Benefits

2014 OGB Plan Amendments

PPO | HMO | CDHP


Summary of Benefits and Coverage

View the Summary of Benefits and Coverage (SBC) below:

Pelican HRA 1000

3/1/2015-12/31/2015: Active Employees

3/1/2015-12/31/2015: Medicare Retirees

3/1/2015-12/31/2015: Non-Medicare Retirees

Pelican HSA 775 

3/1/2015-12/31/2015: Active Employees

Magnolia Local

3/1/2015-12/31/2015: Medicare Retirees Prior to 3/1/2015

3/1/2015-12/31/2015: Non-Medicare Retirees Prior to 3/1/2015

3/1/2015-12/31/2015: Active Employees & Non-Medicare Retirees on or after 3/1/2015

3/1/2015-12/31/2015: Medicare Retirees on or after 3/1/2015

Magnolia Local Plus

3/1/2015-12/31/2015: Medicare Retirees Prior to 3/1/2015

3/1/2015-12/31/2015: Non-Medicare Retirees Prior to 3/1/2015

3/1/2015-12/31/2015: Active Employees & Non-Medicare Retirees on or after 3/1/2015

3/1/2015-12/31/2015: Medicare Retirees on or after 3/1/2015

Magnolia Open Access

3/1/2015-12/31/2015: Medicare Retirees Prior to 3/1/2015

3/1/2015-12/31/2015: Non-Medicare Retirees Prior to 3/1/2015

3/1/2015-12/31/2015: Active Employees & Non-Medicare Retirees on or after 3/1/2015

3/1/2015-12/31/2015: Medicare Retirees on or after 3/1/2015

PPO

9/30/2014-2/28/2015: Active Employees

9/30/2014-2/28/2015: Medicare Retirees

9/30/2014-2/28/2015: Non-Medicare Retirees

1/1/2014-9/29/2014: Active Employees

1/1/2014-9/29/2014: Medicare Retirees

1/1/2014-9/29/2014: Non-Medicare Retirees

HMO

9/30/2014-2/28/2015: Active Employees

9/30/2014-2/28/2015: Medicare Retirees

9/30/2014-2/28/2015: Non-Medicare Retirees

1/1/2014-9/29/2014: Active Employees

1/1/2014-9/29/2014: Medicare Retirees

1/1/2014-9/29/2014: Non-Medicare Retirees

CDHP

9/30/2014-2/28/2015: Consumer-driven Health Plan

1/1/2014-9/29/2014: Consumer-driven Health Plan


Pelican HRA 1000 Schedule of Benefits
This summary of your benefit plan includes coverage information and your deductible, copayment and coinsurance amounts.
March 1, 2015


Pelican HSA 775 Schedule of Benefits
This summary of your benefit plan includes coverage information and your deductible, copayment and coinsurance amounts.
March 1, 2015


Magnolia Local Schedule of Benefits
This summary of your benefit plan includes coverage information and your deductible, copayment and coinsurance amounts.
March 1, 2015


Magnolia Local Plus Schedule of Benefits
This summary of your benefit plan includes coverage information and your deductible, copayment and coinsurance amounts.
March 1, 2015


Magnolia Open Access Schedule of Benefits
This summary of your benefit plan includes coverage information and your deductible, copayment and coinsurance amounts.
March 1, 2015


PPO Schedule of Benefits

This summary of your benefit plan includes coverage information and your deductible, copayment and coinsurance amounts.

2014 | 2013


PPO Benefit Plan

This comprehensive document goes into the details of your coverage.

2014 | 2013


HMO Schedule of Benefits

This summary of your benefit plan includes coverage information and your deductible, copayment and coinsurance amounts.

2014 | 2013 | 2012 | 2011 | 2010


HMO Benefit Plan

This comprehensive document goes into the details of your coverage.

2014 | 2013 | 2012 | 2011 | 2010


CDHP Schedule of Benefits

This summary of your benefit plan includes coverage information and your deductible, copayment and coinsurance amounts.

2014 | 2013


CDHP Benefit Plan

This comprehensive document goes into the details of your coverage.

2014 | 2013


CDHP HSA