Department of Human Resources

Open Enrollment

Employee open enrollment period will be: 10/11/2021 - 10/29/2021
Retiree open enrollment period will be: 10/15/2021 - 12/7/2021
Any changes made will be effective January 1, 2022

Active Employees: Please refer to your group specific open enrollment letter from Human Resources. They will be emailed on Monday, October 11, 2021.  

Click here to go to the Consumer Driven Health Plan webpage.

Retirees: Information will be mailed to your home. Pay special attention to mail sent to you that comes from Oberlin College, Medical Mutual, CVS Caremark, and/or SilverScripts. 

Oberlin College has a passive open enrollment period, meaning if no changes are made, the benefits you are enrolled in will roll over into the next calendar year.

Enrollment/Changes are available for Medical, Dental, Vision, Flexible Spending Account (FSA), Health Savings Account (HSA), Life Insurance, Accidental Death & Dismemberment (AD&D), and Charitable Deductions.

Active employees (only) have the option to complete your annual enrollment online in OberView. Our online open enrollment guide will help you navigate your way. Click, "Complete" for your changes to save. If you wish to make further changes, you will have the option to “Reopen Open Enrollment” by clicking on the applicable link. Remember to click, "Complete" for your changes to save. If you are unsure about your elections review  your January 1, 2022 Benefit Statement.

For Retiree's and active employees who need to complete a paper form, please send all forms with any other accommodating paperwork to Human Resources. Email or Fax is preferred; however, they may also be mailed or dropped off in Human Resources.

Original documents are not required if they are sent to Human Resources electronically.

Email: Human.Resources@oberlin.edu     Fax (440) 775-8630  

US MAIL: Human Resources 173 West Lorain Street, Suite 205 Oberlin, OH 44074

Campus Mail: Service Building 205

Office Hours: 8 am to 5 pm, Monday through Friday (after hours secure drop box available).

Important Reminders

  • Has your biographical or demographic information changed?
  • Do you cover your Spouse or Domestic Partner on your health plan?
  • Do you have a Dependent Flex Spending Account?
    • If so, you must re-enroll to continue this benefit option in 2022. 
  • Do you contribute to your Health Savings Account through payroll deduction?
    • If so, you must re-enroll to continue this option in 2022. 
  • Do you donate to Oberlin College or Charitable organization through payroll deduction?
    • If so, you must re-enroll to continue this option in 2022.

               

2021 Active Employee Letter's 

Faculty, A&PS, and Confidential Staff
OCOPE Administrative Union
UAW Service Union
OCSA Safety & Security Union

Click here to go to the Consumer Driven Health Plan webpage.

 

Retiree open enrollment period will be: 10/15/2021 - 12/7/2021

Any changes made will be effective January 1, 2022

Please refer to the information that will be mailed to your home - based upon eligibility and enrollment. Pay special attention to information you recieve from Oberlin College, Medical Mutual, CVS Caremark, and/or SilverScripts.

Retiree Open Enrollment Letters: 

Retiree Resources and Forms 

MedMutual Medicare Advantage Plan Participants (age 65 or older, and enrolled in Medicare Part A and Medicare Part B)

Group Medicare Advantage PPO Plan - Providers
  • In-network, full-benefit coverage for services incurred anywhere in the US or US territories.
  • Must use providers that accept Medicare.
  • No travel restrictions.
  • Providers that accept Medicare or MedMutual Advantage plans can be found using search tools.
  • https://www.medicare.gov/
  • https://providersearch.medmutual.com/

SilverScript - Medicare Prescription Drug Plan (PDP)

Retiree's who are enrolled in COMP (Medicare Supplement transition plan)

Retiree's who are enrolled in RAMP (less than age 65)  - 

Consumer Driven Health Plan (CDHP) with a Health Reimbursement Account (HRA)

CDHP Plan with a HRA Summary of Benefits and Coverage Summary Plan Description
  • Single
2022 SBC 2022 SPD
  • Employee + Spouse/DP 
  • Employee + Child
  • Employee + Children
2022 SBC 2022 SPD
  • Family
2022 SBC 2022 SPD

 

 

Medical Mutual

Medical Mutual of Ohio (MMO) will remain our health insurance carrier.

Click here to go to the Consumer Driven Health Plan webpage.

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. 

Visit My Health Plan to register for a secure member website. Find doctors in the network, estimate costs, check claims, receive your Explanation of Benefits (EOB), and more! 

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

Do you cover your Spouse or Domestic Partner on your health insurance policy?

If so, a Spousal Coordination of Benefits Form must be completed for 2022. A spouse/domestic partner of an Oberlin College employee is required to participate in his/her employer sponsored health care plan if: the spouse/domestic partner 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.

2022 Health and Prescription Coverage Plan 

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

CDHP with HSA Summary of Benefits and Coverage Summary Plan Description
  • Single
2022 SBC 2022 SPD
  • Employee + Spouse/DP 
  • Employee + Child
  • Employee + Children
2022 SBC 2022 SPD
  • Family
2022 SBC 2022 SPD

 

Consumer Driven Health Plan (CDHP) with a Health Reimbursement Account (HRA)

CDHP with a HRA Summary of Benefits and Coverage Summary Plan Description
  • Single
2022 SBC 2022 SPD
  • Employee + Spouse/DP 
  • Employee + Child
  • Employee + Children
2022 SBC 2022 SPD
  • Family
2022 SBC 2022 SPD

Traditional OBIR PPO Plan B

OCOPE ONLY Employee Group Summary of Benefits and Coverage Summary Plan Description
Oberlin College Office and Professional Employees (OCOPE)

2022 OBIR

 

2022 OBIR

 

Additional Information and Resources

CVS Caremark will continue to administer the college’s prescription drug benefits.

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

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

Do you want to see the cost of your prescription under the CDHP plan before you meet your deductible, and price lower cost options?

The Drug Price Comparison Tool links below are available. The default pharmacy will be CVS. There is an option for you to change the pharmacy. If the prescription is a maintenance medication, it will show the 90 day option. 

  • PRE - Deductible - To estimate the cost under the CDHP plan before you meet your deductible.
  • POST- Deductible - To estimate the cost under the CDHP plan before after you have met your deductible.

Beginning, January 1, 2022, members will no longer be able to fill a 90 day prescription at a Non CVS Pharmacy. You may enroll in convenient home delivery or fill your 90 prescription at a CVS Pharmacy.    

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

Additional Information 

 

 

Superior Dental Care (SDC) will continue to administer our dental insurance.

There are no changes to the plan options, or rates in 2022.

SDC’s network offers over half a million access points throughout the United States! Find a Participating Dentist

SDC provides you with the ability to securely access plan information, view claims, print ID cards, and more. Go online to Superior Direct Connect or download the mobile app, which is available through the Apple App Store or Google Play Store

Dental ID card:

  • If you enroll in a new dental option, you will receive new ID card by 1/1/2022.
  • If you change your option, you will receive new ID card by 1/1/2022.
  • If you are not making any changes, you will not receive a new ID card.

Additional Information and Forms

  1. Network Only plan

  2. Core plan

  3. Enhanced plan

Our Vision plan will continue to be administered by Medical Mutual using the EyeMed national vision care network.

There are no changes to the plan options or rates in 2022.

The provider network is called Access. Find a participating provider using the Eye Med Provider Locator.

ID cards will be mailed by Medical Mutual of Ohio (MMO) prior to January 1, 2022. If you enroll in our vision plan for 2022, you will receive an ID card from MMO. If you make no changes to your vision plan you will not be mailed a new vision ID Card.

Additional Information and Forms

Unum will continue to administer our Optional Life and Accidenatl Death & Dismember ment benefits. 

There are no changes to the plan options, or rates in 2022.

All benefit-eligible employees will have the opportunity to enroll in valuable coverage, with benefits beginning on January 1, 2022. Read more, by clicking here to see how this can help protect you, your family, and your finances. 

If you currently have coverage and would like to make changes - go to online open enrollment or complete the Optional Life/AD&D Enrollment Form.

If you elect or increase your amount over the guarantee issue amount, you will need to Sign in to complete your Statement of Health (Evidence of Insurability) online with Unum.

  • Access Code: SUHYWHB

Before you start, review the Statement of Health Checklist so you have necessary information to complete this process.

The effective date of coverage for all amounts over the guarantee issue amount is determined when you are approved. All amounts up to the guarantee issue about will begin January 1, 2022.

Have questions regarding your status of your pending application? Unum is here to help. Call: (800) 421-0344; hours are 8 a.m. to 8 p.m., Monday through Friday

Our Flexible Spending Account (FSA) will continue to be administered through WageWorks.

If you are enrolled in Healthcare and/or Dependent Care FSA in 2021, this benefit will terminate on December 31, 2021. 

NOTE: The 2022 Healthcare FSA is available onlt to members of OCOPE who are enrolled in the OBIR PPO Plan. To  re-enroll for calendar year 2022, enroll online in OberView or complete a 2022 FSA Enrollment form. If your WageWorks Visa card has not expired, you may continue to use your current WageWorks Visa card until it expires.

An FSA allows participants to make pre-tax contributions to pay for eligible expenses.

  • Medical FSA reimburses the participant for eligible medical, dental and vision out-of-pocket expenses such as copays and deductibles under a health insurance plan.
  • Dependent Care FSA (for children under the age of 13 or for elderly dependents who reside with you) reimburses the participant for eligible dependent care expenses such as day care, preschool, before/after school care programs, summer camps, and Nanny expenses attributed to dependent care.

 

                              

Eligible employees who elect the Consumer Driven Health Plan (CDHP) High Deductible PPO Plan with HSA have the option to fund your HSA account with pre-tax dollars through payroll deduction. 

Oberlin College will deposit a quarterly contribution amount into your HSA account even if you do not contribute your own dollars. You will not be required to complete any requirements for the College contribution amounts. 

These HSA dollars can be used to cover 100% of HSA-eligible expenses. If dollars remain at year-end, they roll over for you to use in the future. The HSA account is owned by you and is also portable; you take it with you if you leave the plan or the college.

Customer Service can support you regarding account balances, setup investment options, pay bills, transfer funds and navigation starting My Health Plan regarding the Medical Mutual HSA.

Customer Service: (800) 522-2037 or MySpendingAccounts@MedMutual.com

Forms

Additional Information

Maximize Your Impact by Making a Gift to Oberlin.

Oberlin College is committed to supporting and investing in the local community.

Employees have the option to donate through payroll deduction. If you are enrolled in this benefit - you must re-enroll - to continue your donation in 2022.

Enroll online in OberView or complete our Charitable Donation Form.

Our 2022 charities will be:

  • Diversity Center of NEO
  • Greater Cleveland Community Shares
  • Oberlin College Gift
  • Oberlin Community Services
  • Oberlin Early Childhood Center
  • Northern Ohio Youth Orchestra
  • Youth Opportunities Unlimited
  • United Way of Lorain County

All employees and retirees are responsible for notifying HR of any changes in personal status that change benefits enrollment or contact information on a timely basis.

Relevant changes in status include:

  • Name Change
  • Address and/or Phone Number
  • Change in Marital Status (history of dependents cannot be deleted)
  • Emergency Contact Information
  • Change in Life Insurance Beneficiary
  • Change in Dependents (history of dependents cannot be deleted)
  • Change in Tax Withholding

CIT rolled out new Banner functionality that allows you to update your biographical and demographic profile online. You will be limited to updating only specific information, including your preferred name, gender identity, personal pronouns, personal phone number(s), personal mailing address (es), and emergency contact(s). Other information, including legal name, will be displayed without update capability.

Online updates to your profile will reduce the need to fill out a form in person to change your address, telephone, emergency contact, or name information and will also allow for more consistent collection of cell phone numbers which may be used for health safety survey text messages. Please note, it is still your responsibility to submit a complete Ohio IT-4 form to HR when changing your address. This will ensure your school district tax is accurately updated.

To log in, launch the My Self Service Profile task in OberView and click the Start button in the upper right. We encourage you to log in to review your personal information and enter an up-to-date cell phone number. Entering a cell phone number does not automatically opt you in to receive text messages, but makes it possible for you to opt in for text message reminders when they become available and for the college to send you text messages if necessary.

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.

 

Mercy Allen Hospital in Oberlin has exclusively reserved appointment slots for our employees, spouses, and retirees to schedule a mammogram screening.  Mercy is committed to having a minimal wait time.  If you cannot attend one of these appointments, you may make your own appointment at a location and time convenient for you. An order from a physician must be obtained before a mammogram can be performed. 

The scheduled days are October 26, 27, and 28:

  • Appointments are available as follows: 
    • Morning: 8:30, 8:45, 9:00, 9:45, 10:00, 10:30
    • Afternoon: 1:00, 1:15, 1:30, 2:00, 2:15, 2:30, 3:00, 3:15 
  • Both 2D and 3D mammograms are available. Your Medical Mutual health insurance through Oberlin College will cover either option. 
    • If you do not have health insurance through the College, please check with your insurance provider to see which option they cover and if Mercy Hospital is in your network.
  • Please request an order from your physician so you will be well prepared in advance.
    • You cannot receive a mammogram without a physician's order. 
    • The order does not need to specify 2D or 3D.

To schedule an appointment, please send an email to human.resources@oberlin.edu or call 440-775-8430 with your preferred date and time. Once scheduled, you will receive additional information and instructions.  You will need:

  • A physician's order
  • A copy of your insurance card
  • Registration paperwork
  • An appointment