Medical Plan Information
Access PPO Summary of Benefits & Coverage (SBC)
Access PPO Detailed Summary
Essentials Core Summary of Benefits & Coverage (SBC)
Essentials Core Detailed Summary
HSA HMO Summary of Benefits & Coverage (SBC)
HSA HMO Detailed Summary
Medical Plan Cost Comparison Estimator
Kaiser Permanente Website
FSA and HSA Information
Flexible Spending Account Guideline
Dependent Care Guideline
Health Savings Account
HSA FAQ
Health Equity Website
Income Protection Information
Unum Long Term Disability Summary
Unum Voluntary Term Life Insurance Summary
Unum Life & AD&D Summary
Key Dates to Remember
January 31, 2020: Submit dependent tuition remission applications for classes taken from June 2020 – May 2021
March 31, 2020: Last day to submit FSA claims for expenses
incurred from June 1, 2019 – December 31, 2019
Forms
Dependent Tuition Remission Application 2020-2021
Domestic Partner Affidavit Form
Flexible Spending Account (FSA) Form 2020
Health Savings Account (HSA) Form 2020
Medical Dental Life Form 2020
UNUM Coverage Change Request Form
UNUM Voluntary Term Life Enrollment form 2020
UNUM Voluntary Term Life Online Enrollment 2020
Plan Options & Rates
Dental Plan Options and Rates 2020
Medical Plan Options and Rates 2020
Dental Plan Information
Delta Dental Benefits Summary
Delta Dental Website
Willamette Dental Benefits Summary
Willamette Dental Website
Contact
Aileen Ochinang – 253-535-8146 or
send an email to ochinaav@plu.edu