Employee Insurance
Insurance Benefit Information and Helpful Links
- What does it cost?
- General Info
- Medical
- Dental
- Vision
- Life and Disability Insurance
- EAP
- Insurance Opt Out
- Helpful Links
- COBRA
- FAQs
- Paid Family and Medical Leave Insurance
What does it cost?
General Info
Health Insurance Eligibility
All Licensed, Confidential, and Administrative staff are eligible for full health insurance benefits and District contributions.
Classified staff who work more than four (4) hours per day are eligible to enroll in health (medical, dental, and/or vision) insurance; District contributions are based on the employee's hours per day (see below).
District Paid Insurance Contribution (CAP)
The District provides employees eligible to enroll in insurance with a monthly contribution (CAP) toward their monthly premium expenses.
Licensed, Confidential, and Administrative employees receive the full District contribution if they are in an insurance eligible position. Cost Sheets: Licensed | Admin | Confidential
Classified employees receive a contribution from the District based on their hours/day:
- Classified employees working 6.5 hours/day or more receive the full District contribution. Click here to see the cost sheet for these positions.
- Classified employees working less than 6.5 hours/day but more than 4 hours/day receive a pro-rated contribution based on their hours per day. For example, a 6-hour employee receives 75% of the contribution as 6-hours is 75% of an 8-hour day (6/8 = 0.75). Click here to see the cost sheet for these positions.
The monthly contribution amount can be found in the Benefits section of the appropriate Collective Bargaining Agreement (CBA) for each group: Licensed CBA | Classified CBA
Open Enrollment
Open enrollment is from August 15th - September 15th. All employees eligible for insurance are required to login to their OEBB portal each year during this time to verify their choices and/or make changes. If an employee will be opting out for the upcoming plan year, they must also submit an opt-out form and proof of other employer-sponsored group coverage to Payroll during this time.
To make changes outside of open enrollment, an employee must be experiencing a Qualifying Status Change (QSC) event. See below for more information.
Opt-Out Stipend
Employees that work 6.5- to 8-hours per day that can provide proof of other employer-sponsored group coverage (not OHP), are eligible to receive the full financial stipend each month if they choose to 'opt-out' of medical insurance.
Classified employees that work less than 6.5-hours per day but more than 4-hours per day that can provide proof of other employer-sponsored group coverage (not OHP), are eligible to receive a pro-rated opt-out stipend based on their hours per day. For example, a 6-hour employee receives 75% of the contribution as 6-hours is 75% of an 8-hour day (6/8 = 0.75).
Employees must annually submit to Payroll an Opt-Out form along with their proof of other employer-sponsored group coverage each year during the Open Enrollment period (Aug 15th - Sept 15th) to continue qualifying for the stipend. The monthly stipend amount can be found in the Benefits section of the appropriate Collective Bargaining Agreement (CBA) for each group: Licensed CBA | Classified CBA
Making Changes Outside of Open Enrollment
Changes to medical insurance enrollment can only be made if an employee is experiencing a Qualifying Status Change (QSC) event: marriage, divorce, birth/adoption of a new child, loss/gain of other employer-sponsored group coverage, etc. Please review the OEBB QSC Matrix to see if you qualify to make changes outside of open enrollment. If you believe you do, please reach out to your HR Specialist for more information and the appropriate forms.
Medical
Roseburg Public Schools currently offers medical insurance to eligible employees through the Oregon Employees Benefits Board (OEBB): All MODA Medical Plans (1, 2, 3, 4, 5, 6, and 7).
Medical Insurance Plan Comparison Chart
Helpful Links and Resources
Dental
Roseburg Public Schools offers dental insurance through the Oregon Employees Benefits Board (OEBB). Roseburg Public Schools currently offers the following five (5) dental plan choices to eligible employees: Delta Dental Plan 1, Delta Dental Plan 5, Delta Dental Plan 6, Delta Dental PPO Plan, and Willamette Dental
Click here to view a Dental Insurance Plan Comparison Chart
Delta Dental
Willamette Dental
- Location Search
- Scheduling an Appointment
- Please note, Willamette Dental does NOT provide insurance cards to its members. Simply call 1-855-433-6825 to schedule an appointment.
Vision
Roseburg Public Schools offers vision insurance through the Oregon Employees Benefits Board (OEBB). Roseburg Public Schools currently offers the following five (5) vision plan choices to eligible employees: Moda Opal, Moda Pearl, Moda Quartz, VSP Choice Plus, and VSP Choice.
Click here to view a Vision Insurance Plan Comparison Chart
Moda Vision (Opal, Pearl, Quartz)
VSP (Choice and Choice Plus)
Life and Disability Insurance
Contact Us
If you have questions regarding your Life, AD&D, or Long Term Disability coverage, you can contact The Standard's dedicated OEBB Customer Service Department line: 866.756.8115 (TTY), from 8:00 a.m. to 5:00 p.m. or click on the photo (at left) to visit the website where you will find information about qualifications and how to apply for benefits.
The Standard |
Optional Life Insurance Plans and Rates |
Optional AD&D Insurance Rates |
EAP
Click logo above to access the member page, use Access code: OEBB or call 1-866-750-1327
We Are Here to Help!
EAP benefits are available to all employees and their families at NO COST to you. The EAP offers confidential advice, support, and practical solutions to real-life issues. You can access these confidential services by calling the toll-free number and speaking with our care team, or accessing online.
Your EAP provides a wide range of work-life services to help you manage a variety of challenges:
Confidential Counseling: Up to 6 face-to-face, video or telephonic counseling sessions for relationship and family issues, stress, anxiety, and other common challenges.
24-hour Crisis Help: Toll-free access for you or a family member experiencing a crisis.
Online Peer Support Groups: Online support groups for addiction recovery, anxiety, depression, frontline workers, grief and loss, parenting, and more.
Tess, AI Chat-bot: 24/7 chatbot for emotional support and check-ins to boost wellness
Financial Help: 30-days of access with a personal money coach who will work with the member toward financial wellness
by identifying financial goals, assessing current financial situation, and providing a suggested detailed action plan.
Legal Services: One 30-minute legal consultation per each separate legal matter at no cost, 25% reduction from the
normal hourly rate if member retains attorney or mediator.
Online Legal Forms: Create, save, print, and revise online legal forms including wills, contracts, leases, and many more.
Child & Parenting Services: Get information and support on parenting, school issues, adoption, daycare, and other important issues for parents.
Adult & Eldercare Services: Get assistance in finding quality information and services including transportation, meals, activities, daytime care, housing, and more.
Webinars & Trainings: Industry experts will present monthly work-life webinars on a variety of topics.
Insurance Opt Out
Before You Start:
To determine your Opt-Out eligibility, please refer to your Collective Bargaining Agreement:
Classified Staff: Article 13
Licensed Staff: Article 6
If you qualify for early retirement coverage and plan to retire this plan year, do not opt out.
OEBB: You will need to have your proof of other group medical coverage when you opt out on the OEBB website. For selections, you will need to opt out of health coverage, and if you do not wish to elect vision and/or dental, enter "decline". Keep the LTD and life coverage. The district will continue to provide you with life insurance and LTD coverage (if eligible).
The District: Click here to log into your Frontline Central Account to complete the form online.
Questions? Call Human Resources 541-440-4008.
Helpful Links
COBRA
COBRA
Consolidated Omnibus Budget Reconciliation Act
COBRA is guaranteed continuation of your previous OEBB coverage, administered by BenefitHelp Solutions (BHS). Regardless of your health status, COBRA law allows eligible parties losing OEBB coverage to continue that same coverage for at least 18 months.
Click here to see COBRA Medical, Dental, and Vision Rates 2023-2024
If you are enrolled in COBRA and live outside Oregon, Southwest Washington (Pacific, Wahkiakum, Cowlitz or Clark counties), or Idaho, you can find a provider or pharmacy near you.
- Montana: Health Info Net (HIN)
- Washington state, excluding Pacific, Wahkiakum, Cowlitz and Clark counties: First Choice Health Network (FCH)
- Alaska: Endeaver Providence
- All other states, excluding ID, MT, OR and WA: Private HealthCare Systems (PHCS)
On the provider search page, select the PHCS option under “Front of Card” as indicated below. You do not need to select anything on the “Back of Card” section.
FAQs
This page is still under construction; Pardon the mess!
How do I know if I am eligible to enroll in insurance?
Do I have to enroll in insurance through the District?
I enrolled in Medical, Dental, and/or Vision insurance - where is my insurance card?
I have been told I need to complete my "Open Enrollment." How do I do that?
Premiums, Deductibles, and Opt-Outs, Oh My! Help! I don't know what some (or any) of these terms mean!
How do I know if my provider is in- or out-of-network? What about if they are in the PCP360 network?
What is a Health Savings Account?
How do I make a change to my insurance outside of Open Enrollment?
Why are the insurance rates on OEBB's website different than what is deduction from my account each month?
What is the District's monthly contribution toward insurance premiums?
Can employees get a stipend for not taking insurance (or opting out)? If so, how much is the stipend?
Paid Family and Medical Leave Insurance
American Fidelity Administered PFMLI
What is it?
Benefits That Matter
Paid Family and Medical Leave Insurance (PFMLI) ensures you have the time needed to care for yourself and your loved ones. We have partnered with American Fidelity to provide you with these benefits.
You may take up to 12* weeks per benefit year for any combination of approved leave.
*An additional two weeks of paid leave may be available for complications related to preganncy, childbirth or a related medical condition.
Medical Leave: Caring for your own serious health condition.
Family Leave: Bonding with a new child during the first 12 months or caring for a family member with a serious health condition.
Safe Leave: Seeking help related to domestic violence, harassment, sexual assault or stalking
To be eligible, you must have:
- been continuously employed for 30 calendar days; or
- been eligible for benefits under your previous Oregon employer’s equivalent plan; and
- earned at least $1,000 in four out of five quarters before requesting paid leave.
Click here to see Plan Highlights
(Definitions, Limitations, Exclusions)
Contributions and Benefits
How much do I have to pay?
Contributions are 1% of your eligible wages*. The District pays 40% and the remaining percentage would be taken from your paycheck.
How much will I receive while on leave?
Benefits will depend on your earnings compared to Oregon’s Average Weekly Wage**
Here is an example based on annual earnings.
Annual Earnings |
$26,000.00 |
$52,000.00 |
$125,000.00 |
Weekly Earnings |
$500.00 |
$1,000.00 |
$2,403.85 |
Weekly Benefits |
$500.00 |
$898.07 |
$1,469.78 |
*Eligible wages include gross wages up to a cap. Oregon Employment Department determines the maximum premium contribution and benefit amount.
**2022-2023 Oregon’s Average Weekly Wage is $1,224.82. These figures are subject to change.
How do I apply?
Benefits start September 3, 2023.
- How do I request leave? Beginning September 3, you will be able to request leave through an online account https://americanfidelity.com/leave-or or AFmobile®.
When should I tell my employer about my leave request? If you know you’ll need to use paid leave, you must notify the District up to 30 days’ notice. In emergency situations, you must notify the District within 24 hours. An additional written notice is required within three days of starting leave.
Is intermittent or reduced schedule leave available? Yes. You’ll work with your Human Resources Department to determine what type of leave is best for your situation.
Will taking leave impact my retirement? It’s possible. Every leave request is unique. We recommend speaking with your American Fidelity account manager to discuss how paid leave may affect your retirement goals.
Now that I have paid leave, do I need disability insurance? PFMLI will only pay up to 12 weeks each plan year. Disability Income Insurance gives you protection beyond 12 weeks. It’s important to talk to your American Fidelity account manager to learn how PFMLI and disability work together.
Who do I contact if I have questions?
American Fidelity: 1-800-662-1113 or click here for more contact options.
Human Resources Department Contacts:
Certified and Administrative staff contact Amanda Hill at 541-440-4010 or email ahill@roseburg.k12.or.us.
Classified and Confidential staff contact Megan Hansen at 541-440-4007 or email mmhansen@roseburg.k12.or.us.
Question about your paycheck?
Contact Celeste Etcheverry at 541-440-4025 or email cetcheverry@roseburg.k12.or.us