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Home » Employee Benefits & Retirement » Provider Information/Policy Numbers

Provider Information/Policy Numbers

WOU’s 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 2017 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
Member Handbook
18273 Assigned by carrier
Kaiser Deductible
500 NE Multnomah, STE 100
Portland, OR 97232-2099
Phone: (800) 813-2000
Member Handbook
18273 Assigned by carrier
PEBB Statewide Plan (Administered by Providence)
PO Box 3125
Portland, OR 97208-3125 Phone: (800)423-9470
Member Handbook
108601 Assigned by carrier
Providence Choice
PO Box 3125
Portland, OR 97208-3125
Phone: (800) 878-4445
Member Handbook
106528 Assigned by carrier
Moda Health (Synergy)
PO Box 40384
Portland, OR 97240
Phone: (877)605-3229
Member Handbook
10002802 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)
Moda refers to plan as Delta Dental Premier
601 SW 2nd Avenue
Portland, OR 97204
Phone: (800) 452-1058
Member Handbook
6570 Pebb.Benefits Number
(You should receive a card in the mail.)
Moda Health PPO (Previously ODS Preferred)
Moda refers to plan Delta Dental PPO
601 SW 2nd Avenue
Portland, OR 97204
Phone: (800) 452-1058
Member Handbook
6571 Pebb.Benefits Number
(You should receive a card in the mail.)
Kaiser Permanente
500 NE Multnomah, Ste 100
Portland, OR 97232-2099
Phone: (800) 813-2000
18273 Assigned by carrier


Vision Plans

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   
025758-003 6
Plan Highlights
Certificate of Coverage
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

Employee Assistance Program

Employee Assistance Program Telephone Number Policy Info.

Cascade Centers   

7180 SW Fir Loop Suite 1A   

Portland, OR 97223
info@cascadecenters.com   
Toll Free
800-433-2320Salem
503-588-0777Portland
503-639-3009
You will need your Medical Card ID# issued  by provider.

To enroll online use Company Name “State of Oregon”

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   

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   

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: hr@wou.edu

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