Oregon Educators Benefit Board

Go to OEBB Website

General

• Employee Assistance Program
  (EAP)
• Coordination of Benefits Information
• Health Savings Account FAQs
• Long Term Care Insurance
• Notice Medicare Creditable Coverage
• ODS Preferred Drug Chart
• ODS Medical/Pharmacy/Dental Provider Search
• Wellness Programs

Rates/Summaries

• Rates 2012-2013
• Medical Plan Summaries 2012-2013
• Dental Plan Summaries 2012-2013
• Vision Plan Summaries 2012-2013

Forms

• Administrative & Confidential Sick Leave Participation
• Classified Sick Leave Bank Application
• Classified Sick Leave Bank Enrollment
• Licensed Personal Leave
• Licensed Sick Leave Bank Participation
• Dental Reimbursement Claim
• Medical/Vision Reimbursement Claim
• Pharmacy Reimbursement Claim
• OEBB Enrollment
• OEBB Mid Year Change Enrollment
• OEBB Appeal
• HSA Account Set Up
• 2 on Contract Form and Explanation
• Retiree Payment Authorization Form
• Sabbatical Leave Application, Teacher
• Short Term/Long Term Disability On-Line Claims
• Short Term Disability Printable Claim Packet
• Long Term Disability Printable Claim Packet
• Sick Leave Bank Request for Hours

Flexible Spending Plan

• Flexible Spending Account - Plan Document
• Flexible Spending Account - Plan Summary
• Amendment to FSA - Jan. 1, 2005
• Flexible Spending Account American Fidelity Summay Sheet

Domestic Partner Coverage

• Domestic Partner Coverage Q & A
• Domestic Partner Coverage
  Termination Form (Contact Benefits Office)
• Domestic Partner Affidavit
  (Contact Benefits Office)
• Domestic Partner Imputed Tax Rates
  2012-13 (Contact OEBB)

OEBB Mail-Order Prescription Program 

• About the Prescription Program
• Postal Prescription Services

Other Resources

• FMLA/OFLA Leave Application
• FMLA/OFLA Medical Certification
• FMLA/OFLA Medical Release
• FMLA Change Form
• Basic Life and AD&D Insurance Brochure
• Optional Life Insurance Brochure
• Optional AD&D Insurance Brochure
• Optional Long Term Disability Brochure
• Optional Short Term Disability Brochure

Handbooks

• Kaiser On-Line Handbook
• Kaiser Medical/Dental/Alternative Directory
• ODS On-Line Handbook

 Tax Sheltered Annuities

• Salary Reduction Agreement
  (Contact Payroll)
• Carruth Info