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Insurance Documents

Paid Family Leave

How to File a Paid Family and Medical Leave Claim
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PFML Claim Form
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Spanish

Insurance Enrollment for 2024

Visit OEBb Website 

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

MYOEBB Enrollment Guide

Certified Information

Classified Information 

Medical/RX, Dental and Vision Plan Designs for 2024-25

EAP Services 2024-25

Medical/Dental/Vision Premium Rates 2024-25 (Use Composite Rated Group Column)


Guidance Documents

2024-25 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
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)

Weight Watchers Gateway

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