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Provider Information

WOU PEBB Agency Number is 58020. Don't know your Pebb.Benefits number, or have other questions? Contact the Office of Human Resources at 503-838-8963. Click here for the 2014 PEBB Summary Plan Description.

Medical Plans

Medical Plans    Group Number     Member Number    

Kaiser Permanente HMO
500 NE Multnomah, STE 100
Portland, OR 97232-2099
Phone: (800) 813-2000

7029    Assigned by carrier    

Kaiser Added Choice
500 NE Multnomah, STE 100
Portland, OR 97232-2099
Phone: (800) 813-2000

14029    Assigned by carrier    

PEBB Statewide Plan (Administered by Providence)
PO Box 3125
Portland, OR 97208-3125
Phone: (800)423-9470

108601    Assigned by carrier    

Providence Choice
PO Box 3125
Portland, OR 97208-3125
Phone: (800) 878-4445

106528    Assigned by carrier    

Dental Plans

Dental Plans

Group Number     Member Number    
Willamette Dental
14025 SW Farmington Road, Ste 300
Beaverton, OR 97005
Phone: (800) 460-7644
Z250I   

Pebb.Benefits Number

Moda Health Premier (Previously ODS Traditional)
601 SW 2nd Avenue
Portland, OR 97204
Phone: (800) 452-1058
6570   

Pebb.Benefits Number

Moda Health PPO (Previously ODS Preferred)
601 SW 2nd Avenue
Portland, OR 97204
Phone: (800) 452-1058
6571   

Pebb.Benefits Number

Kaiser Permanente
500 NE Multnomah, Ste 100
Portland, OR 97232-2099
Phone: (800) 813-2000
7029   

Assigned by carrier

Vision Plan (Except for Kaiser Members)

Vision Plan (Except for Kaiser Members)

Group Number     Member Number    
Vision Service Plan (VSP)
PO Box 997105
Sacramento, CA 95899
Phone: (800) 877-7195
12179989    Pebb.Benefits Number    

Life Insurance, AD&D, Disability

Life Insurance, AD&D, Disability

Plan Type     Policy Number    
The Standard
PO Box 2800
Portland, OR 97208
Phone: Life Insurance/AD&D: (800)628-8600
Phone: Short-Term Disability: (800) 368-2859
Phone: Long-Term Disability: (800) 368-1135
Basic Life &
Optional Life Insurance     606814-D   
Accidental Death & Dismemberment     603073-A   
Short-Term Disability     442210-C   
Long-Term Disability     606717-A   

Long Term Care

Long Term Care

Plan Number    Telephone Number   

UNUM

2211 Congress Street

Portland ME 04122

025758     800-227-4165   

Flexible Spending Account- Medical and Dependent Care

Flexible Spending Account- Medical and Dependent Care

Telephone Number   

ASIFlex

PO Box 6044

Columbia, MO 65205-6044

800-659-3035   

Mail Order Pharmacy- Statewide & Providence Choice Plans

Mail Order Pharmacy- Statewide & Providence Choice Plans

Telephone Number    Website   
Walgreens    800-636-3070 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   

MEDEX Travel Assist (included with Employee Basic Life Insurance)

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

Retirement Provider Information

Retirement Provider Information

Telephone, Fax, and Email   

Public Employees Retirement System (PERS)

11410 SW 68th Parkway

Tigard, OR 97223

P: 503-598-7377

F: 503-598-0561

PERS Health Insurance Program

PO Box 40187

Portland, OR 97240

P: 1-800-768-7377

Fidelity

Greg Weston, Workplace Planning & Guidance Consultant

825 SW Fifth Avenue

Portland, OR 97204

P: 1-800-343-0860

P: 503-716-2533

F: 508-460-2704

E: Greg.weston@fmr.com

TIAA-CREF

Braden Danielson, Financial Consultant

4730 University Way NE, Suite 201

Seattle, WA 98105

P: 1-800-842-2888

P: 503-452-6986

F: 206-523-6866

E: bdanielson@tiaa-cref.org

Oregon Savings Growth Plan

800 Summer Street NE, Suite 200

Salem, OR 97301

P: 503-378-3730

F: 503-378-5888

Contact

Office of Human Resources 503-838-8490 | or e-mail: fordhamk@wou.edu

sandman-127 Remote IP: 174.123.66.4 ((none!))

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