1. Union public schools Open enrollment highlights
Plan Year: January 1, 2018 – December 31, 2018
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2. Summary of changes taking effect January 1, 2018
This will be Union’s first Open Enrollment in the fall. Open Enrollment will occur each fall for changes to take effect January 1st. The changes you make now will be in effect January 1, 2018 through December 31, Deductibles for the medical and dental plans will continue to be on the calendar year and the vision plan will change to a calendar year benefit beginning January 1, 2018.
Calendar Plan Year
Effective January 1, 2018 the TPA will be UMR instead of HealthSmart. New medical ID cards will be issued prior to January 1st. All standard copays, deductibles and co-insurance will remain the same.
PPO Plan - Changing Third Party Administrator
Along with a new TPA there will also be a new provider network. The new network will be UnitedHealthcare Choice Plus. Moving to this network should cause minimal disruption. The new provider directory is available at
PPO Plan – Changing Network
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3. Summary of changes taking effect January 1, 2018 (continued)
The LabCard program will be ending December 31, Quest Diagnostics and DLO will no longer be in-network. Beginning January 1, 2018 all in-network covered outpatient lab work will be paid at 100%. In-network providers include Regional Medical Lab (RML) and LabCorp.
LabCard Program
The MyDecision Program currently administered by HealthSmart will change names to the MyChoice Program. Oklahoma Surgical Hospital will administer the program and will also be in-network. All services and treatment at Oklahoma Cancer Specialists and Research Institute will continue to be paid at 100% through the program.
MyDecision Program
Effective October 1, 2017 – 100% plan paid oral appliances for mild to moderate sleep apnea. (918)
Riverwalk Dental Spa – Oral Sleep Apnea Devices
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4. PPO medical Plan HIGHLIGHTS - in network
NO RATE
CHANGE
In Network Individual Deductible
$250
90% In Network Coverage
$2,000 In Network – Out of Pocket Max
$25 copay -Primary Care/Specialist Office Visit
$50 copay - Urgent Care
100% paid outpatient lab work for covered labs.
Envision Imaging provides MRI’s, CT scans and x-rays at a reduced cost.
The MyChoice program is a voluntary benefit that members can utilize to receive covered surgery, medical services and cancer treatment with no co-pays, co-insurance, or deductible costs. This program is available through Oklahoma Surgical Hospital and Oklahoma Cancer Specialists and Research Institute.
$5 copay for generic prescriptions
$35 copay for brand name prescription
20% copay for prescriptions costing $1,000 or more (30 day supply)
Coverage Level
Monthly Premium
Single $0
Employee + Spouse
$555
Employee + Children
$300
Employee + Family
$700
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5. The clinic for union employee health operated by ou physicians-tulsa
Clinic Hours:
Monday – Friday
8 am to Noon
1 pm to 5 pm
Clinic Location:
5656 S. 129th E. Ave.
Building C
Tulsa, OK 74134
Schedule An Appointment:
(918)
Copays:
$5 – Union PPO Plan
$10 Part-Time Uninsured Union Employees
Varies – Employees Insured Outside Union
Our Services
Acute Care
Routine Medical Care
Chronic Disease Management
Comprehensive Physical Exams
Well Woman Exams
Referrals for Specialty Care
Wellness Education
Preventative Care
EKG’s
Laboratory Services
Immunizations
Nurse Only Visits
Hearing Screenings
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6. Dental Plan – Delta Dental of OK
Vision Plan – VSP
Dental Plan – Delta Dental of OK
Exam & Materials Plan – Includes an eye exam for a $10 copayment plus a materials allowance for glasses ($25 copayment) or contacts.
Exam Only Plan – Covers 1 vision exam per plan year for a $25 copayment.
100% - Preventative services (exams, x-rays and cleanings
90% PPO/80% Premier Basic services (fillings, etc.)
60% - Major services (crowns, bridges, dentures, dental implants, extractions, root canals)
50% - Orthodontia up to $2,000, adults & children, Lifetime Maximum
$100 deductible each calendar year (waived for preventative services)
Coverage Level
Monthly Premium
Single – Exam Only
$0.00
Single – Exam & Materials
$9.30
Family – Exam Only
$0.84
Family – Exam & Materials
$20.70
Coverage Level
Monthly Premium
Employee Only
$0.00
Employee + One
$61.98
Employee + Family
$96.22
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NO RATE CHANGES

7. Qualifying Events
Open Enrollment is your opportunity to makes changes to your current elections. These changes go into effect January 1, 2018 and stay in effect until December 31, 2018.
The only way to make changes mid-year is with an IRS defined qualifying event, including, but not limited to: marriage, divorce, birth/adoption of a child, death of a spouse, losing or gaining other medical coverage.
Should you experience a qualifying event, please notify the Benefits Office within 31 days to make any appropriate changes. If the Benefits Office is not notified within 31 days the law prohibits you from making any changes until the next available Open Enrollment or upon experiencing another qualifying event.
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8. Thank you.
You have just reviewed the highlights for the current Open Enrollment period. If you would like to make changes to your benefit elections shown on your Personal Benefit Form or need to re-enroll for a Flexible Spending Account, you will need to access the online enrollment system at
If you have any questions, please feel free to contact the Human Resources department at