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Health Plans

The OWA has been pleased to offer medical insurance to its members (women and men) for over 25 years. Our plans are available to women and men, individuals and firms, in architecture and other design fields. The plans allow individuals access to a group coverage which can offer significant advantages over an individual plan.

Currently, we offer our members the choice between six health plans with Health Net of California:
1. Full Network HMO Gold
2. Platinum 90 PPO 0/15
3. Gold 80 PPO 0/30
4. Silver 70 PPO 2000/45
5. Silver 70 EPO 2000/20
6. PPO Bronze HSA

If you would like an estimate of your costs, you can use this easy QUOTE SHEET.
Download the sheet from the posted link:
Tab STEP 1 - fill in the information according to the instructions
Tab STEP 2 - Quote will be shown according to the information provided.

Please contact our plan administer Anne Jakiemiec of Northgate Benefits if you have any additional questions.

Health Net of California has:
  • a network of nearly 49,000 contracted physicians
  • 570 physician group locations and 4,400 pharmacies
  • a solid base of 2.5 million members A.M. Best Rating of A- (Excellent)

To see if your providers are in a network with Health Net, please check with your doctor or visit the Health Net Website. The OWA insurance is treated by Health Net the same as any employer group plan.

Our contract with Health Net renews every May 1 when the rates and benefits are subject to change. New OWA members can join the health plan at any time, effective the first of the month following their membership in the OWA. Current OWA members in good standing who are not currently enrolled may join the health plan at open enrollment effective every May 1. Members may also join outside of open enrollment during the year if they can provide a HIPAA Certificate showing loss of other group coverage within 31 days of the loss of that other coverage.

The HMO plan allows individuals to join a group plan regardless of pre-existing conditions. The PPO plan, like all PPO plans, has a 6 month pre-existing condition clause i.e. the plan would not cover pre-existing conditions until 6 months after a member joins. Health Net will give members credit for time enrolled in previous creditable coverage so long as there has not been a lapse in coverage for more than 63 days.

If an individual joins the plan as a member of a firm, and then leaves the firm, he or she can continue the insurance as an individual at the same rate, as long as they maintain the premium payments.

Firms can enroll some members in one plan and some in the other if they wish.

Each participant must maintain a regular yearly membership in the OWA in addition to plan payments.

Some of our members have been with the plan for 25 years since it was started and the feedback on the coverage is very positive.

12/01/17-11/30/18 Health Plans

Please download the spreadsheet at the link below for health plan cost estimates. Follow the instructions in the tab STEP 1.

Health Plan Cost Sheet

For more information regarding our medical insurance options, please contact Anne Jakiemiec with our plan administrator, Northgate Benefits.

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