April 2005 pebb.benefits Project Overview. Page 1  Approx. 129 PEBB agencies  Over 110,000 members  17 databases for benefit administration  Paper.

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Presentation transcript:

April 2005 pebb.benefits Project Overview

Page 1  Approx. 129 PEBB agencies  Over 110,000 members  17 databases for benefit administration  Paper process: Members, Agencies, Carriers, and PEBB  Manual Data Entry: Member, Agencies and Carriers  Increased chance for human error  No user friendly technology for administration of benefits  No voice or electronic system  Open Enrollment  Increased workload for agencies and PEBB  Mandatory  Non Mandatory  PEBB—look for a solution to improve customer service, consistency, processes and increase the current system efficiencies pebb.benefitsBenefit Administration Facts Prior to PDB

Page 2  Web based HIPAA compliant integrated benefit management system  1 Central database for benefit administration data—single source of information  A technology solution—real time information-secure access  Paper process still available  Minimize human error  Audit trails  PEBB members will be able to access a secure site to:  Enroll, update, and view their benefit choices and options  May alleviate the need to have a large packet of information—paper/cost savings  More complete and accurate customer service model  Agencies and PEBB can share employee specific information.  Provide increased efficiencies in the management of member accounts by protecting the integrity of the data for PEBB and all agencies through:  Reduce paper process  Real time benefit information  Accurate enrollment information  Improved reporting functionality  Electronic enrollment data transfers between the state and insurance carriers pebb.benefitsThe Solution!

Page 3 The project has been divided into the following phases: 1.Agency Benefit Module: Allows agency staff and PEBB to enter and update benefit eligibility information directly into the pebb.benefits application online via a secure Web browser. 2.Member Benefit Module: Enables the PEBB members to manage their benefits online via a secure Web browser. Open enrollment, new employee benefit enrollment, and qualified status changes are a few of the features currently planned for this module. pebb.benefitsThe Structure

Page 4 PEBB Analysts BenefitHelp Solutions 100+ DAS Payroll / HR Agencies 7 OUS University Campuses pebb.benefits Prior to PDB 8 Carriers – 8 Different Databases

Page 5 Member Agencies and PEBB pebb.benefits PDB 8 Carriers – 8 Different Databases Oregon University System Oregon State Payroll System BenefitHelp Solutions PDB

Page 6  Help provide better customer service for PEBB members.  Allow better communication between the PEBB benefit analysts and agency staff through the use of common pebb.benefits interfaces.  Home Page: Messages, event notices, popular destinations.  Allow agency staff to continually access up-to-date PEBB business rules built into pebb.benefits to assure accurate and consistent information is provided to all parties.  Reduce agency workload (staff and temps) associated with annual open enrollment process and the continued enrollment processes throughout the year.  Provide agency and PEBB staff with reporting functionality to increase efficiencies in the management of member accounts. pebb.benefits System Benefits

Page 7  Go Live – January 2005  Agency and PEBB Module  Carrier Transmission  January to June 2005  Developing Member Module  July 2005  Member Module Testing  Agency and PEBB Staff training  August 2005  Go Live with Member module pebb.benefitsTimeline

Page 8  On going training to agency staff  Review of Enhancements pebb.benefitsOn going tasks

Page 9 THANK YOU ! Questions / Comments? pebb.benefitsWrap-up