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Employee Health Benefits Plan

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 have been extended through March 31, 2021.  Any previously denied eligible claims can be resubmitted for processing. Similar to an in-person office visit, Telehealth/Virtual visits will experience all cost sharing features including: copayments, deductible and coinsurance.

Prescription refills may still be requested by your pharmacy to your physician.

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.

Annual Insurance Presentation for Plan Year 2021

 

Plan Document (Subscriber Booklet)  

 

Summary Plan Description (SPD)

2021    2021 Blank Sign-off                                                                

Plan Administrators and Network Information  

Refer to the last page of the SPD                           

Prescription Formulary Information  

RX EOB (provides formulary information)

Prescription Savings Program

Marketplace Notice  

2021                                                                                          

Summary of Benefits and Coverage  

2021                                                                  

Wellness Programs  

 

Miscellaneous Documents

Previous Presentations

Health Care Reform Presentations to the Employee Health Benefits Committee