OREGON STATE UNIVERSITY

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Group Numbers & Plan Contacts

OSU PEBB Agency Number is 58030

Medical, Vision and Dental

Medical Plan Group Number Telephone Number Address & Website
Kaiser Permanente HMO 7029 (800) 813-2000
(503) 813-2000

500 NE Multnomah, Suite 100
Portland, OR 97232-2099

my.kp.org/nw/pebb

PEBB Statewide Plan 108601 (800) 878-4445
(503) 574-7500

Administered by:  Providence Health Plan
P.O. Box 4327
Portland, Oregon 97208-4327

www.providence.org/healthplans/pebb/statewide

Providence Choice PPO 106528 (800) 878-4445
(503) 574-7500

Providence Health Plan
P.O. Box 4327
Portland, Oregon 97208-4327

www.providence.org/healthplans/pebb/choice.aspx

 

Vision Plan Group Number Telephone Number Address & Website

VSP

Your ID# is your PEBB issued “P” number (eight digits)

12179989 (800) 877-7195

PO Box 997105
Sacramento, CA 95899-7105

www.vsp.com

 

Dental Plan Group Number Telephone Number Address & Website
ODS Traditional DF14-20 (800) 452-1058

601 SW Second Avenue
Portland, OR 97204

ODS refers to the plan as Delta Dental Premier

https://www.odscompanies.com/pebb/

ODS Preferred DF15-20 (800) 452-1058

601 SW Second Avenue
Portland, OR 97204

ODS refers to the plan as Delta Dental PPO

https://www.odscompanies.com/pebb/

ODS Part-Time DF16-20 (800) 452-1058

601 SW Second Avenue
Portland, OR 97204

https://www.odscompanies.com/pebb/

Kaiser Permanente 7029 (800) 813-2000
(503) 813-2000

500 NE Multnomah, Suite 100
Portland, OR 97232-2099

my.kp.org/nw/pebb

Willamette Dental Z250I (800) 460-7644
(503) 644-6444

14025 SW Farmington Road, Suite 300
Beaverton, OR 97005

http://www.willamettedental.com/en_US/ALL/patients/pe/pebbhome.shtml

 

Life & Disability Plans Group Number Telephone Number Address & Website
Optional Life  606814-B   (800) 242-1888 The Standard
PO Box 2800
Portland OR 97208-2800
www3.standard.com/net/public/Individuals
AD&D 603073-A (800) 242-1888
Short-term Disability 442210-C (800) 242-1707
Long-term Disability 606717-A (800) 242-1707

 

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

 

Long-Term Care Plan Number Telephone Number Address & Website
UNUM 025758 800.227.4165

2211 Congress Street
Portland ME 04122
w3.unum.com/enroll/pebb/index.aspx

 

Mail Order Pharmacy –
Statewide & Providence Choice Plans
Telephone Number Website
Walgreens 800-635-3070 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

 

Flexible Spending Account –
Medical and Dependent Care
Telephone Number Website Address
ASIFlex 800.659.3035 http://orpebb.asiflex.com/ PO Box 6044
Columbia, MO 65205-6044

Employee Benefits Staff List

Employee Benefits - 204 Kerr | 541-737-2805 | general email
Donna Chastain Donna Chastain Director, Workplace Solutions 541-737-2806
Heidi Melton Human Resources Officer
Workers’ Compensation, Standard Insurance Claims (STD&LTD)
541-737-2916
Christina Schaaf Benefits Consultant
Benefit Issues for Business Centers: HSBC, BEBC & AABC
541-737-2835
Jessica Dalziel Benefits Consultant
Benefit Issues for Business Centers: UABC, FOBC & Chancellor’s Office
541-737-3521
Roshni Sabedra Benefits Consultant
FMLA/OFLA/Military Leave
541-737-5946
Whitney Barstad Benefits Consultant
Benefit Issues for Business Centers: ASBC & AMBC
541-737-2269
Patricia Young Benefits Consultant
Retirement, Savings & Pension Programs
541-737-8254