Health Information & Contacts
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Open enrollment is July 1st - August 1st with an effective date of September 1st.
This is the only time you can make changes to your medical, dental, vision benefits outside of a family status change (such as marriage, divorce, birth, death, loss of job, loss of coverage etc.).If you need to make any changes during the open enrollment period you must come to the district office and fill out the correct forms.Insurance - 2019/20
Please note - the rates were changed mid-August 2019. Sadly, our effort to obtain partially self-funded insurance was blocked by the State Department of Insurance. This meant that we had to continue with fully funded insurance through Pacific Source. Our rates increased by an additional 3.4%. While the district decided to pay the unexpected increase for the employee for this year, additional family members will be at the higher rate at a cost to the employee.
Willamette Dental has also made some changes to their coverage this year. The co-pay for many services has changed. Please be sure to review the Willamette Dental information for details.
Rate sheet (PDF) or click on the headings below to expand the category and view rates and information.
Insurance Rates and Information
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Dental - Delta Dental
Register on the Delta Dental site and access your claims or find a doctor. Go to www.deltadentalid.com
View the Delta Dental Insurance Info (PDF)
Delta Dental
Enrolled Members
Health Premium/Mo
Employee Cost
District Pays
Retiree 65 & Over
Employee
37.00
0.00
37.00
47.80
Employee/Spouse
82.20
45.20
37.00
95.70
Ee/Child
71.25
34.25
37.00
92.25
Ee/Children
106.00
69.00
37.00
137.10
Family w/spouse
141.85
104.85
37.00
183.55
DBL CPL
141.85
67.85
74.00
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Dental - Willamette Dental/Blue Cross
Willamette Dental coverage is managed by Blue Cross.
Schedule an appointment with Willamette Dental at 1-855-433-6825. Currently, Willamette has two local offices - Meridian and Boise.
Willamette Dental Insurance Info (PDF) Cost of services changed Sept 1, 2019
https://www.willamettedental.com/current-patients.html
Willamette Dental Rates
Enrolled Members
Health Premium/Mo
Employee Cost
District Pays
Retiree 65 & Over
Employee
43.38
0.00
43.38
43.38
Employee/Spouse
93.86
50.48
43.38
93.86
Ee/Child
83.38
40.00
43.38
Ee/Children
124.13
80.75
43.38
Family w/spouse
166.25
122.87
43.38
DBL CPL
166.25
79.49
86.76
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Medical - PacificSource HSA Plan
Insurance Member Guide (PDF)
PSN HSA Benefit Summary (PDF)
http://www.pacificsource.comIf you have PacificSource HSA Plan and also have Delta Dental, the premium for your Medical plan is:
Pacific Source – HSA Plan w/Delta Dental
Enrolled Members
Health Premium/Mo
Employee Cost
District Pays
Employee *
575.82
0.00
575.82
Employee/Spouse
1265.65
660.92
604.73 Ee/Child
886.20
281.47
604.73 Ee/Children
1029.75
425.02
604.73 Family w/spouse
1466.77
862.04
604.73 DBL CPL
1466.77
257.31
1209.46
* If you have the HSA plan as an “employee only”, the district will put $25.00 into your HSA account (if you have one open)
If you have PacificSource HSA Plan and also have Willamette Dental, the premium for your Medical plan is:
Pacific Source – HSA Plan w/Willamette Dental
Enrolled Members
Health Premium/Mo
Employee Cost
District Pays
Employee *
575.82 0.00
575.82
Employee/Spouse
1265.65
667.30
598.35
Ee/Child
886.20
287.85
598.35
Ee/Children
1029.75
431.40
598.35
Family w/spouse
1466.77
868.42
598.35
DBL CPL
1466.77
270.07
1196.70
* If you have the HSA plan as an “employee only”, the district will put $25.00 into your HSA account (if you have one open)
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Medical - PacificSource Signature Plan (PPO)
Insurance Member Guide (PDF)
BrightIdea/PPO Benefit Summary (PDF)
http://www.pacificsource.comIf you have Pacific Source BrightIdea Plan (PPO) and also have Delta Dental, the premium for your Medical Plan is:
Pacific Source – BrightIdea (PPO) w/Delta Dental
Enrolled Members
Health Premium/Mo
Employee Cost
District Pays
Employee
681.65
76.92
604.73
Employee/Spouse
1498.31
893.58
604.73
Ee/Child
1049.13
444.40
604.73
Ee/Children
1219.19
614.46
604.73
Family w/spouse
1736.49
1131.76
604.73
DBL CPL
1736.49
527.03
1209.46
If you have Pacific Source BrightIdea Plan (PPO) and also have Willamette Dental, the premium for your Medical Plan is:
Pacific Source – BrightIdea (PPO) w/Willamette Dental
Enrolled Members
Health Premium/Mo
Employee Cost
District Pays
Employee
681.65
83.30
598.35
Employee/Spouse
1498.31
899.96
598.35
Ee/Child
1049.13
450.78
598.35 Ee/Children
1219.19
620.84
598.35
Family w/spouse
1736.49
1138.14
598.35
DBL CPL
1736.49
539.79
1196.70
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Vision - LifeMap/VSP
Register on the vision care site at www.vsp.com. Manage your coverage and claims, search for a doctor, etc - https://www.vsp.com
VSP/Vision Insurance Info (PDF)
LifeMap – Vision Rates
Enrolled Members
Health Premium/Mo
Employee Cost
District Pays
Retiree 65 & Over
Employee
7.83
0.00
7.83
Same
Employee/Spouse
15.69
7.86
7.83
Same
Ee/Child(ren)
16.78
8.95
7.83
Family w/spouse
26.81
18.98
7.83
DBL CPL
26.81
11.15
15.66
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Benefits
These are benefits the district provides at no cost to full time employees
LifeMap – Life BenefitLifeMap – Life Benefit
Enrolled Members
Health Premium/Mo
Employee Cost
District Pays
Benefit
Employee
9.45
0.00
9.45
50,000.00
Employee Assistance Program Benefit
Call (866)750-1327 and let them know you have LifeMap coverage or to MyRBH.com and enter "LifeMap" as your Group Code.
Employee Assistance Program Benefit
Enrolled Members
Health Premium/Mo
Employee Cost
District Pays
Employee
0.64
0.00
0.64
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Due to IRS regulations, you cannot change your elections outside of the annual Open Enrollment period (July 1 - Aug 1st), unless you have a Qualifying Event during the year. Following are examples of the most common Qualifying Events:
- Marriage or divorce
- Birth or adoption of a child
- Child reaching age 26
- Death of a spouse, or child
- Change in child custody
- Change in coverage election made by spouse during their employer's Open Enrollment period
- Loss of coverage under spouse's plan.