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Western Oregon University
345 N. Monmouth Ave.
Monmouth, OR 97361
503-838-8000 (V/TTY)
877-877-1593 (Toll-free)

 

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Human Resources

Forms | Retirement information | Contact us

 

Benefits Information

Western Oregon University, through the Public Employees Benefit Board, more commonly known as PEBB, offers a comrehensive benefit plan for employees including medical, dental, vision, life insurance and other optional benefits. PEBB's 2009 Benefit Page and our quick benefits overview contain useful information regarding the benefits package provided at WOU. Please feel free to contact us if you have questions about benefits or any information provided on this site.To view your current benefit information or to enroll in benefits as a new employee please access the PEBB.Benefits Member Module. If there is any information that you would like to see available on the benefits page, your suggestions are always welcome, just drop us an e-mail!

 

Retirement Workshops

  • Shane Roghaar from TIAA-CREF will present "Staying on Track in a Volatile Market" July 8th 12pm-1pm in Hamersly Library room 205

RSVP to: spraguea@wou.edu

 

  • A representative from Fidelity will present "Finding the Right Investment Strategy" July 22nd from 12:00-1pm in Hamersly Library room 205

RSVP to: spraguea@wou.edu

 

New employees

Newly benefit-eligible employees may now enroll for benefits online! Please see our New Employee Benefits Information Page for detailed information about enrolling for benefits using the Pebb.Benefits Member Module . Need additional assistance using the PEBB.Benefits Member Module to enroll for benefits? Try our guide to enrolling online.

 

 

Important updates

"P" Numbers: New Numbers, known as "P numbers" have been provided for VSP, Willamette Dental, and ODS Dental in leiu of social security numbers. Your "P number" is located on your Pebb.Benefits statement. If you do not have access to a statement please contact us for your number or a copy of your statement. For other Provider information, including group numbers, addresses, and phone numbers, please visit our provider information page .

 

 

Newsletters:

PEBB: May 2009

Oregon Public Employees Retirement System: April 2009 Perspectives

EAP: Spring 2009 Newsletter

 

 

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Forms:

2009 Enrollment Forms
Medical and Dental Enrollment Form
Life and Disability Enrollment Form
Health Care Flexible Spending Account
Dependent Care Flexible Spending Account
Retiree Enrollment Form
Medical History Statement (printable)
Medical History Statement (Submit online)
Oregon Savings Growth Plan Enrollment Form
Salary Reduction Agreement (403b)
UNUM LTC Enrollment Form
Affidavit of Dependency

 

 

Update Forms (Mid-year changes)
Medical and Dental Update Form
Life and Disability Insurance Update Form
Dependent Care Flexible Spending Account Update
Healthcare Flexible Spending Account Update Form
Life Insurance Portability
Roll-Over Life and Long Term Care
Salary Reduction Agreement (403b)

 

 

Domestic Partner Benefits
Domestic Partnership Information
Affidavit of Domestic Partnership
Domestic Partnership Termination
Staff Fee Affidavit of Domestic Partnership

 

 

Staff Fee Privileges
Staff Fees Form- Employee
Staff Fees Form- Family Transfer
Staff Fee Affidavit of Domestic Parnership
Programs Excluded from Staff Fees
Q & A

 

 

Flexible Spending Account Information & Forms
Flexible Spending Account General Info Page
Flexible Spending Account Claim Form
Health Care Flexible Spending Account Information
Dependent Care Flexible Spending Account Information
Flexible Spending Account Direct Deposit
Flex Debit Request Form

 

Standard Life Insurance & Disability
Long Term Disability Certificate
Short Term Disability Certificate
Disability Claim Form
The Standard Insurance Company
Optional Life Insurance Certificate

 

UNUM Long Term Care
Information on Enrolling in Long Term Care
Employee Enrollment Form
Spouse/Domestic Partner Enrollment Form
Family Enrollment Form

 

FMLA Information & Forms
WOU FMLA Information
FMLA Q & A
Release to Return to Work Form
Leave Request Form
FMLA Attendance Record
Certification of Health Provider

 

 

Other Important Benefit Links
OUS
PEBB
PERS
Kaiser Permenente
BlueCross BlueShield
Willamette Dental
ODS Dental
Providence Health Plan
Samaritan Health Plan
VSP
ASI Flex
BenefitHelp Solutions
Employee Assistance Program
HR Forms Page
Teaching Research Child Development Center

 

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Retirement information:

 

 

 

Classified Employees
PERS/OPSRP
Oregon Savings Growth Plan (457)
TDI Accounts (403B)
Salary Reduction Agreement
TDI Guide

 

 

Unclassified Employees
PERS/OPSRP
ORP:ous
Choices: Retirement Decision Making Guide
Fidelity
TIAA-CREF
AIG VALIC
Oregon Savings Growth Plan (457)
TDI Accounts (403B)
Salary Reduction Agreement
TDI Guide

 

 

Important Forms
ORP Change Form
IAP: Pre-Retirement Designation of Beneficiary Packet
IAP: Retirement Designation of Beneficiary Packet

 

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  Office of Human Resources Western Oregon University
345 N. Monmouth Ave.
Monmouth, OR 97361
503-838-8490
or e-mail vickersl@wou.edu
Last Updated: Monday, 08 June, 2009 04:23 PM

 
Located in the heart of Oregon’s lush Willamette Valley, Western Oregon University is the oldest institution in the Oregon University system with an award-winning campus that blends welcoming traditional features with multimedia classrooms, wireless web access and a state-of-the-art library. WOU is home to the nationally-renowned Teaching Research Institute, the Regional Resource Center on Deafness and the Rainbow Dance Theatre with approximately two-thirds of its students in the College of Liberal Arts and Sciences and the rest in the College of Education.