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Insurance Documents

NEW Paid Family Leave

How to File a Paid Family and Medical Leave Claim

PFML Claim Form

Mandatory insurance Enrollment for 2023

Visit OEBb Website 

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, 2023.

2023-24 Open-Enrollment

OEBB/MODA Benefit Brochure 

MYOEBB Enrollment Guide

Certified Information

Classified Information 

Medical/RX, Dental and Vision Plan Designs for 2023-24

EAP Services 2023-24

Medical/Dental/Vision Premium Rates 2023-24 (Use Composite Rated Group Column)

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

Guidance Documents

2023-24 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 paid family leave questions, please contact Mutual of Omaha at:

Mutual of Omaha
(833) 928-2179

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

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

Other Resources

COVID-19 Tests

Moda coverage for COVID-19 tests

Weight Watchers Program (through OEBB)

Weight Watchers Gateway

Tobacco Cessation Program (through OEBB)

Call 1-866-QUIT-4-LIFE 

Depression Management  (invitation code: OEBB227)

Employee Assistance Program (through OEBB)

Call 866-750-1327 or click here