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COVID-19 (new coronavirus): There is a COVID-19 emergency proclamation in Oklahoma City. Visit covid19.okc.gov for updates and details.

Office Operations (updated as of 3/30/2020)

 Due to the COVID-19 outbreak, Employee Benefits staff is currently working on a remote basis. If you need to reach us, please contact us at employee.benefits@okc.gov (preferred) or leave message at (405)297-2144. Employee Benefit staff member will respond within 24 to 48 hours.

If you have a plan specific question, please use the links on this page to contact the vendor(s) directly.

 

COVID-19 Update from OKC Care Employee Medical Center

As you are likely already aware, the Centers for Disease Control and Prevention (CDC) is monitoring the current outbreak of COVID-19, a disease caused by the Coronavirus.

At Premise Health we have a dedicated COVID-19 Clinical Response Team that has been monitoring the evolution of the COVID-19 outbreak since mid-January 2020. Our top priority is ensuring the health and welfare of our members, clients, and team members.

Here are a few things we are asking of our members during this time:

CALL AHEAD if you have fever or respiratory symptoms: If you have already made, or would like to make a medical appointment, please CALL the wellness center and tell us about your symptoms. This will help our wellness center take steps to keep other people from getting infected or exposed.

MEDICATION REFILLS: If you need a refill authorization for your medications, please CALL the wellness center and one of our team members will be able to assist you.

STAY HOME: The Centers for Disease Control and Prevention (CDC) recommends that people who are ill with fever and cough should stay away from others. People with COVID-19 (the disease caused by coronavirus) should self-isolate at home during their illness. You should restrict activities outside your home. If you have a medical emergency, please call 911.

If you have any questions, please reach out to the wellness center staff and our team will assist you.

Click here for OKC Care details.

Thank you for entrusting us with your care.

Premise Health

OKC Employee Medical Center

The OKC Employee Medical Center has reopened. Please refer to the OKC Employee Medical Center link on the left for additional information. 

Premise Health is the new clinic administrator. A link to their website can be found under quick links.

1095 Tax Forms

1095 Tax Forms are scheduled to be mailed by March 2, 2020. The 1095 Tax form is documentation regarding your health insurance coverage for 2019. You will need to keep a copy of the 1095 with your other Tax forms for audit purposes; however, you may file your Tax return prior to receipt of form. Contact your tax advisor with any questions.

Correction to 2020 Retiree Guide to Benefits

On page 7 of the 2020 Retiree Guide to Benefits that were mailed to retirees for Open Enrollment , the City and Retiree Rate for the Medicare Advantage plan is incorrect for the Retiree + Spouse and Retiree + Child rates. The correct rates are $393.59 for the retiree contribution and $393.59 for the City contribution.

The .pdf of 2020 Retiree Guide on this site is updated to reflect the correct rates.

2020 Open Enrollment 

Please review the following checklist for Open Enrollment 2020:

  • If you are not making any changes, no action is required. Your current elections will remain the same for 2020.
  • Review and update beneficiary form for retiree group life insurance. Employee Benefits recommends submitting new forms every 5 years to ensure current information regarding beneficiaries are on file. Forms can be found in the next column under Forms.
  • If you made any changes, the changes will be effective on January 1, 2020. ID cards and materials should begin to arrive beginning December 20, 2019.
  • Premiums for your elected benefits are withheld in arrears. Premiums will change beginning with the check you receive at the end of January 2020.
  • Police Retirees Only - If you made a change for 2020, please complete a Pension Deduction Change Form and submit to Police Pension prior to January 15, 2020. 

If you would like additional information regarding Open Enrollment or any other retiree benefit, please refer to the Retirees tab on the left side. Vendor websites as well as common forms are on the right side.

Opioid epidemic drives new federal policies

 In 2017 the US Department of Health and Human Services (HHS) declared a public health emergency to address the national opioid crisis. More than 115 people in the US die daily due to opioid overdose and the Centers for Disease Control estimates that prescription opioid misuse costs the US $78.5 billion a year.  To address the crisis, Centers for Medicare and Medicaid Services announced many new requirements for the 2019 plan year. 

In order to comply with new CMS requirements as well as to promote better opioid prescribing and prevent opioid misuse/abuse, UnitedHealthcare Medicare & Retirement providers of our Medicare Advantage Plan, will be implementing the following new opioid management strategies effective 1/1/2019:

  • 1-month supply restriction at both retail and mail
  • First-fill 7-day supply limit for individuals new to opioid therapy
  • Cumulative opioid safety reduction to 200 morphine milligram equivalent (MME) per day when opioids are prescribed by 2 or more providers
  • Capability to limit opioid coverage for at-risk individuals to certain prescribers and/or pharmacies

These new strategies will apply to long-acting and short acting opioid prescriptions in 2019.  Members who are in hospice care or being treated for a cancer-related pain will be excluded from these new safety edits except for the 1-month supply limitation. The 1-month supply limitation is intended to prevent opioid misuse/diversion by limiting the amount of opioids a member can have on hand at a given time.  Members and providers will be notified of these changes prior to 1/1/19.

These rules currently only affect our retirees, but it’s possible that these changes will start to be adopted by other health insurance plans.  Benefits Division is tracking the issue and will provide updates as new information becomes available.