Full-Time Benefits

The HDHP has a high deductible and a lower out of pocket maximum. Office visits and prescription drugs are paid at 90% after the deductible. Employees are eligible to open a health savings account to save pre-tax dollars. Columbus State contributes up to $1,000 for single or $2,000 for family coverage.

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
• SPD - Choice Plus HDHP Single Plan EE Only
• SPD - Choice Plus HDHP HSA Plan
• HSA Plan Benefit Summary - Prescription: ALL

The Tiered PPO Plan has a lower deductible and higher out of pocket maximum. This plan includes copays for office visits and prescription drugs. The contributions are a four-tier structure, so employees can choose the option that best fits their needs and allows them to potentially save on contribution cost. 

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
• SPD - Tiered PPO Medical Plan
• 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 LifeLock

Additional Information

General product information - Microsite: norton.com/premierplus 
Once enrolled, need to set up online account - https://norton.com/ebsetup
Accessing online account once online credentials set up - my.norton.com

Member Services
Phone: 800-607-9174
*Dedicated agents available 9a-7p EST

Member Support Flyer
LifeLock Presentation 2024