Frequently used forms are at the bottom of this page and on the HR Forms Index.
OEBB Enrollment & MEMBER MODULE
Visit: https://myoebb.org/oebb/!pb.main
CARRIER CONTACT INFORMATION:
ODS Customer Service: 866-923-0409 ODS web site & "MyODS" http://www.odscompanies.com/oebb/
ODS Provider Search (Select "ODS Plus Network" for medical and "Delta Dental Premier" for dental)
PHARMACY: To view the ODS Drug lists and check for drugs requiring pre-authorization use this linkhttp://www.odscompanies.com/oebb/pharmacy.shtml.
ODS Mail Order Pharmacy EnrollmentInformation: Postal Prescription Services (PPS) mail-order pharmacy form can be printed or you may call 800-552-6694 to enroll.BioScrip mail-order pharmacy form can be printed or you may call 877-316-8921 to enroll.
Other FREE ODS plan programs:
ODS Health Tools including "Contact a health professional by email or phone"
ODS Smoking Cessation Program - Enroll Now
ODS Weight Management Program - Variety of tools and links from this page
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Willamette Customer Service: 800-460-7644 Willamette web site: www.willamettedental.com/oebb
Manley FSA Customer Service: 800-422-7038
Manley web site & "MyFlex" http://www.manleyserv.com/REIMBURSEMENT FormEligible Expenses List for 11-12 (18 pages!)
Manley/FSA - ENROLLMENT FORM 2011-12 (only required if you want health reimbursement or dependent care account(s). Premium is now automatically taken out pre-tax)
Standard (Life) Insurance Customer Service: 866-756-8115
Standard web site http://www.standard.com/mybenefits/oebb/
PLAN SUMMARIES AND PLAN BOOKLETS:
Plan Design CHANGES for all plans (note COCC only has plans 5, 7, 8, 9 on this chart)
Plan Comparison Chart
MEDICAL & PHARMACY PLANS:
ODS Plan 5 Summary($300 ded) ODS 5 Handbook
ODS Plan 7 Summary($500 ded) ODS 7 Handbook
ODS Plan 8 Summary($1000 ded) ODS 8 Handbook ODS Plan 9 (HSA) Summary($1500 ded) ODS 9 Handbook HSA Q&A Document HSA Employee Contribution Form
ODS Pharmacy Plan Summary for ODS Medical Plans only
DENTAL PLANS:
ODS Dental Plan 2 Summary ODS Dental Handbook
Willamette Dental Plan 8 with Ortho Willamette FAQ - service information
VISION PLAN:
ODS Vision Plan 2 Summary ODS Vision Handbook
LASIK staff discount from Restore Vision Centers call for details 1-877-508-2020
RATE SHEETS 2011-12:
Full-Time Employees - Composite Rates
Part-Time .50 FTE - Tiered Rates
Part-Time .75 FTE - Tiered Rates
Retiree - Tiered Rates - Entire Premium
OPTIONAL BENEFITS:
Optional life insurance through Standard Insurance
Standard Insurance Optional Life Insurance Rates
Standard Insurance Optional AD&D Insurance Rates
Optional Long-term Care Insurance through Unum
Unum Long Term Care - Rate Sheet
Medical Leave Assistance Program (MLAP) (offered through the College)
OTHER BENEFITS:
Employee Assistance Program (EAP) through OEBB - Reliant Behavioral Health
MyRBH site for member login to services (to register, use Group code: "OEBB")
List of EAP Providers
Tax Sheltered Annuities / 403(b) & 457(b) Plans403(b) Tax-Deferred Investment Program Guide Carruth - TSA Administration site
FREQUENTLY USED FORMS:
11/12 Health Insurance Forms:Reimbursement Forms -- ODS medical, dental, vision and pharmacyAll OEBB forms -- Link to OEBB forms page. Remember that any changes are made online through the OEBB member module
11/12 Flexible Spending Account Forms - Manley Services:Reimbursement Form (Health & Dependent Care)Direct Deposit Enrollment FormFSA Change Form (qualifying events; name or address changes only)