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

[endsection]

[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

 

[endsection]

[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

[endsection]

[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	606814-D
	Accidental Death & Dismemberment	603073-A
	Short-Term Disability	442210-C
	Long-Term Disability	606717-A

[endsection]

[section=Long Term Care]

Long Term Care	Plan Number	Telephone Number
UNUM 2211 Congress Street Portland ME 04122	025758-003 6 Plan Highlights Certificate of Coverage	800-227-4165

 

[endsection]

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

 

Flexible Spending Account- Medical and Dependent Care	Telephone Number
ASIFlex PO Box 6044 Columbia, MO 65205-6044	800-659-3035

[endsection]

[section=Employee Assistance Program]

 

Employee Assistance Program	Telephone Number	Policy Info.
Cascade Centers 7180 SW Fir Loop Suite 1A Portland, OR 97223 info@cascadecenters.com	Toll Free 800-433-2320Salem 503-588-0777Portland 503-639-3009	You will need your Medical Card ID# issued  by provider. To enroll online use Company Name “State of Oregon”

[endsection]

[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

[endsection]

[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

[endsection]

[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 01255
PERS Health Insurance Program PO Box 40187 Portland, OR 97240	P: 1-800-768-7377	Western Oregon University 01255
Fidelity 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 Greg.weston@fmr.com	Oregon Public Universities ORP: 71681 TDI: 71678
TIAA-CREF 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 bdanielson@tiaa-cref.org	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

[endsection]