Wood County is committed to maintaining a quality, affordable health care plan for its employees, although it is not a statutorily-mandated benefit.
The Commissioners are the trustees of the Health Benefits Plan. They believe this governmental, self-insured, non-ERISA Plan is a "grandfathered health plan" under the Federal Health Care Reform: Patient Protection and Affordable Health Care Act. As permitted by this Act, a grandfathered health plan can preserve basic health coverage that was already in effect when the law was enacted. Questions regarding which protections apply and which protections do not apply to a grandfathered health plan and what might cause a plan to change from grandfathered status can be directed to the Commissioners' Office at 419.354.9100. You may also contact the U.S. Department of Health and Human Services at www.hhs.gov.
Members of the Employees Health Benefits Committee take their role of preserving the long-term viability of employee benefits very seriously. Their task is difficult when weighing employee satisfaction and preservation of benefits.
COVID-19 UPDATE
Coverage for COVID-19 testing is hereby extended with no cost sharing features, i.e., co-payments, deductibles, co-insurance, etc., from January 21, 2021, through April 20, 2021 or until the U.S. Department of Health & Human Services Coronavirus Disease 2019 (COVID-19) pandemic public emergency declaration under Section 319 of the Public Health Services Act expires, whichever if later.
Coverage for COVID-19
vaccines at no cost sharing to members is available through the
medical or prescription drug benefit through June 30, 2021.
After this date, copayments, deductibles, co-insurance, etc. will
apply.
Coverage for non-COVID related
Telehealth/Virtual visits ended on June 30, 2021. Any previously denied eligible claims can be
resubmitted for processing.
Don’t forget that the Plan offers free EAP services through KEPRO.
Up to five FREE confidential visits are available by calling
1-800-607-1522.
Plan Document (Subscriber Booklet) |
|
Your Guide to the Wood County Health Benefits Plan (Summary Plan Description) |
2022
2022 Blank Sign-off
|
Plan Administrators and Network Information |
Refer to the last page of the
2022 SPD
|
Prescription Formulary Information |
MyDrugBenefit (formerly RxEOB -- provides formulary information) Log-In Instructions
Prescription Savings Program
|
Marketplace Notice |
2022 |
Summary of Benefits and Coverage |
2022 |
Wellness Programs |
|
Insurance Meeting Presentation for 2022 Plan Year |
General Documents
Health Benefits
Welcome to Trustmark Health Benefits - Getting the Most out of Your Benefits
Trustmark Appointment of Personal Representative (HIPPA) for claims after 1/1/22
Meritain Authorization for Release of PHI for claims prior to 1/1/22
How to Read Your Meritain Statement for claims prior to 1/1/22
Prescription Benefits
Dental Benefits
Life Benefits
Dependent Certification
Spousal Certification
Spousal Eligibility Exception Review (Policy)
Prescription:
Request
for Medical Necessity Review
Vision
Claim Form
Dental Claim Form
FrontPath Health Coalition (Network)
Meritain Health for services prior to 1/1/22
Database of Low Cost or Free Medications Available at Pharmacies
Monthly Insurance Report (2 page excel file)
Monthly Vision Report (excel file)
See the Health Care Reform Presentation from November 2014
HIPPA Training Presentation (2013)