Special Edition

Still Waiting for your SEHI Check or Statement?

“Nothing is more intolerable than to have to admit to yourself your own errors.”
— Ludwig van Beethoven

Last week, we reported that your October SEHI and individual commission payment would be issued as scheduled on October 4. However, we’ve just been informed by our check printing vendor that they did not actually release the statements and checks until yesterday, October 10.

If you receive commissions by direct deposit, your funds should have cleared your account last week, and your statement will arrive in the next few days. If you receive commissions via paper checks, you can expect to receive your commission check(s) and statement(s) within the next few days.

Please note that the problem this time was completely unrelated to our new computer system, and was simply a miscommunication with our new check printing vendor.

Once again, we thank you for your continued patience and your business. If you have any questions, please feel free to contact your PacificSource Sales Representative.

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Benefit Changes Coming Soon

From time to time, we make changes to our health plan benefits to keep them in line with market demands and regulatory requirements. We are preparing a number of Oregon group health plan changes, that will begin with January 1 renewals. A benefit change letter to large groups and a similar letter to small groups will be sent with renewal notifications. The letter advises plan administrators to copy and distribute the benefits change letter to their covered employees as advance notice of the upcoming plan change. After each group’s renewal date, we will provide updated benefit materials for all employees.

The following summarizes the major changes to covered services:

• Benefits for physical and occupational therapy will expand to also include coverage for developmental delays and disorders.
   
• Benefits for prosthetic and orthotic devices will expand to also include coverage for devices that are medically necessary to restore or maintain the ability to complete activities of daily living or essential job-related activities, and that are not solely for comfort or convenience. For details, see the benefit change letters (links provided in paragraph above).
   
• Benefits for foot orthotics, including related charges for evaluation and casting, will no longer be subject to a $500 lifetime maximum benefit.
   
• Covered services for therapeutic radiology services, chemotherapy, or renal dialysis will include a prescribed, orally administered anticancer medication used to kill or slow the growth of cancerous cells.

In addition to these benefit changes, the definition for a small employer will be modified, effective January 1, 2008, to include employers that employed an average of at least two but not more than 50 employees during the preceding calendar year. For employer groups previously not defined as a small employer (typically those employers with 26 to 50 employees), PacificSource must apply small employer premium methodologies (as prescribed in law for small employer groups). The new rating methodologies will impact groups as they renew on or after April 1, 2008.

If you have questions about the benefit changes, you’re welcome to contact your PacificSource Sales Representative.

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Eugene
(541) 687-7047 or toll-free (877) 657-9797
fax (541) 485-0915
Troy Kirk, Vice President Sales and Marketing
Doug Sheffer, Eugene Regional Manager

Bend
(541) 330-8896 or toll-free (888) 877-7996
fax (541) 330-8948
John Wright, Bend Regional Manager

Boise
(208) 342-3709 or toll-free (888) 492-2875
fax (208) 342-4508
Dave Ewers, Boise Regional Manager

Medford
(541) 858-0381 or toll-free (800) 899-5866
fax (541) 858-0486
Fred Cornett, Medford Regional Manager

Portland
(503) 699-6561 or toll-free (877) 657-9797
fax (503) 697-1075
Dennis Reed, Portland Regional Manager

Manley Services
(541) 485-7488 or toll-free (800) 422-7038
fax (541) 681-8792
or toll-free (800) 575-1109
Stan Manley, President

Select Benefit Administrators
(503) 598-8908 or toll-free (888) 532-5332
fax (503) 598-0197
Nancy Louris, President