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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

Early Retiree Reinsurance Program-EERP Notice.pdf

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.pdf

Allegiance Flex 125 On Line Claim Submittal.pdf

Regence Physical Medicine Program - Oregon.pdf

Regence Optum Rx Mail Order.pdf

Kaiser Alternative Care Benefits

Kaiser Portland Clinic.pdf

Willamette Dental Provider List.pdf

Willamette Dental Notice of Privacy Practices

 

REGENCE BENEFIT BOOKS 18-19

18-19 Regence Blue Cross Option 1 Purple Dental Book.pdf

18-19 Regence Blue Cross Option 1 Purple Medical Booklet.pdf

18-19 Regence Blue Cross Option 2 Yellow Dental Book.pdf

18-19 Regence Blue Cross Option 2 Yellow Medical Book.pdf

 

FORMS

Auto Checking-Savings Deduction Form.pdf

18-19 Allegiance Flex 125 Enrollment Form.pdf

Regence Blue Cross Enrollment-Change Form.pdf

Regence Blue Cross Domestic Partner Affidavit

Kaiser Enrollment and Change Form.pdf

Kaiser Dependent Out Of Area Form

Kaiser Domestic Partner Affidavit

 Willamette Dental Enrollment and Change Form.pdf