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​​​Benefits​

 

18-19 HEALTH INSURANCE RATES

COBRA Rates.pdf

Domestic Partner Taxable Rates.pdf

Employee Deduction Rates.pdf

Employee Deduction - Employer Contribution Rates.pdf

Retired Employee Rates.pdf

Substitute (Certified Regular) Rates.pdf

Substitute (Certified Deployable) Rates.pdf

 

18-19 BENEFIT CHANGES

18-19 Kaiser Summary of Benefit Changes.pdf

18-19 Regence Summary of Benefit Changes.pdf 

 

18-19  BENEFIT PLAN SUMMARIES

18-19 Kaiser Medical Plan Summary.pdf

18-19 Kaiser Summary of Benefits and Coverage.pdf

18-19 Regence Purple Plan SBC

18-19 Regence Purple Medical Plan Benefits Summary

18-19 Regence Purple Dental Plan Benefits Summary

18-19 Regence Yellow Plan SBC

18-19 Regence Yellow Medical Plan Benefits Summary

18-19 Regence Yellow Dental Plan Benefits Summary

18-19 Regence Medical Plan Comparison.pdf

18-19 Regence Pharmacy High Cost Drug Exclusion.pdf

18-19 Regence VSP-Choice Vision Benefit Summary.pdf

18-19 Regence Special Beginnings

18-19 Regence Women's Preventive Health Care

18-19 Willamette Dental Summary.pdf

 

FEDERAL NOTICES

Children's Health Insurance Plan - CHIP

ERRP Notice

Grandfathered Plan

HIPPA Special Enrollment Rights

Lifetime Limit and Women's Health and Cancer Rights Act

Regence Blue Cross Women's Preventative Health Care

Medicare Creditable Coverage - All Health Plans

Newborns' and Mothers' Health Protection Act

 

OTHER BENEFIT SUMMARY SHEETS

Allegiance FLEX (FSA) Plan Summary

Allegiance On Line Claim Submittal

Regence Blue Cross Physical Medicine Program

Regence Blue Cross OptumRx Home Delivery Medications

Kaiser Alternative Care Benefits  

Kaiser Portland Clinic

Willamette Dental Provider List

Willamette Dental Notice of Privacy Practices

 

REGENCE BENEFIT BOOKS 17-18 (18-19 Available in September)

Regence Blue Cross  Purple Medical Book

Regence Blue Cross Purple Dental Book

Regence Blue Cross Yellow Medical Book

Regence Blue Cross Yellow Dental Book

 

FORMS

Allegiance FLEX 125 Enrollment Form

Automatic Withdrawal From Checking/Savings Account Form

Regence Blue Cross Enrollment-Change Form.pdf

Regence Blue Cross Domestic Partner Affidavit

Kaiser Enrollment/Change Form

Kaiser Dependent Out Of Area Form

Kaiser Domestic Partner Affidavit

Willamette Dental Enrollment/Change Form