Benefits 2012 - 2013

Frequently used forms are near the bottom of this page and on the HR Forms Index.

OEBB Enrollment & MEMBER MODULE

PLAN SUMMARIES AND PLAN BOOKLETS

COCC offers the same medical/Rx, dental and vision plans for 2012-13 but there are some notable changes to the plans.
Plan Design CHANGES for all plans 2012-13 (note: COCC only has plans 5, 7, 8, 9 on this chart)

MEDICAL & PHARMACY PLANS:
Note: New 2012-13 handbooks will be available in October.

ODS Medical Plan Comparison 2012-13
ODS Plan 5 Handbook
ODS Plan 7 Handbook
ODS Plan 8 Handbook
ODS Plan 9 (HSA) Handbook

DENTAL PLANS:

Dental Plan Comparison 2012-13
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 2012-13:

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)
MLAP Enrollment Form (offered through the College)

OTHER BENEFITS:

Employee Assistance Program (EAP) through OEBB - Reliant Behavioral Health
MyRBH site for member login to EAP services (to register, use Group code: "OEBB")
List of EAP Providers

Tax Sheltered Annuities / 403(b) & 457(b) Plans
403(b) Tax-Deferred Investment Program Guide
Carruth - TSA Administration site

FREQUENTLY USED FORMS:

2012-13 Health Insurance Forms:
Reimbursement Forms -- ODS medical, dental, vision and pharmacy
All OEBB forms -- Link to OEBB forms page. Remember that any changes are made online through the OEBB member module

2012-13 Flexible Spending Account Forms - PacificSource (formally Manley Services):
Reimbursement Form (Health & Dependent Care)
Direct Deposit Enrollment Form
Status Change Form

CARRIER CONTACT INFORMATION

ODS HEALTHCARE

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 see:
http://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

WILLAMETTE DENTAL

Willamette Customer Service: 800-460-7644
Willamette web site: www.willamettedental.com/oebb

PACIFICSOURCE ADMINISTRATORS

PacificSource Administrators FSA Customer Service: 800-422-7038
PacificSource Administrators (formally Manley Services) web site & "MyFlex" http://www.manleyserv.com/

PacificSource Administrators - Eligible expenses list for 2012-13
PacificSource Administrators FSA - Enrollment Form 2012-13 (only required if you want health reimbursement or dependent care account(s). Premium is now automatically taken out pre-tax)

STANDARD (LIFE) INSURANCE

Standard (Life) Insurance Customer Service: 866-756-8115
Standard web site http://www.standard.com/mybenefits/oebb/
HSA BANK

HSA Employee Contribution Form
HSA Q&A Document
HSA Bank Website