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2012-13 Supplemental Plans: Administrators & Non-Represented

Supplemental insurance benefits include coverage for Dental, Vision, and Life.

NOTE:  The Corvallis School District does not participate in OEBB options for dental, vision, and life insurance. Therefore, all paperwork for these selections must be directed to the Insurance/Benefits Office.


Information for New Hires
The District offers two "bundles" of supplemental benefits to Administrators and Non-Represented staff. Both options include dental, vision and life/long-term-disability (LTD)/accidental death (AD&D) coverage.  The only difference in these two options is the dental plan you choose.
 
Staff may also choose to "waive" the supplemental plans.
Full-time waiving: Complete the TPSC Waiver Form and Regence Enrollment/ Beneficiary Form
Part-time waiving: Complete the TPSC Waiver Form.

Plan Information:
           
           Dental Plan Comparison

                        1.
Trusteed Plans Service Corporation (TPSC) Dental and Vision Benefit Summary 
                        2.  Willamette Dental Group Dental Benefit Summary and TPSC Vision Benefit Summary

Life/ LTD/ AD&D/ EAP: LifeMap 
          Life, LTD, AD&D Coverage Summary 
                               

          Employee Assistance Program (Automatic Enrollment for all Employees)
          Contact MyRBH.com:  (866) 750-1327       
          Group Code:  LifeMap

        
Enrollment Forms & Helpful Links for Managing Your Plan:
                 
TPSC Plan Document and Ammendments
                 TPSC Dental & Vision Enrollment/Change Form
                 TPSC Dental & Vision Waiver

                 Willamette Dental Group Member Flyer
                 Willamette Dental Provider List

                 Willamette Dental & TSPC Vision Enrollment/Change Forms

                LifeMap  Life,LTD,AD&D Enrollment/Beneficiary Change Forms
                LifeMap Contributory Enrollment Form (for part time employees enrolling in benefits)


Claim Forms: 
                 TSPC Vision Claim Form

                 LifeMap Life Claim Form
                 LifeMap  LTD Claim Form
                 


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Quick Facts

The 2011-2012 CSD509J Benefit year is effective
 Oct. 1, 2011- Sept. 30, 2012.

The 2012-2013 Benefit year will be:
 Oct. 1, 2012- Sept. 30, 2013

Examples of a "qualified event" include: marriage, divorce, changes in domestic partnership status,death, newborn, adoption, loss of other group coverage, and part time to full time or full time to part time. Employees must notify the Benefits Office within 31 days of effective changes!

Don't forget to update your life insurance beneficiaries!

Your children qualify for benefits under your plan until the last day of the month in which they turn 26.

Questions?
Check out our Frequently Asked Questions.

Contact Us

Insurance & Benefits Office
Physical:
  1555 S.W. 35th St., Corvallis, OR 97333
Mailing:  P.O. Box 3509J, Corvallis, OR 97339
Phone:  541-757-5738
Fax:  541-750-7971
Staff:  Christine Hall, Payroll/Benefit Specialist