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Benefits for Employees Represented by the Marion County Juvenile Employees Association (MCJEA) RETIREMENT SAVINGS ACCOUNTS Deferred Compensation Plan How do I sign up or change contributions?   Deferred Compensation Plan Document PERS/OPSRP PENSION PLANS Pension Plan General Information PERS/OPSRP Website PERS/OPSRP Beneficiary Designation - IAP Form Individual Account Program (all members) PERS Beneficiary Designation - Tier 1 & 2 Form Membership began before August 29, 2003 HEALTH INSURANCE Health Plan General Information Changing your address? Adding or removing a family member? Health Insurance Opt Out Form Enrollment/Change Forms 2013 Health Plan Enrollment/Change Form 2013 HSA Contribution Change Form Payroll deduction form for members of the ODS PPO/Health Savings Account Plan Comparison of Health Plans and Plan Summaries Marion County Health Plans Comparison and Summary ODS Traditional Summary of Benefits and Coverage Kaiser Summary of Benefits and Coverage ODS Traditional Medical Summary Kaiser Medical Summary ODS Traditional Vision Summary Kaiser Dental Summary ODS Traditional Prescription List ODS Traditional Prescritption Value Tier List ODS PPO/HSA Summary of Benefits and Coverage ODS PPO/HSA Medical Summary ODS PPO/HSA Vision ODS Dental Summary Plan Member Handbooks 2012 Kaiser HMO Plan 2012 ODS Traditional PPO Plan 2012 Kaiser Dental 2012 ODS PPO/HSA Plan 2012 ODS Dental Note:  Links to the 2013 Plan Member Handbooks will be added as they become available.  See Comparison of Health Plans and Plan Summaries above for 2013 medical and dental summaries. Insurance Carrier Websites ODS:  http://www.odscompanies.com/ Kaiser:  http://www.kaiserpermanente.org/ Chase HSA:  www.chasehsa.com (Health Savings Account information for ODS PPO/HSA Plan PRE-TAX FLEXIBLE SPENDING ACCOUNTS (FSA) & COMMUTER ACCOUNT (CERA) Pre-tax Accounts General Information, Enrollment Forms and Claim Forms LIFE INSURANCE, LONG-TERM DISABILITY & SHORT-TERM DISABILITY Basic Life, Voluntary Life, and Long-Term Disability General Information Short-Term Disability Information DOMESTIC PARTNER INFORMATION Domestic Partner Information & Forms Information on the criteria for adding your domestic partner to your health insurance and the increase in Federal taxes that will apply. Affidavit of Domestic Partnership Termination of Insurance for Domestic Partner Declaration of Tax Dependent Status Termination of Tax Dependent Status MISCELLANEOUS MetLife Auto & Home Insurance Paid Time Off Employee Assistance Program (EAP) The EAP provides benefits-eligible employees and their benefits covered family members with 6 free counseling sessions annually, as well as other services. Cascade Centers administers this program. For information call Cascade at 1-800-433-2320 or 503-588-0777 (in the Salem/Keizer area). Marion County Benefit Plan Rules These rules cover health plan eligibility and enrollment, domestic partner guidelines, family status changes, and other benefit plan coverage provisions. HearPO Discount Program

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