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Insurance Documents

Visit OEBb Website 

Mandatory Enrollment for 2021

You will need to log in to MyOEBB and elect or waive your benefits this plan year. You must elect or waive your benefits by September 15th. If you do not log in to your MyOEBB  account and select your benefits you will not have coverage effective October 1, 2021.

New for 2021-22 Open-Enrollment

OEBB/MODA Benefit Brochure

MYOEBB Enrollment Guide

Certified Information

Classified Information 

Medical/RX, Dental and Vision Plan Designs for 2021-22

EAP Services

Medical/Dental/Vision Premium Rates  (Use Composite Rated Group Column)

My OEBB Member Module - Visit this link to complete your Open Enrollment Online

Guidance Documents

2021-22 Coverage Calculator

My MODA Online

MODA Health Member Claim Forms

Affidavit of Domestic Partnership

Additional OEBB Design & Rate Information


Health Savings Account (HSA) and Flexible Spending Account (FSA)

District 7 Direct Deposit Form


Opt Out Form

Health Insurance Opt Out Form


Required Notices

OEBB Required Notices

Contact Us

For any insurance questions, please contact Erinn Fralich or Rose Cronin at:

Hart Insurance Agency
321 SE I Street
Grants Pass, OR 97526

Other Resources

2020-21 Weight Watchers Program (through OEBB)

Weight Watchers Gateway

2020-21 Tobacco Cessation Program (through OEBB)

Call 1-866-QUIT-4-LIFE 

2020-21 Depression Management  (invitation code: OEBB227)

2020-21 Employer Assistance Program(through OEBB)

Call 866-750-1327 or click here