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HEALTH INSURANCE OVERVIEW <br />~~ ~ 1 ~ 1~ 4 4.,.1 If~~ ~ \ ~} `~'3 r,_,} ~,.~ ~~A •`... +.~~ '~..--^a ~~ 1. ~ f~ '~,_ !'~4 V ~ L.. ~,... ~) <br />~~rrt~JlCl'y+~f? Q~r9f'~it~ . <br />___ ~~ Har~7e <br />~~~ <br />~: Info 1 Resources <br />___ _ <br />HEALTH INSURANCE ~ Quick claim Form <br />CHOICES <br />Most City of Eugene regular employees have a choice of medical insurance <br />coverage at the time they are hired. The health plan <br />options are: <br />• The City Health <br />Plan <br />a self-insured plan <br />administered by <br />ODS Health <br />Plans <br />DENTAL & VISION COVERAGE <br />Regardless of the medical plan you choose, <br />your vision and dental coverage will be provided by the <br />City Health Plan. <br />COMPARISON OF BENEFITS <br />Follow the links below for a comparison of the health <br />plan benefits options for your specific employment <br />~IT'Y OF E[tCEt*l~ <br />• PacificSource <br />Health Plans <br />a managed care <br />option <br />Page 1 of 2 <br />~ Domestic Partnership <br />Coverage overview & Affidavit <br />M" Terminating Regular <br />Employee Info <br />~'` Retiring Employee Info <br />M" Health Plan Document <br />~ Prescription Drug Discount & <br />Voucher Programs <br />Heaftt~ PE~ra 13ocklets' <br />~" City Plan (UDS) <br />Medical/Dental/Vision <br />Booklet (with IAFF benefit <br />addendum) <br />group or union. The C,urrent.._QDS.._Prefe....r..red,._Dru,g.....G....ha.r..t ~" PacificSource Benefits <br />is referenced in the comparisons below. Booklets: <br />CO MPARISON OF BENEFITS ENROLLMENT FORMS •AFSCME <br />~ <br /> <br />-,} <br />•AFSCME-Represented <br />If you choose the City Health Plan, •EPEA <br />~ <br /> <br />' <br />' •IAFF <br />- employees you must complete the City <br />s <br />•Non-Represented <br /> • AFSCME-Represented enrollment form. If you choose <br /> 'PacificSource Addendum <br /> part-time employees <br />• AFSCME PacificSource, you must complete on Contraceptive Coverage <br /> -Represented their enrollment form in addition to <br /> Limited Duration &BTR the City's form. Links to these forms <br /> employees are provided below. Select, print, ~"` Dental/Vision Booklet (with <br /> (BTR =Benefited Temporay and complete the appropriate form IAFF benefit addendum) <br /> Recreation"> s . Com leted forms should be <br />() p M~ <br />Benefit Booklet for Former <br /> sent to: Human Resource & Risk Employees <br /> Services, Room 101 at City Hall <br />• EPEA-Represented <br />employees <br />• EPEA-Represented part- <br />time employees <br />• IAFF-Represented <br />employees <br />_ Gity Pia r~ Forrn <br />n., <br />P~t~if~cat~urce F~~rm <br />1A~~e~S~ite Links <br />~' ODS Health Plans <br />• IATSE-Represented <br />employees <br />There is an open enrollment period <br />each May or June when you will be <br />able to change from one health <br />plan to another. Generally, the only <br />time employees may change <br />~' PacificSource Health Plans <br />http://www.ci.eugene.or.us/HRRSBenefits/H1thBen.htm 4/27/2004 <br />_ __ <br />_ __ _ _ <br />