Forms Library
AMERICAN FIDELITY
OEBB RESOURCES AND FORMS
Contact Information for OEBB and Insurance Carriers
Enroll now at the myOEBB member benefit management portal
OEBB Frequently Asked Questions (FAQ's)
Health Insurance 101 and other Videos
Guides:
OEBB Open Enrollment Booklet - Online viewing (Espanol Disponible)
OEBB New Hire Guide (Espanol Disponible)
How to use the MyOEBB enrollment system
Forms:
OEBB Plan Summaries and Comparisons
OEBB Qualified Status Change Matrix
Domestic Partner information:
Can I cover my domestic partner?
OEBB Domestic Partner Imputed Value 2023-24
Other:
EMPLOYEE ASSISTANCE PLAN
EAP Services Summary 2023-24 - (8 visits per issue)
OPTUM - Health Savings Accounts
STANDARD INSURANCE COMPANY
Short Term Disability:
Short Term Disability Insurance
Plan Summaries-See your district's page for plan #
Long Term Disability:
Long Term Disability Insurance
Plan Summaries-See your district's page for plan #
Life Insurance:
Basic Life -Some districts have mandatory basic plans
Plan Summaries-See your district's page for plan #
Basic & Optional Life Insurance rates 23-24
Accidental Death and Dismemberment
Optional Accidental death and dismemberment
Basic & Optional AD&D Rates 23-24
Forms:
Standard Life Portability Insurance Application
Standard Request for Life Conversion Materials
Medical History Statement - Online
Medical History Statement - pdf
Workplace Possibilities Program
Find the right program for you!
Physical Health
Emotional Health
Long-term or Chronic Conditions
Sleep Management
Quitting Tobacco