Lane County Retirees

Lane County Retirees on Medicare

2019 Medicare Proof of Enrollment
January 1, 2019 - DUE February 15, 2019

Please note:
QVI Risk Solutions will mail eligible Lane County Retirees the 2019 Medicare Proof of Enrollment form on January 1, 2019 and they will be due back to QVI by February 15, 2019.

QVI Risk Solutions, on behalf of Lane County, requests annual Medicare Proof of Enrollment needed to reimburse amounts due for eligible retirees in 2019.

The form/proofs needed for 2019 are:

1)   Medicare Proof of Enrollment Form for 2019 Quarterly Reimbursements

Please complete, sign and date the "2019 Proof of Enrollmentform under the Quick Links on the right side of this page. 
Please return to QVI Risk Solutions no later than February 15, 2019 to ensure your reimbursements continue without interruption.  

2)   2019 Proof of Part B Premium

Please provide a copy of your “Benefit Verification Letter.” You can request this letter from Social Security by:

If you are not yet receiving monthly Social Security benefits, please contact Medicare for your “Notice of Premium Payment Due.You can request this letter from Medicare by:

3)   2018 Proof of Medicare Advantage or Supplemental Plan (if applicable)

Please provide proof of what plan and monthly premium rate you will pay in 2019.

Please call you plan provider directly for your Medicare Advantage or Supplement plan to receive proof of your monthly plan cost for 2019.

If you are on a Lane County Regence BCBS Group plan or PERS plan, please write in the name of the plan only on the Proof of Enrollment Form - NO PROOF is necessary.

Once you have the form/proofs required, please mail to:

QVI Risk Solutions, Inc.
PO Box 7199
Bend, OR 97708

For further assistance, contact QVI at (800) 408-9717

2019 Regence BlueCross BlueShield Plans

Please see below for the 2019 Plan Summary and Annual Notices of Changes to the plans.
2019 Regence BASIC PPO Summary of Benefits

2019 Regence CLASSIC PPO Summary of Benefits
2019 Regence ENHANCED PPO Summary of Benefits


2019 Basic Plan - Annual Notice of Changes
2019 Classic Plan - Annual Notice of Changes
2019 Enhanced Plan - Annual Notice of Changes

Regence Long Form for NEW enrollees
Regence Short Form (Current Members Only)

Contact Information

QVI Risk Solutions, Inc.
(Billing for: Retirees, COBRA, Medicare)
(800) 408-9717
info@qvirisk.com

Social Security Administration
(800) 772-1213 
www.ssa.gov
 

PERS Health Insurance Program
(800) 768-7377
www.pershealth.com/

Regence Medicare Advantage
(888) 319-8904

Benefit Resource Center for PacificSource
(866) 468-7272

Optum Bank - Health Savings Accounts
(877) 470-1771
https://mycdh.optum.com/
 

PacificSource Health Plans
(541) 684-5582 
www.PacificSource.com  

Delta Dental (formerly MODA)
(877) 277-7280 
www.MODAhealth.com  

Willamette Dental Group
(800) 460-7644
www.willamettedental.com

Lane County Benefits & Wellness
(541) 682-3124
benefitsandwellness@co.lane.or.us



 

County Paid Retiree Health Plans

Retiree Copay Plan
Retiree PrimePlus Plan
Retiree HDHP HSA Plan

2019 County Paid Retiree
Open Enrollment
Oct 22 - Nov 9, 2018

County Paid Retirees on the PacificSource Retiree health plans who need to make changes to their 2019 Health Plan elections, need to submit a 2019 Health Plan Enrollment form before November 9, 2018 for changes to be effective 01/01/19.

Please review the packet below:
2019 RETIREE/COBRA Open Enrollment Packet

If you need to make any changes to your County Paid PacificSource plan or your COBRA dental elections, please complete the Health & Dental Enrollment Form in the packet up and route back to:
Lane County - HR Benefits
125 E 8th Ave
Eugene, OR 97401

You may also reach us by:
Email: benefitsandwellness@co.lane.or.us
Fax: 541-682-4290
Phone: 541-682-3124


County Paid Retirees

Eligibility for County paid retiree health insurance is based on three main criteria:
1) date of hire, 2) years of service, 3) age requirement, and 4) proof of retirement under PERS.
Retiree County Paid Monthly Rates

Self-Pay Retirees
State and federal laws regulate a retiree’s right to continue health insurance coverage by paying monthly premiums to Lane County, even if they are not eligible for County Paid retiree health insurance.
Retiree Self Pay Monthly Rates

1095-C Form

Forms 1095-C will be furnished to individuals by March 03, 2019. If you have questions regarding your 1095-C, please contact us at 541-682-3124. You may also email us at BenefitsandWellness@co.lane.or.us

Premium Rate Changes
The next premium rate change will be July 1, 2019 and will run from July 1, 2019 - June 30th, 2020.

Health Savings Accounts - Optum Bank
Eligible County paid retirees receive a $1,500 lump sum contribution on or around 1/5/2019. In 2019, your annual HSA contribution may not exceed IRS limits of $3,500 for individual coverage or $7,000 for family coverage. The "catch-up" contribution for those who are age 55 or older will remain $1,000 for 2019.
This amount is in addition to the IRS limits of $3,500 for individual coverage and $7,000 for family coverage.
For specific tax information, please consult a tax advisor.
Note: The IRS maximum contributions are inclusive of the amount that Lane County will contribute to the HSA account for eligible County paid retirees.


HSA 1099-SA Forms
1099-SA forms will be available through Optum's consumer online portal under the Notifications Tab towards the end of January. If you have an email on file with Optum, they will send an email letting you know when it is ready to view and you can print it off. If you don't have an email on file, a letter will be sent to your mailing address advising the tax form will be online. 

Please contact Optum Consumer Services if you have questions.