Open Enrollment – What’s Changing - Human Resources at Ohio State

2021 Open Enrollment

November 1-15, 2020

What’s Changing in 2021

Below are benefit changes for 2021 that are effective January 1, 2021.

Employee Contributions

To assist employees during a time of economic uncertainty, the decision was made by the university for the 2021 plan year that rates for Ohio State’s benefit plans will be kept at the same level as 2020. This does not include rates for COBRA coverage.

Compensation Tiers

Since implemented in 2016, the compensation tiers used to determine full-time employee contribution rates for medical coverage have not changed. However, for 2021, the lower three tiers have been expanded to allow a greater number of individuals to be covered by those tiers.

Compensation tiers for 2021 are as follows:

  • Less than $40,000
  • $40,000 to $79,999
  • $80,000 to $109,999
  • $110,000 to $199,999
  • $200,000 to $399,999
  • $400,000 or higher

Medical Plan

The following changes to The Ohio State University Faculty and Staff Health Plan will be implemented January 1, 2021:

  • Eligibility for Prime Care Connect is being expanded. Individuals whose household family income does not exceed 225% of the federal poverty level (up from 175%) will now qualify for this plan to help reduce financial barriers with obtaining medical care.
  • Hearing aid coverage is increasing from a benefit level of $1,200 every four plan years to $1,400 per hearing-impaired ear ($2,800 for both ears) every three plan years.
  • Exercise is Medicine, a physical activity program offered through Wexner Medical Center, will be available to faculty, staff and dependents enrolled in the medical plan. Any dependent under the age of 18 will require an adult sign-off to participate. The program provides physical activity resources, one-on-one sessions with a health coach and 16 group exercise sessions over eight weeks. Patients need to be referred to the program by their primary care providers. Learn more

Prescription Drug Card

Express Scripts (ESI) will no longer send member ID cards starting in 2021, but access to an electronic ID card is available on the ESI website and mobile app. Visit express-scripts.com or download the Express Scripts mobile app in Apple App Store or Google Play to access your ID card, check the status of your prescriptions, order refills and find your nearest preferred pharmacy.

Health Care Flexible Spending Account

For 2021, the Health Care Flexible Spending Account maximum plan year contribution will increase to $2,750.

Effective Date for Benefit Coverage Terminations

Beginning in 2021, if you experience an event that ends your eligibility for any benefit, the coverage for that benefit will end on the date of the event. For example, an employee whose last day of employment is on March 15 will have benefit coverage terminate at the end of the day on March 15. Deductions will be prorated based on the number of days an individual is covered in a pay period.

Health Coverage Rates to be Pro-rated

Effective January 1, 2021, we will begin prorating premium rates for medical, dental and vision coverage. The deduction amount for the applicable coverage will be prorated based on the number of days the employee and/or dependent(s) was covered during that pay period.

Confirmation Statements

Confirmation statements will be sent to home addresses and available online starting on November 23, 2020.

If you need to make a change to your 2021 elections after your confirmation statement has been sent, write the change on a copy of the statement, sign it, and submit it to HR Connection no later than December 31, 2020. Otherwise, your benefit elections as indicated on the statement will be in place for 2021 unless you experience an eligible qualifying status change.

Note: Changes received after November 15, 2020 will be processed but new cards will not be available until after January 1, 2021.

Open Enrollment Information