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


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