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
As required by Family First Corona Response Act (FFCRA) the Plan will offer initial evaluations and testing for COVID-19 at no cost sharing to members through 1/20/2021.
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.
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 |
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Plan Document (Subscriber Booklet) |
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Summary Plan Description (SPD) |
2021 2021 Blank Sign-off 2020 |
Plan Administrators and Network Information |
Refer to the last page of the SPD |
Prescription Formulary Information |
RX EOB (provides formulary information)
Prescription Savings Program
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Marketplace Notice |
2021 2020 |
Summary of Benefits and Coverage |
2021 2020 |
Wellness Programs |
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General Documents
Health Benefits
Prescription Benefits
Dental Benefits
Life Benefits
Dependent Certification
Spousal Certification
Spousal Eligibility Exception Review (Policy)
Dental Claim Form
FrontPath Health
Coalition (Network)
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)