WOU’s PEBB Agency Number is 58020. Don’t know your PEBB Benefits number, or have other questions? Contact the Office of Human Resources at 503-838-8490 or Michelle Sides, Interim Benefits Coordinator, at 503-838-9390. Click here for the Summary Plan Description.

[section=Medical Plans]


Medical Plans Group Number Member Number
Kaiser Permanente HMO
500 NE Multnomah, STE 100
Portland, OR 97232-2099
Phone: (800) 813-2000
Member Handbook
18273 Assigned by carrier
Kaiser Deductible 
500 NE Multnomah, STE 100
Portland, OR 97232-2099
Phone: (800) 813-2000
Member Handbook
18273 Assigned by carrier
PEBB Statewide Plan (Administered by Providence)
PO Box 3125
Portland, OR 97208-3125 Phone: (800)423-9470
Member Handbook
108601 Assigned by carrier
Providence Choice
PO Box 3125
Portland, OR 97208-3125
Phone: (800) 878-4445
Member Handbook
106528 Assigned by carrier
Moda Health (Synergy)
PO Box 40384
Portland, OR 97240
Phone: (877)605-3229
Member Handbook
10002802 Assigned by carrier


[section=Dental Plans]


Dental Plans Group Number Member Number
Willamette Dental
14025 SW Farmington Road, Ste 300
Beaverton, OR 97005
Phone: (800) 460-7644
Z250I PEBB.Benefits Number
Moda Health Premier (Previously ODS Traditional)
Moda refers to plan as Delta Dental Premier
601 SW 2nd Avenue
Portland, OR 97204
Phone: (800) 452-1058
Member Handbook
6570 PEBB.Benefits Number
(You should receive a card in the mail.)
Moda Health PPO (Previously ODS Preferred)
Moda refers to plan Delta Dental PPO
601 SW 2nd Avenue
Portland, OR 97204
Phone: (800) 452-1058
Member Handbook
6571 PEBB.Benefits Number
(You should receive a card in the mail.)
Kaiser Permanente
500 NE Multnomah, Ste 100
Portland, OR 97232-2099
Phone: (800) 813-2000
18273 Assigned by carrier



[section=Vision Plans]


Vision Plan (Except for Kaiser Members) Group Number Member Number
Vision Service Plan (VSP)
PO Box 997105
Sacramento, CA 95899
Phone: (800) 877-7195
12179989 PEBB.Benefits Number


[section=Life Insurance, AD&D, Disability]


Life Insurance, AD&D, Disability Plan Type Policy Number
The Standard
PO Box 2800
Portland, OR 97208
Phone: Life Insurance/AD&D: (800)628-8600
Phone: Short-Term Disability: (800) 368-2859
Phone: Long-Term Disability: (800) 368-1135
Basic Life &
Optional Life Insurance
Accidental Death & Dismemberment 603073-A
Short-Term Disability 442210-C
Long-Term Disability 606717-A


[section=Long Term Care]

Long Term Care Plan Number Telephone Number
2211 Congress Street
Portland ME 04122
025758-003 6
Plan Highlights
Certificate of Coverage



[section=Flexible Spending Account-Medical and Dependent Care]


Flexible Spending Account- Medical and Dependent Care Telephone Number
PO Box 6044
Columbia, MO 65205-6044


[section=Employee Assistance Program]


Employee Assistance Program Telephone Number Policy Info.
Cascade Centers
7180 SW Fir Loop Suite 1A
Portland, OR 97223
Toll Free
You will need your Medical Card ID# issued  by provider.

To enroll online use Company Name “State of Oregon”


[section=Mail Order Pharmacy-Statewide & Providence Choice Plans]


Mail Order Pharmacy- Statewide & Providence Choice Plans Telephone Number Website
Walgreens 800-636-3070 or 800-797-3345 www.walgreenshealth.com
Postal Prescription Services 503-797-2100 or 800-552-6694 www.ppsrx.com
Wellpartner 877-935-5797 www.wellpartner.com


[section=MEDEX Travel Assist (included with Employee Basic Life Insurance)]


MEDEX Travel Assist (included with Employee Basic Life Insurance) Telephone Number Website
US, Canada, Puerto Rico, Bermuda, US Virgin Islands 800-527-0218 http://www.standard.com/eforms/12092.pdf
All Other Countries (Call collect.) 410-453-6330 http://www.standard.com/eforms/12092.pdf


[section=Retirement Provider Information]

Retirement Provider Information Telephone/Fax Number/ Email Employer Number
Public Employees Retirement System (PERS)
11410 SW 68th Parkway
Tigard, OR 97223
P: 503-598-7377
F: 503-598-0561
Western Oregon University
PERS Health Insurance Program
PO Box 40187
Portland, OR 97240
P: 1-800-768-7377 Western Oregon University
Greg Weston, Workplace Planning & Guidance Consultant
825 SW Fifth Avenue
Portland, OR 97204
P: 1-800-343-0860
P: 503-716-2533
F: 508-460-2704
Oregon Public Universities
ORP: 71681
TDI: 71678
Braden Danielson, Financial Consultant
4730 University Way NE, Suite 201
Seattle, WA 98105
P: 1-800-842-2888
P: 503-452-6986
F: 206-523-6866
Oregon Public Universities
ORP: 101528
TDI: 101529
Oregon Savings Growth Plan
800 Summer Street NE, Suite 200
Salem, OR 97301
P: 503-378-3730
F: 503-378-5888





Human Resources

P: 503-838-8490 | F: 503-838-8522 | E-mail: hr@wou.edu  

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