Open Enrollment for ACA-Eligible Employees - Human Resources at Ohio State
2019 Open Enrollment for ACA-Eligible Employees
If you are eligible for Ohio State medical coverage under the Affordable Care Act (ACA), you can participate in Open Enrollment for 2019 medical coverage. This is your opportunity to review your benefit options and elect or change coverage. Letters to eligible individuals will be mailed in November.
The ACA Open Enrollment period for 2018 benefits is December 3-10, 2018. Coverage will be effective January 1, 2019.
Enrollment in an Ohio State medical plan includes medical, pharmacy, and wellness benefits.
| Prime Care Advantage Out-of-Area Plan* |
Prime Care Choice | |
|---|---|---|
| Employee Only | ||
| Payroll Deduction | $542.74 | $522.74 |
| Less PHA Credit | -$20.00 | -$20.00 |
| You Pay | $522.74 | $502.74 |
| Employee + Children | ||
| Payroll Deduction | $1,004.08 | $967.08 |
| Less PHA Credit | -$20.00 | -$20.00 |
| You Pay | $984.08 | $647.08 |
| Employee + Spouse | ||
| Payroll Deduction | $1,139.76 | $1,097.76 |
| Less PHA Credit | -$20.00 | -$20.00 |
| You Pay | $1,119.76 | $1,077.76 |
| Family | ||
| Payroll Deduction | $1,696.08 | $1,633.58 |
| Less PHA Credit | -$20.00 | -$20.00 |
| You Pay | $1,676.08 | $1,613.58 |
| Prime Care Advantage Out-of-Area Plan* |
Prime Care Choice | |
|---|---|---|
| Employee Only | ||
| Payroll Deduction | $271.37 | $261.37 |
| Less PHA Credit | -$10.00 | -$10.00 |
| You Pay | $261.37 | $251.37 |
| Employee + Children | ||
| Payroll Deduction | $502.04 | $483.54 |
| Less PHA Credit | -$10.00 | -$10.00 |
| You Pay | $492.04 | $473.54 |
| Employee + Spouse | ||
| Payroll Deduction | $569.88 | $548.88 |
| Less PHA Credit | -$10.00 | -$10.00 |
| You Pay | $559.88 | $538.88 |
| Family | ||
| Payroll Deduction | $848.04 | $816.79 |
| Less PHA Credit | -$10.00 | -$10.00 |
| You Pay | $838.04 | $906.79 |
If you wish to enroll in Ohio State medical coverage for 2019, you must complete a Health Election Form, and return it to the Office of Human Resources by December 10, 2018.
Complete a Personal Health and Well-Being Assessment (PHA) with biometrics to earn a premium credit and access to a Health Reimbursement Account (HRA). Learn more about YP4H.
An HRA is an employer-funded account from which you can be reimbursed for eligible heath care expenses. Participants earn credits to their personal HRA as part of the YP4H Incentive Program. An HRA can be used for copayments, coinsurance and deductibles. Learn more about Ohio State’s HRA.