MissionSquare Retirement (formerly ICMA-RC) Lane County's deferred compensation administrator!
www.icma-rc.org   (new url coming soon)

Please contact your MissionSquare representative today to schedule and appointment!
DeLana Hansen 
888-803-2726                                         

You may also call MissionSquare Participants at 800-669-7400 (press “0” to speak with a representative). Monday through Friday 5:30 a.m. to 6:00 p.m. PT.

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Retirees - Drop In's are not being accepted at this time. You will need to contact Sue Heron at 541-682-3920 or email her at [email protected] to discuss any issues with your retirement benefits or to set up an appointment. Please see the contacts below for further assistance.

Lane County Retirees on Medicare

For questions, please contact QVI at (800) 408-9717

 

2022 Medicare Proof of Enrollment
January 1, 2022
DUE: February 14, 2022

Please note:
QVI Risk Solutions will mail eligible Lane County Retirees the 2022 Medicare Proof of Enrollment form or you can complete, sign and date the 2022 Medicare Proof of Enrollment" form under the Quick Links on the right side of this page and they will be due back to QVI by February 14, 2022.

 QVI Risk Solutions, on behalf of Lane County, requests annual Medicare Proof of Enrollment needed to reimburse amounts due for eligible retirees in 2022.

The form/proofs needed for 2022 are:

1)   Medicare Proof of Enrollment Form for 2022 Quarterly Reimbursements

Please complete, sign and date the "2022 Proof of Enrollment" form under the Quick Links on the right side of this page. 

Please return to QVI Risk Solutions no later than February 14, 2022 to ensure your reimbursements continue without interruption.  

2)   2022 Proof of Part B Premium

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

• Online Account: https://www.ssa.gov/myaccount/
• Visiting your local SSA office
• Calling SSA at (800) 772-1213

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:

• Online Account: https://www.mymedicare.gov/
• Calling Medicare at (800) 633-4227

3)   2022 Proof of Medicare Advantage or Supplemental Plan (if applicable)

Please provide proof of what plan and monthly premium rate you will pay in 2022.

Please call you plan provider directly for your Medicare Advantage or Supplement plan to receive proof of your monthly plan cost for 2022.

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

2022 Regence BlueCross BlueShield Plans

There are no premium changes for the Lane County Regence Plan Group rates in 2022

Lane County Retiree monthly rates for Regence Group Plans:
2022 Regence Basic or Primary Plan: No cost to Retiree
2022 Regence Classic Plan: $49.90 per month
2022 Regence Enhanced Plan: $80.40 per month

 
Please see below for the 2022 Plan Summary and Annual Notices of Changes to the Regence Group plans.

Regence PPO Plan Star Rating

2022 Basic Plan - Annual Notice of Changes
2022 Classic Plan - Annual Notice of Changes
2022 Enhanced Plan - Annual Notice of Changes

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

Contact Information

QVI Risk Solutions, Inc.
(Billing for: Retirees, COBRA, Medicare)
(800) 408-9717
[email protected]

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
(MUST CALL OR EMAIL FIRST, NO DROP IN'S WILL BE ACCEPTED)
125 E 8th Ave, Eugene, OR 97401
(541) 682-3124
[email protected]

County Paid Retiree PacificSource Health Plans

Retiree Co-Pay Plan
Retiree Plus Plan
Retiree HDHP HSA Plan

County Paid Retirees

Eligibility for County paid retiree health insurance is based on four 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, 2022. If you have questions regarding your 1095-C, please contact us at 541-682-3124. You may also email us at [email protected]

Premium Rate Changes

The next premium rate change will be July 1, 2022 and will run from July 1, 2022 - June 30th, 2023.

Health Savings Accounts - OPTUM Bank

Eligible County paid retirees receive a $1,500 lump sum contribution on or around 1/4/2022. In 2022, your annual HSA contribution may not exceed IRS limits of $3,650 for individual coverage or $7,300 for family coverage. The "catch-up" contribution for those who are age 55 or older will remain $1,000 for 2022.
This amount is in addition to the IRS limits of $3,650 for individual coverage and $7,300 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.