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.

Employee Rate Charts

12 Check Prorate/Employee Cost Sheet
10 Check Prorate/Employee Cost Sheet

 Information for New Hires
The District offers two "bundles" of supplemental benefits to Classified staff. Both options 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" te supplemental plans.
Full-time waiving: Complete the TPSC Waiver Form and LifeMap (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 Summary 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 Form

                        Willamette Dental Group Plan Details
                        Willamette Dental & TSPC Vision Enrollment/Change Forms

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

             Claim Forms:
                        TPSC Vision Claim Form

                        LifeMap (Regence) Life Claim Form
                        LifeMap (Regence) LTD Claim Form

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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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