COMING SOON 

Be sure to review the information regarding eligibility to determine who can be covered on your plan(s).

Lincoln Financial Group Short Term Disability

• 100% employee paid
• Covers employee only
• Sick leave bank must be exhausted
• 14 week benefit (15 day elimination period/12 week payout)
• Benefit availability and rates are based upon participation (15% of benefits eligible employees must elect benefit to offer)
• EOI will be required during Annual Enrollment if coverage was previously declined. EOI not required during new hire benefit elections.
• Premiums are age banded

Short Term Disability Benefit Flyer

OSU provides Basic Life and Accidental Death and Dismemberment (AD&D) coverage to continuous, regular employees who work at least 30 hours a week or 0.75 FTE or greater. The coverage for Basic Life and AD&D provided by OSU is two-times the employee’s annual salary up to $100,000 maximum coverage.

OSU/A&M also offers you the opportunity to purchase additional insurance for yourself and your family provided by Lincoln Financial. During open enrollment, employees may elect to enroll or increase coverage in the supplemental, employee-paid, Voluntary Group Life Insurance by up to $40,000 (in $10,000 increments), so long as the employee is not at their guaranteed issue amount or has not had a prior evidence of insurability denial.

• Employee Supplemental Guaranteed Issue is two-times annual salary in $10,000 increments not to exceed $300,000.
• Employee Supplemental with Evidence of Insurability is five-times annual salary in $10,000 increments not to exceed $750,000.

Supplemental Spouse life can be increased by one ($10,000) increment during annual enrollment, without Evidence of Insurability if not already at guaranteed issue (GI) for spouse life. Additional coverage subject to limitations and requires Evidence of Insurability.

• Spouse Supplemental Guaranteed Issue is 1 x employee salary in $10,000 increments not to exceed $130,000.
• Spouse Supplemental with Evidence of Insurability is up to $380,000.

For more details regarding the Basic Life and AD&D as well as the supplemental, employee-paid, Voluntary Group Life, please visit the OSU Benefits Life Insurance site.

• MASA Ambulance(pdf)
• 100% employee paid and covers entire family (must select all dependents at enrollment)
• Covers what insurance doesn’t
• Works with all Ground and Air ambulance carriers
• $14 per month pre-tax plan provides coverage in U.S. and Canada
• $39 per month pre-tax plan provides coverage Internationally as well as U.S. and Canada

For more information visit the OSU Benefits MASA site.

Plan administration is changing in 2027. HSA contributions will be made to current partner, WEX/Chard Snyder. HealthEquity was connected to the current BCBSOK arrangement.

Must be enrolled in the High Deductible Health Plan to participate.

Cannot have an HSA and Health FSA within the same household

• Cannot be covered on another health plan that is not high deductible
• Cannot be enrolled in Medicare A and/or B
  
• 2027 IRS annual contribution limits:
  • Employee-only coverage: $4,500
  • Family coverage: $9,000
  • Age 55+ catch-up contribution: additional $1,000
• IRS annual limits include employer contributions:
  • Employee-only coverage: $62.50 per month / $750 annually
  • Family coverage: $104.17 per month / $1,250 annually

Final IRS limits are pending.

Transition of Care forms are available upon request from OSU/A&M Benefits. Once completed by you and your treating provider, submit the form and supporting information to WebTPA at toc-coc@webtpa.com or fax 469-417-1964. A separate request should be submitted for each condition. 

Not necessarily. Existing BCBSOK authorizations with an end date in 2027 will continue to be honored through March 31, 2027. WebTPA will receive information from BCBSOK about open authorizations extending into 2027.

This means many members with approved treatment will not need to obtain a new authorization immediately on January 1.

If care requiring authorization will continue beyond March 31, 2027, it will be reviewed under the OAMC System Health Plan’s authorization process.

Not necessarily. First confirm whether your current provider will participate in the new network. If your provider will not be in network, contact WebTPA Customer Service. They can review your situation and determine whether provider nomination or a Transition of Care request may be appropriate.

 First determine whether the procedure already has an authorization that extends into 2027 and confirm that your provider and facility participate in the new network. Existing authorizations with a 2027 end date will be honored through March 31, 2027. If your provider will not be in network, contact WebTPA Customer Service to discuss your options.

 No. Most members will not need a Transition of Care request.
Transition of Care is intended for certain members who are actively receiving treatment and whose provider will not participate in the new network. WebTPA Customer Service can help determine whether a Transition of Care request may be appropriate and provide the form and instructions.

Once WebTPA receives a completed Transition of Care request, the Clinical Services team will review your individual circumstances, including your medical condition, current treatment plan, provider information, available network providers and the appropriate period for continued care.

Most decisions are made within 10 business days after all required information is received. You will receive written notification explaining the decision and, if approved, the services and provider covered, the approved timeframe and any next steps.

If WebTPA determines that a Transition of Care request is appropriate you will receive a transition of care form.

Completed forms and supporting information may be submitted to:
toc-coc@webtpa.com
Fax: 469-417-1964 

If your provider is not participating in the new network, contact WebTPA Customer Service before submitting a Transition of Care form. Depending on your situation, WebTPA can discuss two possible options:

Provider Nomination
Your provider may be submitted to HealthCare Highways for consideration to join the network.

Transition of Care
If you are actively receiving treatment for certain qualifying medical conditions or circumstances, you may be eligible to temporarily continue care with your current provider while an appropriate transition to an in-network provider is arranged.

Beginning January 1, 2027, the OSU/A&M System medical plan will become the OAMC System Health Plan.  The System is moving from the current bundled Blue Cross Blue Shield of Oklahoma arrangement to a model where specialized partners support different parts of the health plan. 

The new plans will apply to active employees and pre-Medicare retirees and their dependents. Medicare-eligible retirees enrolled in BCBS Medicare supplemental plans will not be impacted and will continue their current coverage.

OAMC stands for Oklahoma Agricultural and Mechanical Colleges. The name reflects the institutions governed by the Board of Regents and provides a systemwide identity for the health plan. 

No. The OAMC System Health Plan is the name of the self-funded health plan sponsored by the OSU/A&M System.  Several specialized partners will administer and support the plan. 

 No. The OAMC System Health Plan is the OSU/A&M System’s self-funded medical plan beginning January 1, 2027. Like our current plan, the System funds covered medical claims while outside partners provide administrative and network services.

Following a competitive review, the OSU/A&M System selected a new administrative model designed to provide broad access to care, greater transparency and more flexibility in managing health plan costs and services. 

A self-funded health plan means the OSU/A&M System pays the cost of covered medical claims rather than purchasing a traditional fully insured medical policy. Employees still have defined benefits, provider networks and established member cost-sharing. 

Yes. Employees will continue to have both a PPO medical plan option and a High-Deductible Health Plan (HDHP) option in 2027. Both the PPO and HDHP will continue to include access to Tier 1 and Tier 2 provider options.  Applicable spending account options will also continue with the plans for which they are available. 

Employees will continue to enroll through PlanSource using the standard benefits enrollment process.  PlanSource is not changing as part of the medical plan transition. 

Because 2027 requires active enrollment, employees who want medical coverage must make an election by the Open Enrollment deadline.  Additional instructions regarding other benefit elections and spending accounts will be provided before Open Enrollment. 

Yes. Employees will continue to use PlanSource to enroll in and manage benefits. PlanSource can be accessed through the standard benefits enrollment process. 

 Yes. Eligible dependents enrolled in your medical coverage will also transition to the OAMC System Health Plan.

No. Because enrollment will continue through PlanSource, your existing dependent information will remain in the system. You will only need to update dependent information if you are adding or removing a dependent or if other information has changed. 

Healthcare Highways will serve as the primary provider network. The System and Healthcare Highways are continuing to confirm provider participation and expand network access where needed. 

The final Tier 1 provider network is still being finalized. We are optimistic about Stillwater Medical Center’s participation and will confirm its final status by Open Enrollment. 

Aetna Signature Administrators is NOT the OAMC System Health Plan administrator or primary provider network. Aetna only provides additional network access for care received outside the state of Oklahoma when a Healthcare Highways network provider is not available. 

 Liviniti will administer prescription drug benefits beginning January 1, 2027.

 We are working with Liviniti to align the new prescription drug formulary as closely as possible with the current Prime Therapeutics formulary available through BCBSOK. Some coverage requirements may change, so employees should review their medications once the OAMC-specific drug search becomes available.

Until the member portal is available, visit www.liviniti.com, select Members in the upper-right corner, then scroll to the bright blue box and enter group number 2027OAMC.

Liviniti also provides separate search tools for pharmacies and medications:

• Use the Pharmacy Search to find participating pharmacies.
• Use the Medication Search to look up medications and formulary information.

The OAMC System Health Plan formulary is still being finalized, so the medication information currently displayed should be considered an estimate of the 2027 formulary. If you have specific questions or concerns, please contact the OSU/A&M Benefits Team.

Prescription transfer requirements may vary by pharmacy and medication. Employees may need to have their provider send a new prescription to a participating pharmacy. Additional transition information will be provided before January 1. 

For 2027, the formulary and coverage guidelines will remain consistent with the current plan. GLP-1 medications prescribed solely for weight loss will not be covered. The System will continue to explore options and partnerships that may allow us to expand access to treatments like these in the future while balancing employee needs with the significant cost impact to the health plan.

Delta Dental and VSP Vision will continue to be offered. 2027 rates are available above.

 MASA, cancer coverage, supplemental life insurance and disability plans will continue as currently offered for 2027. Any applicable enrollment information or rate changes will be communicated before Open Enrollment.

Where appropriate, we will explore replacement programs and partners that provide meaningful value to employees while helping manage costs to the health plan.