Olentangy Local Schools
Overview
Olentangy Local Schools is proud to provide a comprehensive and competitive benefits package to all of its qualified employees. This website contains summaries and links to the various components of these coverages and should be used as a portal to your benefit needs.
In most cases, you have up to 31 days from your date of hire or eligibility date to complete all of the necessary applications and forms to be retroactively enrolled in the benefits as outlined below. Failure to complete these materials in the allotted time will result in you forfeiting your eligibility for these benefits until the next open enrollment period unless you have a qualifying event.
All completed forms should be sent to:
Olentangy Local Schools
Attn: Susan Coleson
7840 Graphics Way
Lewis Center, OH 43035
Click below for the Privacy Policies for the Olentangy Local Schools Health Plan
Please click here for health (medical, dental and vision) insurance premium costs effective December 1, 2017 through November 30, 2018
AFFORDABLE CARE ACT (ACA) UPDATE:
The Affordable Care Act (ACA) created reporting requirements under Internal Revenue Code (Code) Sections 6055 and 6056.
Under these reporting rules, certain employers must provide information to the IRS about the health plan coverage they offer or provide to their employees.
Please see attached documents below that provide important information on the documentation you will be receiving as a result of this ACA Reporting Requirement.
The Affordable Care Act (ACA) requires health plans and health insurance issuers to provide a summary of benefits and coverage (SBC) to applicants and enrollees. The SBC requirement applies to both grandfathered and non-grandfathered plans. The SBC is a concise document providing simple and consistent information about health plan benefits and coverage. It must be provided free of charge. Its purpose is to help health plan consumers better understand the coverage they have and to help them make easy comparisons of different options when shopping for new coverage.
$2700/$4800 Health Savings Account
Glossary of Terms – This document was prepared by the Department of Health and Human Services to serve as a source of uniform definitions for terms used in the newly required SBC’s above.
Comprehensive Major Medical Health Care Benefit Book – Detailed information about your medical benefits including coverages, exclusions and limitations.
$2700/$4800 Health Savings Account
2018 Standard Plus Preventive Medications List
Health Savings Account FAQ – Frequently Asked Questions about HSA Plan Usage
Olentangy Local Schools contracts with Discovery Benefits to handle the administration and notification of your rights under COBRA and ability to continue the insurance if a qualifying event. While Olentangy Local Schools is aware of events such as terminations of employment, it is YOUR responsibility to notify administration of any qualifying events so they can in turn notify MMO.
Benefits Selection and Waiver Form – Please complete the General Information section and indicate your selection of coverage. Note: The appropriate enrollment form(s) must be completed for each type of coverage. *If you WAIVE any benefits at this time, please also complete the acknowledgement on the reverse of this form.
Claim Forms – Network providers are responsible for submitting any claim forms to Medical Mutual on your behalf. However, if you have services provided by a non-network provider, you will need to pay that provider directly and complete the claim form below for any reimbursements.
Non-Network Medical Claim Form Mail your completed form to the address on your member ID card or Medical Mutual P.O. Box 6018 Cleveland, OH 44101-1018.
Non-Network Prescription Claim Form – Mail your completed form to:
Express Scripts
ATTN: Commercial Claims
P.O. Box 2872
Clinton, IA 52733-2872
Mail Order Prescription Questionnaire – must be completed for first time mail order prescription setup
Mail Order Prescription Form – Complete this form and attach your prescription to receive up to a 90 day supply of your maintenance prescription medications.
IMPORTANT! – You have 31 days from any qualifying event such as marriage, the birth of a child or change in dependent status to make changes to your plan and notify administration. Failure to do so could result in a loss of coverage and having to wait until the annual open enrollment period!
Medical Questions: 800.525.5957
Prescription Questions: 800.417.1961
Medical Mutual of Ohio Website: www.medmutual.com
my health plan– MMO’s member and consumer self-service web site that provides a single source for online benefits and health related information. Access your personalized health care, look at your Explanation of Benefits (EOB), health cost estimators, health management programs, stop smoking programs, claim appeal forms, fitness club discounts and numerous other items. (Registration is available to individuals currently enrolled with MMO).
Beltone Hearing Aid Discounts – MMO Members are eligible for up to 20% discounts on all Beltone Hearing Aid models. Benefits are extended to parents and grandparents as well!
Certificates of Coverage – Detailed information about your medical benefits including coverages, exclusions and limitations.
Certificate Rider – Amends the eligibility definition in the certificate of coverage
Olentangy Local Schools contracts with Discovery Benefits to handle the administration and notification of your rights under COBRA and ability to continue the insurance if a qualifying event. While Olentangy Local Schools is aware of events such as terminations of employment, it is YOUR responsibility to notify administration of any qualifying events so they can in turn notify MetLife.
Benefits Selection and Waiver Form – Please complete the General Information section and indicate your selection of coverage. Note: The appropriate enrollment form(s) must be completed for each type of coverage. *If you WAIVE any benefits at this time, please also complete the acknowledgement on the reverse of this form.
Dental Claim Form – In-network dentists will complete and send your claims to MetLife on your behalf. However, if you use a non-network dentist you may have to pay up front, complete this form and send it to MetLife at the address below:
MetLife Dental Claims
P.O. Box 981282
El Paso, TX 79998-1282
Customer Service Phone: 800-942-0854
MetLife Dental Center – Tools and resources such as online provider searches, view past claims, FAQ’s, mybenefits, etc.
MetLife Oral Health Library – Tools and resources to help you make more informed choices about your oral health and dental benefits.
Why use a participating dentist? – Demonstrates the savings and advantages of using a participating dentist.
Certificate of Coverage – Detailed descriptions of your benefits and exclusions for both plan options.
Certificate Rider – Amends the dependent eligibility definition in the certificate of coverage to include coverage for dependent children to the end of the month in which the dependent turns 26 years of age.
Olentangy Local Schools contracts with Discovery Benefits to handle the administration and notification of your rights under COBRA and ability to continue the insurance if a qualifying event. While Olentangy Local Schools is aware of events such as terminations of employment, it is YOUR responsibility to notify administration of any qualifying events so they can in turn notify VSP.
Vision Non Network Claim Instructions: While VSP providers will file claims electronically, you may still need to submit information for reimbursement of non-network vision claims.
Vision Customer Service Phone: 800.367.5897
Online Provider Lookup – Select the VSP Choice Network
Miscellaneous Information:
– Primary EyeCare Benefit
– Frequently Asked Questions (FAQ)
– Informative and Convenient from VSP
Olentangy Local Schools provides Group Life Insurance to all employees based upon the Classes listed below:
Group Life Certificates of Coverage:
Voluntary Life Insurance and Accidental and Dismemberment (AD&D)
Group Life Benefit Summaries:
Class 1 and Class 6: TEACHERS and CLASSIFIED NON-UNION EARNING $30,000+ PER YEAR
Class 2: ADMINISTRATORS
Class 4 and Class 8: CLASSFIED NON-UNION EARNING UP TO $20,000 PER YEAR and TRANSPORTATION, CUSTODIAL & MAINTENANCE EARNING $20,000-$30,000 PER YEAR
Class 5 and Class 9: CLASSFIED NON-UNION EARNING BETWEEN $20,000-$30,000 PER YEAR and TRANSPORTATION, CUSTODIAL & MAINTENANCE EARNING OVER $30,000 PER YEAR
Class 7: TRANSPORTATION, CUSTODIAL AND MAINTENANCE EARNING UP TO $20,000 PER YEAR
Accelerated Death Benefit Application (Also known as the Living Benefit Option)
Additional Benefits Available:
Mutual of Omaha Customer Service: 800.775.8805 (M-F, 7:30 AM to 5:00 PM CST)
PO Box 2038
Powell, OH 43065
Local Phone: 614-431-9540
Toll-Free Phone: 877-990-4622
Fax: 614-844-5364
Milestone Benefits Agency: www.milestonebenefits.com
Direct: (614) 318-3163
E-mail: Stacy@milestonebenefits.com
Chad Smith
Direct: (614) 318-5244
E-mail: Chad@milestonebenefits.com
Disclaimer: The information contained on this site serves as a resource for the employees and administrators of your employer and in some instances only contains an overview of the benefits, provisions, limitations and exclusions of these programs. Information can sometimes change and may not be current on this site. In all instances, if the information contained on this site conflicts with the applicable plan documents or carrier administration of these programs, the plan documents and their administrative policies will prevail. Each company reserves the right to change these benefits at any time without prior notice and at their own discretion.
Our Location:
Powell, Ohio 43065
Contact Info:
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