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2011-12 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.

Employee Rate Charts
10 Check Prorate/Employee Cost Sheet

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/Vision Options (all employees)
          
Dental Plan Comparison

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

Life/LTD/AD&D/EAP: LifeMap (previously known as Regence LIfe and Health)
             
Life, LTD, AD&D Coverage Summary
             MEDEX Plus Travel Benefit 

      Employee Assistance Program (Automatic Enrollment for all Employees)
             Contact: RBH 1-866-750-1327 Access Code: RLH

            Enrollment Forms & Helpful Links for Managing Your Plan:
                      
                         
TPSC Dental & Vision Group Plan Details
                         TPSC Dental & Vision Enrollment/Change Form
                         TPSC Dental & Vision Waiver

                         
Willamette Dental Group Plan Details
                         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        

Under Construction

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.

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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