2012-13 Supplemental Plans: Certified Staff

Supplemental insurance benefits include coverage for Dental, Vision, and Life. All paperwork for these selections must be directed to the Insurance/Benefit Office.

Information for New Hires
The District offers two "bundles" of supplemental benefits to Certified staff. Both bundles include dental, vision and life/ long-term disability (LTD) / accidental death & dismemberment (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

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

               Employee Assistance Program (Automatic Enrollment for all Employees)
               Contact: RBH 1-866-750-1327
               Access 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 Form
                         LifeMap Contributory Enrollment Form (for part time employees enrolling in benefits)

            Claim Forms:
                        TPSC 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. 35^th 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