2010 – 2011
(October 1, 2010-September 30, 2011)

OEBB will be mailing you information concerning open enrollment for the 2010-2011 plan year.  Please read plan summaries carefully as there have been significant changes made to ALL plans.  Please remember that each employee is responsible for their own insurance enrollment.  If you fail to enroll, you risk losing coverage.   Candace McGowne and Donna Thomas will be offering enrollment assistance in the Milner Crest Tech Lab at the following times:
August 16th  9:00-11:00 am
August 17th  2:00-4:00 pm
August 18th  11:00 am-2:00 pm
August 25th  9:00-11:00 am
September 1st  2:00-4:00 pm
September 10th 3:30-5:30 pm
September 15th  3:30-5:30 pm


INSURANCE CARRIERS

ODS Health Plan
http://www.odscompanies.com/oebb/
OEBB ODS Medical / Vision: 1-866-923-0409
OEBB ODS Dental: 1-866-923-0410
OEBB ODS Pharmacy: 1-866-923-0411

Providence Health Plan
http://www.providence.org/resources/oebb/
Providence Medical:  1-800-878-4445

Standard Insurance
http://www.standard.com/mybenefits/oebb/
Life, AD&D, Short Term Disability or Long Term Disability coverage: 1-866-756-8115

My OEBB
(view your plan selections, make an address change, etc.)
https://myoebb.org/oebb/!pb.main


INSURANCE FORMS

If you have a “Life Change” and need to add or remove a dependent from your coverage, you must fill out the appropriate paperwork (forms below) within 30 days of qualifying event.  Life changes include adding or removing dependents due to marriage, divorce, birth, adoption, change in domestic partner status, etc.  Return completed forms to the Personnel Office within the required timeline.  If you have any questions you may contact Donna Thomas at  DonnaT@coos-bay.k12.or.us

OEBB Insurance Enrollment Change Form
Life and Disability Enrollment and Change
Affidavit of Dependency
Affidavit of Domestic Partnership
Termination of Domestic Partnership


BENEFIT SUMMARIES

Coos Bay Education Association
representing our Licensed staff members

MEDICAL
providence 2A
providence pharmacy
ODS 3
ODS 4
ODS 6
ODS pharmacy

DENTAL
ODS 1
ODS 2
ODS 4
ODS ortho

VISION
ODS 2

Premium Calculators
Calculator – Licensed 10-11
Calculator – Licensed RETIREES 10-11


Oregon School Employees Association
representing our Classified staff members

MEDICAL
providence 2
providence pharmacy
ODS 3
ODS 5
ODS 8
ODS pharmacy

DENTAL
ODS 2
ODS 4
ODS 6

VISION
ODS 2

Premium Calculator
Calculator – Classified 10-11
Calculator – Classified RETIREES 10-11


Coos Bay Administrator’s Association
representing our Administrative staff members

MEDICAL
providence 2
providence pharmacy
ODS 4
ODS 5
ODS 6
ODS pharmacy

DENTAL
ODS 1
ODS 2
ODS 4
ODS ortho

VISION
ODS 3

Premium Calculator
Calculator – Administrative 10-11
Calculator – Administrative RETIREES 10-11

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