Full-Time Benefits

You have the choice of three medical plans to choose from. This plan is a High Deductible Health Plan (HDHP) eligible for a Health Savings Account (HSA). An HSA allows you to set aside pre-taxed money into a bank account owned by you to pay for medical expenses. Columbus State contributes up to $1,000 for single coverage and $2,000 for family coverage into your HSA.

Plan Name: HDHP/HSA Plan
Renewal Period: Fiscal Year
Plan Period: Deductible and Out of Pocket run on a calendar year
Group Number: 708233
Carrier: UnitedHealthcare

UnitedHealthcare Customer Service
Phone: 866-633-2446
URL: https://www.myuhc.com/member/prewelcome.do

Financial Institution for Columbus State HSA Accounts
If you enroll in the HDHP, you will need to open an account with Optum Bank in order to receive the College's HSA contributions.

URL: https://www.optumbank.com/

• Optum Bank Brochure
• Optum Bank User Guide
• Optum Rollover or Transfer Request Form

Plan Documents

• Dependent Eligibility and Required Documentation (required to be eligible for coverage)
• Domestic Partnership Affidavit
• COBRA Notice
• HIPAA Special Enrollment Notice
• Medicare Notice
• Pharmacy Preventative Medication List (medications on this list are not subject to the deductible under the HDHP)
• HSA Form
• Summary of Benefits - Medical HSA-HDHP (Employee Only)
• Summary of Benefits - Medical HSA-HDHP (Employee Plus Family)
• HSA Plan Benefit Summary - Prescription: ALL

Plan Name: Core PPO Plan
Renewal Period: Fiscal Year
Plan Period: Deductible and Out of Pocket run on a calendar year
Group Number: 708233
Carrier: UnitedHealthcare

UnitedHealthcare Customer Service
Phone: 866-633-2446
URL: https://www.myuhc.com/member/prewelcome.do

Plan Documents

• Dependent Eligibility and Required Documentation (required to be eligible for coverage)
• Domestic Partnership Affidavit
• COBRA Notice
• HIPAA Special Enrollment Notice
• Medicare Notice
• Summary of Benefits - Core PPO: CSEA, FOP, Staff, Admin
• Core PPO SPD: CSEA, FOP, Staff, Admin
• Core PPO Benefit Summary - Prescription: ALL

This plan allows you the option to pay a premium that is aligned with your family size. This plan provides a tiered approach that allows coverage to be more affordable based on the amount of people enrolled in the plan.

Plan Name: Tiered PPO Plan
Renewal Period: Fiscal Year
Plan Period: Deductible and Out of Pocket run on a calendar year
Group Number: 708233
Carrier: UnitedHealthcare

UnitedHealthcare Customer Service
Phone: 866-633-2446
URL: https://www.myuhc.com/member/prewelcome.do

Plan Documents

• Dependent Eligibility and Required Documentation (required to be eligible for coverage)
• Domestic Partnership Affidavit
• COBRA Notice
• HIPAA Special Enrollment Notice
• Medicare Notice
• Summary of Benefits - Tiered PPO
• Tiered PPO Plan SPD
• Tiered PPO Benefit Summary - Prescription

Plan Name: Delta Dental PPO Benefits
Renewal Period: Fiscal Year
Plan Period: Deductible and Maximum run on a calendar year, Ortho is a lifetime maximum.
Group Number: 0007414
Carrier: Delta Dental

Eligibility: Full-time employees regularly working at least 40 hours per week are eligible for coverage as of their date of hire. Employees may enroll in dental coverage for themselves or and/or their family.

Delta Dental Customer Service
Phone: 800-524-0149
URL: www.deltadentaloh.com

Plan Documents

• Dental Benefits Summary
• Dental Buy-up Benefits Summary

Plan Name: Vision Benefits
Coverage Period: College Fiscal Year
Group Number: 30008366
Carrier: VSP

Employees may enroll in vision benefits for themselves and their family.

VSP Customer Service
Phone: 800-877-7195
URL: https://vsp.com/home.html

Plan Document

• Vision Benefits Summary 

Offered through Nationwide Insurance

Additional Information

How to Apply
Product Flyer
Plan Summary
Avian Exotic Pets

Offered through Allstate

Additional Information

Pro+ Product Flyer
Pro+ Product Summary
Subscriber FAQ
User Guide
Elder Fraud Center