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)
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 2024-25
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 24-25
Accidental Death and Dismemberment
Optional Accidental death and dismemberment
Basic & Optional AD&D Rates 24-25
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