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

https://my.kp.org/pebb/

Moda Health

10002802

 

(877) 605-3229

P.O. Box 40384
Portland, Oregon 97240

www.modahealth.com/pebb/
PEBB Statewide Plan 108601 (800) 423-9470
 

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

www.providence.org/healthplans/pebb/statewide

Providence Choice PPO

 

 106528 (800) 423-9470

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

https://healthplans.providence.org/members/member-groups/pebb/choice-member-plan/

 

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 Premier (formerly Traditional) DF14-20 (877) 277-7280 

601 SW Second Avenue
Portland, OR 97204

ODS refers to the plan as Delta Dental Premier

https://www.odscompanies.com/pebb/
ODS PPO (Preferred) DF15-20 (877) 277-7280

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 (877) 277-7280

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

https://my.kp.org/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) 842-1707 The Standard
PO Box 2800
Portland OR 97208-2800
www3.standard.com/net/public/Individuals
AD&D 603073-A (800) 842-1707
Short-term Disability 442210-C (800) 842-1707
Long-term Disability 606717-A (800) 842-1707

 

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, Dependent Care, Commuter		 Telephone Number Website Address
ASIFlex 800.659.3035 http://orpebb.asiflex.com/ PO Box 6044
Columbia, MO 65205-6044