Employee Benefits
SDIS Benefit Applications
- Regence Application
- Moda Application (Dental)
- Willamette Dental Application
- Standard Insurance Application
- Cobra and Disability Forms: Contact SDAO
- Regence Member Reimbursement Form
- Express Scripts Brochure and Order Form
OFCA Benefit Applications
- OFCA Regence Medical and Moda Dental Application
- Standard Insurance Application
- Cobra and Disability Forms: Contact SDAO
- Regence Member Reimbursement Form
- Express Scripts Brochure and Order Form
Carrier Links and Portal Registrations
- Regence Member Registration and Express Scripts Registration
- Regence Provider Search Link
- Moda Account Registration
- Moda Provider Seach Link
- Willamette Dental Group Links
- Willamette Dental Group Welcome Letter
- Standard and Enhanced
- Pharmacy and Mail Order Website Navigation
Employee Benefit Plan Documents
- 2022 SDIS Health Benefits Guide
- 2022 OFCA Fire Districts Benefits Guide
- SDIS Employee Benefits Plan
- SDIS Medical and Dental Coverage Participating Employer Agreement
- OFCA Medical and Dental Coverage Participating Employer Agreement
Required Notices
- Medical Information Privacy Notice
- HIPAA Health Information Privacy Policies Manual
- HIPAA Electronic Security Policies Manual
- Premium Assistance Under Medicaid and the Children's Health Insurance Program (CHIP) / DOL Model Employer CHIP Notice
- Women's Health and Cancer Rights Act of 1998 Notice / Model WHCRA Annual Notice
- Creditable Prescription Drug Coverage and Medical / Model Creditable Coverage Disclosure Notice
- General Notice of COBRA Continuing Coverage and Rights / DOL Model COBRA Notice
- New Health Insurance Marketplace Coverage Options and Your Health Coverage
Transparency in Coverage - Machine-Readable Files (MRF's)
The following link leads to the machine-readable files that are made available in response to the Federal Transparency in Coverage Rule, and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.
Additional Notices
- Community Wellness Benefit
- COVID-19 Vaccine FAQs
- MDLive Flyer
- Regence Advantages Flyer
- Regence Babywise Member Program
- Regence Bluecard Brochure
- Regence Empower Program
- Delta Dental Teledentistry Flyer
- Express Scripts Brochure and Order Form
- Livongo Flyer
- Canopy EAP for Non-Public Safety Districts
- Regence Pharmacy Glucose Meter Program
- Regence Provider Search
- WDG Member Enrollment Guide
- Pharmacy and Mail Order Website Navigation
Summary Plan Documents
2022 SDIS Plans
Regence BlueCross BlueShield of Oregon
2022 SDIS SBC's
Regence BlueCross BlueShield of Oregon
- HSA Medical Plan
- Blue Plan II
- Blue Plan IIA
- Blue Plan III
- Blue Plan IV
- Blue Plan V
- Blue Plan VI
- Blue Plan VII
- Red Plan C
- Red Plan D
- Red Plan E
- Red Plan F
- Red Plan H
- Red Plan J
- Red Plan K
- Red Plan L
Moda/Delta Dental
Willamette Dental Group
2022 SDIS Booklet's
- HSA Medical Plan
- Blue Plan II
- Blue Plan IIA
- Blue Plan III
- Blue Plan IV
- Blue Plan V
- Blue Plan VI
- Blue Plan VII
- Red Plan C
- Red Plan D
- Red Plan E
- Red Plan F
- Red Plan H
- Red Plan J
- Red Plan K
- Red Plan L
- 2022 Constant Plan - Handbook
- 2022 Incentive Plan - Handbook
- 2022 Willamette Dental - Handbook
- 2022 WDG Member Enrollment Guide
2022 OFCA Plans
Regence BlueCross BlueShield of Oregon
- OFCA HSA Plan Summary
- OFCA Pharmacy Benefits Summary
- OFCA Medical Plan 1 Summary
- OFCA Medical Plan 1V Summary
- OFCA Medical Plan 2 Summary
- OFCA Medical Plan 2V Summary
- OFCA Medical Plan 3 Summary
- OFCA Medical Plan 3V Summary
- OFCA Medical Plan 4 Summary
- OFCA Medical Plan 4V Summary
- OFCA Medical Plan 5 Summary
- OFCA Medical Plan 5V Summary
- OFCA Medical Plan 6 Summary
- OFCA Medical Plan 6V Summary
2022 OFCA SBC's
Calendar Year
- OFCA Calendar Year 1 - RX1
- OFCA Calendar Year 1 - RX1 VIS
- OFCA Calendar Year 1 - RX2
- OFCA Calendar Year 1 - RX2 VIS
- OFCA Calendar Year 1 - RX3
- OFCA Calendar Year 1 - RX3 VIS
- OFCA Calendar Year 2 - RX1
- OFCA Calendar Year 2 - RX1 VIS
- OFCA Calendar Year 2 - RX2
- OFCA Calendar Year 2 - RX2 VIS
- OFCA Calendar Year 2 - RX3
- OFCA Calendar Year 2 - RX3 VIS
- OFCA Calendar Year 3 - RX1
- OFCA Calendar Year 3 - RX1 VIS
- OFCA Calendar Year 3 - RX2
- OFCA Calendar Year 3 - RX2 VIS
- OFCA Calendar Year 3 - RX3
- OFCA Calendar Year 3 - RX3 VIS
- OFCA Calendar Year 4 - RX1
- OFCA Calendar Year 4 - RX1 VIS
- OFCA Calendar Year 4 - RX2
- OFCA Calendar Year 4 - RX2 VIS
- OFCA Calendar Year 4 - RX3
- OFCA Calendar Year 4 - RX3 VIS
- OFCA Calendar Year 5 - RX1
- OFCA Calendar Year 5 - RX1 VIS
- OFCA Calendar Year 5 - RX2
- OFCA Calendar Year 5 - RX2 VIS
- OFCA Calendar Year 5 - RX3
- OFCA Calendar Year 5 - RX3 VIS
- OFCA Calendar Year 6 - RX1
- OFCA Calendar Year 6 - RX1 VIS
- OFCA Calendar Year 6 - RX2
- OFCA Calendar Year 6 - RX2 VIS
- OFCA Calendar Year 6 - RX3
- OFCA Calendar Year 6 - RX3 VIS
Plan Year
- OFCA Plan Year 1 - RX1
- OFCA Plan Year 1 - RX1 VIS
- OFCA Plan Year 1 - RX2
- OFCA Plan Year 1 - RX2 VIS
- OFCA Plan Year 1 - RX3
- OFCA Plan Year 1 - RX3 VIS
- OFCA Plan Year 2 - RX1
- OFCA Plan Year 2 - RX1 VIS
- OFCA Plan Year 2 - RX2
- OFCA Plan Year 2 - RX2 VIS
- OFCA Plan Year 2 - RX3
- OFCA Plan Year 2 - RX3 VIS
- OFCA Plan Year 3 - RX1
- OFCA Plan Year 3 - RX1 VIS
- OFCA Plan Year 3 - RX2
- OFCA Plan Year 3 - RX2 VIS
- OFCA Plan Year 3 - RX3
- OFCA Plan Year 3 - RX3 VIS
- OFCA Plan Year 4 - RX1
- OFCA Plan Year 4 - RX1 VIS
- OFCA Plan Year 4 - RX2
- OFCA Plan Year 4 - RX2 VIS
- OFCA Plan Year 4 - RX3
- OFCA Plan Year 4 - RX3 VIS
- OFCA Plan Year 5 - RX1
- OFCA Plan Year 5 - RX1 VIS
- OFCA Plan Year 5 - RX2
- OFCA Plan Year 5 - RX2 VIS
- OFCA Plan Year 5 - RX3
- OFCA Plan Year 5 - RX3 VIS
- OFCA Plan Year 6 - RX1
- OFCA Plan Year 6 - RX1 VIS
- OFCA Plan Year 6 - RX2
- OFCA Plan Year 6 - RX2 VIS
- OFCA Plan Year 6 - RX3
- OFCA Plan Year 6 - RX3 VIS
2022 OFCA Booklets
Calendar Year
- OFCA Calendar Year 1 - RX1 Booklet
- OFCA Calendar Year 1 - RX1 VIS Booklet
- OFCA Calendar Year 1 - RX2 Booklet
- OFCA Calendar Year 1 - RX2 VIS Booklet
- OFCA Calendar Year 1 - RX3 Booklet
- OFCA Calendar Year 1 - RX3 VIS Booklet
- OFCA Calendar Year 2 - RX1 Booklet
- OFCA Calendar Year 2 - RX1 VIS Booklet
- OFCA Calendar Year 2 - RX2 Booklet
- OFCA Calendar Year 2 - RX2 VIS Booklet
- OFCA Calendar Year 2 - RX3 Booklet
- OFCA Calendar Year 2 - RX3 VIS Booklet
- OFCA Calendar Year 3 - RX1 Booklet
- OFCA Calendar Year 3 - RX1 VIS Booklet
- OFCA Calendar Year 3 - RX2 Booklet
- OFCA Calendar Year 3 - RX2 VIS Booklet
- OFCA Calendar Year 3 - RX3 Booklet
- OFCA Calendar Year 3 - RX3 VIS Booklet
- OFCA Calendar Year 4 - RX1 Booklet
- OFCA Calendar Year 4 - RX1 VIS Booklet
- OFCA Calendar Year 4 - RX2 Booklet
- OFCA Calendar Year 4 - RX2 VIS Booklet
- OFCA Calendar Year 4 - RX3 Booklet
- OFCA Calendar Year 4 - RX3 VIS Booklet
- OFCA Calendar Year 5 - RX1 Booklet
- OFCA Calendar Year 5 - RX1 VIS Booklet
- OFCA Calendar Year 5 - RX2 Booklet
- OFCA Calendar Year 5 - RX2 VIS Booklet
- OFCA Calendar Year 5 - RX3 Booklet
- OFCA Calendar Year 5 - RX3 VIS Booklet
- OFCA Calendar Year 6 - RX1 Booklet
- OFCA Calendar Year 6 - RX1 VIS Booklet
- OFCA Calendar Year 6 - RX2 Booklet
- OFCA Calendar Year 6 - RX2 VIS Booklet
- OFCA Calendar Year 6 - RX3 Booklet
- OFCA Calendar Year 6 - RX3 VIS Booklet
Plan Year
- OFCA Plan Year 1 - RX1 Booklet
- OFCA Plan Year 1 - RX1 VIS Booklet
- OFCA Plan Year 1 - RX2 Booklet
- OFCA Plan Year 1 - RX2 VIS Booklet
- OFCA Plan Year 1 - RX3 Booklet
- OFCA Plan Year 1 - RX3 VIS Booklet
- OFCA Plan Year 2 - RX1 Booklet
- OFCA Plan Year 2 - RX1 VIS Booklet
- OFCA Plan Year 2 - RX2 Booklet
- OFCA Plan Year 2 - RX2 VIS Booklet
- OFCA Plan Year 2 - RX3 Booklet
- OFCA Plan Year 2 - RX3 VIS Booklet
- OFCA Plan Year 3 - RX1 Booklet
- OFCA Plan Year 3 - RX1 VIS Booklet
- OFCA Plan Year 3 - RX2 Booklet
- OFCA Plan Year 3 - RX2 VIS Booklet
- OFCA Plan Year 3 - RX3 Booklet
- OFCA Plan Year 3 - RX3 VIS Booklet
- OFCA Plan Year 4 - RX1 Booklet
- OFCA Plan Year 4 - RX1 VIS Booklet
- OFCA Plan Year 4 - RX2 Booklet
- OFCA Plan Year 4 - RX2 VIS Booklet
- OFCA Plan Year 4 - RX3 Booklet
- OFCA Plan Year 4 - RX3 VIS Booklet
- OFCA Plan Year 5 - RX1 Booklet
- OFCA Plan Year 5 - RX1 VIS Booklet
- OFCA Plan Year 5 - RX2 Booklet
- OFCA Plan Year 5 - RX2 VIS Booklet
- OFCA Plan Year 5 - RX3 Booklet
- OFCA Plan Year 5 - RX3 VIS Booklet
- OFCA Plan Year 6 - RX1 Booklet
- OFCA Plan Year 6 - RX1 VIS Booklet
- OFCA Plan Year 6 - RX2 Booklet
- OFCA Plan Year 6 - RX2 VIS Booklet
- OFCA Plan Year 6 - RX3 Booklet
- OFCA Plan Year 6 - RX3 VIS Booklet
OFCA Moda/Delta Dental
- OFCA Moda Option 1
- OFCA Moda Option 1 with Ortho
- OFCA Moda Option 2
- OFCA Moda Option 2 with Ortho
- OFCA Ortho
SDIS Life Insurance Plans
Standard Insurance Short Term Disability Plans
Standard Insurance Long Term Disability Plans