New Insurance Coordinators
OSEEGIB would like to thank you in advance for taking the time to learn the rules, regulations, forms, and electronic systems needed to be an effective Insurance Coordinator for your employer and employees. We understand your duties as Insurance Coordinator (IC) are just some of your responsibilities and will try to make your continuing experience with us as easy as possible.
The Oklahoma State and Education Employee Group Insurance Board (OSEEGIB) is a division of the Office of State Finance. OSEEGIB was created and is governed by Oklahoma law for the purpose of providing health, dental, life, and disability benefits to employees of Oklahoma state, education, local government, and other eligible employers and their retirees as determined by state statutes.
OSEEGIB Member Services is the division charged with assisting employees and Insurance Coordinators with the annual Option Period, answering benefit and eligibility questions, and providing general information regarding insurance coverage for the plans offered through OSEEGIB.
For general questions, contact OSEEGIB Member Services at 1-405-717-8780 or toll-free 1-800-752-9475, Monday through Friday from 7:30 a.m. to 4:30 p.m. Central time. TDD users call 1-405-949-2281 or toll-free 1-866-447-0436.
OSEEGIB has many resources available to help you. These resources include:
- Your Member Services Representative - Your representative is your most valuable resource. They are assigned to your account to act as your personal, go-to-source for guidelines, eligibility, forms, meetings, and all other group insurance related information. Keep your representative’s contact information handy for the times you or one of your employees requires assistance. The easiest way to contact your representative directly is through email. Correspondence must include the employee’s name and Member ID number or the last four digits of their Social Security number. Due to privacy issues, please do not include an employee’s complete Social Security number.
- The OSEEGIB web page at www.sib.ok.gov or www.healthchoiceok.com - The OSEEGIB website includes links to request materials, the IC page, access the FAQ, OSEEGIB Board meeting dates, OSEEGIB Rules, legal notices, etc.
- The OSEEGIB Insurance Coordinator web page - While most forms and information can be accessed through the OSEEGIB website and IC web page, some information; such as certain COBRA forms can be accessed only by registering and logging onto the OSEEGIB web application.
- The IC Option Period meetings - These meetings are held throughout the state, beginning in September and provide information about your employee’s insurance options for the coming plan year.
To assist our Insurance Coordinators (ICs) further, classes or training are held periodically. These opportunities include:
- New IC Training - This is the initial training webinar you can register for through the OSEEGIB calendar. You can also request that your representative come to your site for a one-on-one session. The class includes the information from this manual and provides the basic information you need to successfully perform your duties as an IC.
- Web Enrollment Training - This is the second training session you should take as an IC. After this training is completed, you will be allowed to complete your enrollments, re-enrollments, and eligibility changes through the OSEEGIB web application instead of having to mail or fax forms to OSEEGIB.
- Spring Training - Each spring a “refresher course” is held for any IC who wishes to attend. This is also an opportunity to voice comments, suggestions, or criticisms you have about the plans available through OSEEGIB or the materials provided to you and your employees.
Employees can enroll in their choice of plan depending on the benefits available through your employer. The benefits available may include health insurance, dental insurance, term life insurance, vision insurance, and disability insurance (available only to state and county employers).
The health insurance options include indemnity plans and Health Maintenance Organizations (HMOs).
- An indemnity plan is a traditional fee-for-service insurance plan that allows its members to visit any licensed health care professional without a referral. Members are responsible for deductibles and coinsurance and a calendar-year out-of-pocket limit typically applies. Once the out-of-pocket limit is reached, the plan typically pays 100% of all allowed charges for covered services for the rest of the year.
- An HMO is a type of managed care plan. Members of an HMO must select a primary care physician who manages and coordinates all of their health care needs. HMO’s are typically available only in certain ZIP Code services areas.
The premiums for the plans offered through OSEEGIB are decided during the August meeting of the Board. You can access the premium rate charts through the OSEEGIB website.
Throughout this IC Manual, you will find checklists. These checklists are designed to help you make sure that all procedures for certain responsibilities are completed.