Insurance Documents
Insurance Enrollment for 2024
This year's Open Enrollment is "passive" (or non-mandatory). This means:
- If you are satisfied with your current benefit plan selections, your enrollments will roll over to the next plan year. You'll be re-enrolled automatically! You don't need to do anything. Benefits will stay the same.
- If you want to make benefit changes, you need to login to your MyOEBB account and make your selections during Open Enrollment (August 15 ,2024 - September 15, 2024).
2024-25 Open-Enrollment
Medical/RX, Dental and Vision Plan Designs for 2024-25
Medical/Dental/Vision Premium Rates 2024-25 (Use Composite Rated Group Column)
Guidance Documents
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
Required Notices
Contact Us
For paid family leave questions, please contact Mutual of Omaha at:
Mutual of Omaha
(833) 928-2179
submitgroupPFML@mutualofomaha.com
For insurance questions, please contact Erinn Fralich or Rose Cronin at:
Hart Insurance Agency
321 SE I Street
Grants Pass, OR 97526
541-479-5521
Other Resources
COVID-19 Tests
Moda coverage for COVID-19 tests
Weight Watchers Program (through OEBB)
Tobacco Cessation Program (through OEBB)
Call 1-866-QUIT-4-LIFE
Depression Management
www.MoodHelper.org (invitation code: OEBB227)
Employee Assistance Program (through OEBB)
Call 866-750-1327 or click here