HOW MUCH DOES THE DISTRICT CONTRIBUTE?
A CAP is the contribution amount the District will pay each month to OEBB to assist employees in paying for their selected Medical, Dental and Vision Coverage. Employees will pay the remaining out of pocket cost through payroll deduction
For the 2024-2025 school year, the CAP is $1,710
Full time licensed employees working 32 or more hours per week receive the full CAP
Part time employees must work at least 16 hours a week to be eligible for insurance, and if they work less than 32 hours per week the CAP is pro-rated. The proration calculation for Licensed Part time employees = Weekly hours divided by 40 then multiplied by $1,710.00.
MEDICAL, DENTAL, AND VISION COVERAGE OPTIONS
If you select Plans 6 or 7, review this important information about your individual or family deductible
If you select the Moda Plans 6 or 7, you also MAY set up a Health Savings Account
Learn more about Moda's Coordinated Care PCP 360 program (you can designate a PCP360 via MyModa after enrollment is complete)
Use the Moda Find Care search feature to look for in-network providers
Enter the actual hours you work per week in the calculator
Review the example below to compare the total cost per year for a full time employee with a full CAP, in a worst case scenario for an individual on each plan. The example includes annual cost to buy insurance, and annual maximum out of pocket costs you would pay to providers.
Note the example is purely for demonstration purposes to evaluate if the additional annual cost for insurance when buying a lower deductible plan provides the most economical option for you during the plan year. Your cost will not be the same if you don't receive a full CAP.
*DISABILITY * LIFE INSURANCE * ACCIDENTAL DEATH COVERAGE * LONG TERM CARE INSURANCE * OTHER
Visit the MyOEBB Website, click here
Reminder- The Oregon state legislature requires a Double-Coverage Surcharge for OEBB/PEBB. A $5 monthly surcharge applies if an employee is double covered in OEBB/OEBB, OEBB/PEBB, or PEBB/PEBB.
OPT OUT
Licensed employees are eligible to "opt out" if they are enrolled in group insurance coverage elsewhere. An employee may choose the option of withdrawing from the District's offered insurance plan if such a withdrawal is allowed under the rules of the plan. In lieu of the District's insurance contribution, the employee shall be paid a stipend in their regular paycheck equivalent to 50% of the maximum amount the District applies to the insurance fringe benefit package, prorated according to their FTE in relationship to their normal contribution. During open enrollment or when new employees are first eligible for coverage, employees may complete the Opt Out Form 2024-25 and return it to Tracy in the HR Department.
TWO MARRIED EMPLOYEES MAY COMBINE CAP
If two district employees are both employed by the district and are either married or qualify for insurance based on their status as "domestic partners" they may participate in the following arrangement with the district for the 2024-25 plan year:
One may "opt out" of district paid medical, dental and vision insurance
The district agrees to pay the full premium amount for the highest available plan for the employee not opting out
Complete the 2024-25 Employees Agreement to Combine Insurance CAP form and return to Tracy in the HR Department
Call OEBB Customer Service: 888-469-6322
Email or call 541-693-5606 with questions
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