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Frequently Asked Benefits Questions

Below you will find the most frequently asked questions and concerns people have about their benefits. Use the links below to quickly navigate to the answers and information.


Ìý

Marriage, divorce, birth/adoption, loss coverage, etc.

If you've recently experienced a change in your family or work status you can submit aÌýMidyear Change FormÌýwhich will allow you to add or remove an individual from your coverage, or change your current plan enrollments.
Qualifying midyear events:

  • Marriage/Divorce
  • Birth/Adoption
  • Death
  • Termination of domestic partnership (requires an additional form)
  • Dependent gains/losses coverage
  • Employment change from PT to FT - or - FT to PT
  • Still within the first 30 days of eligibility
  • Met requirements for domestic partnership requires an additional form

*The coverage effective date is theÌýfirst of the month followingÌýthe later of the agency's receipt of all required appropriate forms and actual event date.
**Midyear change form must be received within 30 days of theÌýevent or you'll need to complete anÌýappeal form.


Ìý

I have not received my medical cards.

  1. Medical cards and Dental cards are mailed out 5-7 business days from enrollment date.
  2. VSP does not have provider cards. Employees use their PEBB ID number which can be found throughÌý:
    • Banweb →ÌýEmployee Services →ÌýBenefits and Deductions →ÌýHealth Benefits

If you do not receive your medical cards,Ìý.


Ìý

How do I read the benefit deductions on my paystub?

Benefit deductions can be viewed on each of your paystubs. Our payroll department has aÌýguide on how to read your pay stub. Please see section 5.

PEBB $40 premium Subsidy, Pre-Tax (P40) Subsidy Classified Staff receive.
PEBB 5% Employee Cost Share, Pre-Tax (P5P) Employee cost-share for benefits.

Full-time benefits (Employer contribution is pro-rated for Classified part-time)
Ìý Ìý Ìý Ìý PEBB Basic Life $10,000 (CL1)
ÌýÌýÌýÌýÌý +PEBB Dental
ÌýÌýÌýÌýÌý +PEBB Medical
ÌýÌýÌýÌýÌý +PEBB VisionÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌý
ÌýÌýÌýÌýÌý =Employer ContributionÌý

Ìý Ìý Ìý P5P or P3P (employee's cost share)

OPT-OUT

Ìý Ìý Ìý Ìý Ìý Ìý1.60Ìý Ìý Ìý Ìý PEBB Basic Life $10,000 (CL1) Ìý Ìý
Ìý Ìý Ìý Ìý154.00Ìý Ìý Ìý Ìý POOÌýOpt-OutÌý Ìý ÌýÌý
Ìý Ìý Ìý -388.60Ìý Ìý Ìý Ìý PSA Employer Contribution
Ìý Ìý Ìý$233.00
Ìý Ìý ÌýÌýÌý Ìý Ìý -.08Ìý Ìý Ìý Ìý P5P (cost share for basic life)
Ìý Ìý Ìý$233.00Ìý Ìý Ìý Ìý Cash Back (amount is prorated for Classified part-time)


Ìý

I just stopped/started using tobacco.

If you, or your partner/spouse, have recently stopped or started using tobacco you will need to complete and submit aÌý.


Ìý

I just changed from Full-time to Part-time, or vice versa.

An Unclassified staff who works at least .5 FTE will have full-time coverage and does not need to make changes as long as they continue to be .5 FTE. If they fall under .5 FTE, benefits will end.

Classified full-time benefits-eligible employee, meaning you work between .75 FTE and 1.0 FTE, and switch to part-time Classified benefits-eligible employee, meaning you work between .5 FTE and .74 FTE, review the information regarding benefits and cost.

Classified part-time benefits-eligible employeesÌýwho switch to full-time benefits-eligible must enroll in a full-time plan.

To make changes to your benefits complete aÌý.

You haveÌýwithin 30 days from the classification change to submit a midyear change form. Changes are effective the following month.

*Part-Time employees may have Full- or Part-Time benefits. Part-time employees may come out of pocket significantly for full-time coverage.
*Full-Time employees are unable to have Part-Time benefits.


Ìý

How do I add a domestic partner?

If you need to add your domestic partner to your coverage you must complete and submit aÌý.

If you do not have a registered certificate of domestic partnership then you must also complete and attach aÌý.

If you are establishing this domestic partner for the first time then they are eligible to have a guaranteed 20,000 of life insurance without completing a health history form. This is listed on the midyear change form.

For more information on adding a domestic partner, see theÌý.


Ìý

I had a recent life change and need to change my Flexible Spending Account

If you need to make changes to your healthcare or dependent care FSA due to a qualified life change you must complete and submit anÌý.

  • Marriage/Divorce
  • Birth/Adoption
  • Dependent gains/losses coverage
  • Employment change from PT to FT or FT to PT

Ìý

I'm traveling out of the country and need travel assistance

TheÌýÌýincludes information about travel assistance.

Refer to thisÌýÌýto answer any questions you may have.

For plan coverage details while traveling pleaseÌý.


Ìý

Commuter accounts (not the same as the PSU pre-tax parking or Trimet pass)

Portland State’s pre-tax Trimet and parking passes are not eligible for the commuter account program.

For a summary of the Commuter Account program visit ourÌýCommuter Account page.

For more detailed information regarding Commuter Accounts seeÌý.