plan (CDHP) with a Health Savings Account (HSA) or PPO OBIR medical plan.

2021 Summary Plan Description (SPD)

2021 Summary of Benefits and Coverage (SBC)

UAW members have the option to enroll in a Consumer-Driven Health Plan (CDHP) with a Health Savings Account (HSA) or PPO NBIR, (incentive) medical plan.

OCSA members have the option to enroll in a Consumer-Driven Health Plan (CDHP) with a Health Savings Account (HSA) or PPO SBIR pPlan B, medical plan.

  • 2021Summary of Benefits and Plan Coverage SBIR Plan B
  • 2021 Summary Plan Description - CDHP with HSA

Retirees enrolled on the Comp plan are not required to adhere to in and out of network requirements. If you are 65 or older and enrolled in Medicare part B, your medical coverage with Medicare will remain primary for medical claims and the Medical Mutual coverage will be secondary. This is referred to as a Coordination of Benefits (COB). You may receive a letter from Medical Mutual verifying your Medicare coverage. Please be certain to respond to the COB letter when you receive it in the mail. Your response will only take a few moments to complete.

Our prescription drug benefit is administered by CVS Caremark.

CVS Caremark’s national network includes more than 68,000 pharmacies including retail chains. Plan participants are not required to manage their prescription drug needs at a local CVS pharmacy. Find a network pharmacy.

To make accessing your prescription benefits easier and more convenient register your account at Caremark.com. Many tools and resources are available. Find more Caremark tools

CVS Caremark also offers a convenient home delivery and 90-day retail option for maintenance medication refills.   

If you enroll in a medical plan, your ID card from Medical Mutual (MMO) will include pharmacy benefits. 

Additional Information:

HIPAA Privacy Practices - This notice describes how medical information about you may be used and disclosed.

HIPAA Special Enrollment Rights - This notice provides information about your rights and protections as participants in group health plans.

Summary Annual Reports - This gives notice of the annual report summarizing each benefit plan subject to ERISA.

Women's Health and Cancer Rights Act - This notice describes your rights after a mastectomy.

Creditable Coverage Disclosure Notice - This notice is about your prescription drug coverage and Medicare.

USERRA - This notice describes your rights under The Uniformed Services Employment and Reemployment Rights Act.

Drug-Free Workplace Act - This notice informs you about the college policy to maintain a drug-free workplace.