Health Benefits 2013 - 2014
Frequently used forms are near the bottom of this page and on the HR Forms Index.
OEBB Enrollment & MEMBER MODULE
Visit: https://myoebb.org/oebb/!pb.main
Calendar of Events - Open Enrollment
Frequently Asked Questions for 2013-14 Open Enrollment
IMPORTANT NOTE: You must enroll in an OEBB medical, dental and/or vision plan during this
open enrollment period to have medical, dental and/or vision coverage for yourself and/or
your family on or after October 1, 2013.
PLAN SUMMARIES AND PLAN BOOKLETS
Please be aware there are some notable changes to the plans.
Plan Design CHANGES for all plans 2013-14 (note: COCC only has plans B, C, D, E, H on this chart)
PLAN COMPARISONS:
Moda Health Medical Plan Comparison 2013-14
Moda Health Medical Plan B Comparison
Moda Health Medical Plan C Comparison
NEW Moda Health Medical Plan D
Moda Health Medical Plan E Comparison
Moda Health Medical Plan H Comparison
MEDICAL & PHARMACY PLANS:
Note: New 2013-14 handbooks will be available in October.
Moda Health Plan B Handbook (Coming in October)
Moda Health Plan C Handbook (Coming in October)
Moda Health Plan D Handbook (Coming in October)
Moda Health Plan E Handbook (Coming in October)
Moda Health Plan H (HSA) Handbook (Coming in October)
Moda Health Plan B Summary ($350)
Moda Health Plan C Summary ($500)
Moda Health Plan D Summary ($750)
Moda Health Plan E Summary ($1,000)
Moda Health Plan H Summary (HSA)
DENTAL PLANS:
Dental Plan Comparison 2013-14
Moda Health Dental Handbook (Coming in October)
Willamette
Dental Plan 8 with Ortho
Willamette FAQ - service information
VISION PLAN:
Moda Health Vision Plan 2 Summary
Moda Health Vision Handbook (Coming in October)
LASIK staff discount from Restore Vision Centers call for details 1-877-508-2020
RATE SHEETS 2013-14:
Full-Time Employees - Composite Rates
Part-Time .50 FTE - Tiered Rates
Part-Time .75 FTE - Tiered Rates
Retiree - Tiered Rates - Entire Premium
HEALTHY FUTURES:
See if Healthy Futures is right for you and your family!
Looking for ways to fulfill your two Wellness requirements?? Try Staff Wellness!!
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:
2013-14 Health Insurance Forms:
Reimbursement Forms -- Moda Health 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
2013-14 Flexible Spending Account Forms - PacificSource:
Reimbursement Form (Health & Dependent Care)
Direct Deposit Enrollment Form
Status Change Form
CARRIER CONTACT INFORMATION
Moda Health HEALTHCARE
Moda Health Customer Service: 888-374-8907
Moda Health web site & "Login to myModa"
Moda Health Provider Search
Pharmacy:
To view the Moda Health Drug lists and check for drugs requiring pre-authorization see:
Moda Health Mail Order Pharmacy Enrollment Information:
Postal Prescription Services (PPS) mail-order pharmacy form can be printed, visit the website, or you may call 800-552-6694 to enroll.
Other FREE Moda Health plan programs:
- Cardiac Care Program
- Health Coaching
- Depression Care Program
- Diabetes Care Program
- Lifestyle Coaching Program
- Women's Health and Maternity Care Program
- Respiratory Care Program
- Spine & Joint Care Program
- Weight Care Program
Simply login to "myModa" for enrollment/participation information!
WILLAMETTE DENTAL
Willamette Customer Service: 855-433-6825
Willamette Dental Website
PACIFICSOURCE ADMINISTRATORS
PacificSource Administrators FSA Customer Service: 800-422-7038
PacificSource Administrators web site & "MyFlex"
PacificSource Administrators - Eligible expenses list for 2013-14
PacificSource Administrators FSA - Enrollment Form 2013-14 (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 Website
HSA BANK
HSA Employee
Contribution Form
HSA Q&A Document
HSA Bank Website