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Non-Represented Employees

• Full-Time Non-Represented Employees: To qualify for the full-time employee health insurance package, you must be regularly scheduled to work at least 30 hours per week (0.75 FTE).
  
  
• Part-Time Non-Represented Employees: To qualify for the part-time employee health insurance package, you must be regularly scheduled to work at least 20 hours per week (0.50 FTE), but less than 30 hours per week (0.74 FTE).
  
  

SEIU Employees

• Full-Time SEIU Employees: To qualify for the full-time employee health insurance package, you must be regularly scheduled to work at least 30 hours per week (0.75 FTE).
  
  
• NEW! Part-Time SEIU Employees: To qualify for the part-time employee health insurance package, you must be regularly scheduled to work at least 20 hours per week (0.5 FTE), but less than 30 hours per week (0.74 FTE).
  
  

Questions about benefits eligibility?

PPS Benefits Team
Email: benefits@pps.net

IMPORTANT: Part Time SEIU employees will be eligible for Employee Only coverage - dependents are not eligible for coverage

• Legal Spouse (including same sex married spouse)
  
  
• Domestic Partner (same sex or opposite sex), living together for 6-months or more prior to enrolling in PPS benefits - Affidavit Required
  NOTE: A legally married spouse is not a Domestic Partner.
  • See Covering a Domestic Partner/Domestic Partner's Child(ren)? section below for more information
    
    
• Child(ren) Up to Age 26
  • Biological child, legally adopted or legally placed for adoption
  • Legally placed
  • Step-child
  • Domestic Partner's child - Affidavit Required
    
    • See Covering a Domestic Partner/Domestic Partner's Child(ren)? section below for more information
      
      
• Qualifying Disabled Adult Child(ren) Over Age 26
  • For more information on covering disabled adult children, contact OEBB (plan administrator) at 888-469-6322

If you are covering a Domestic Partner*/Domestic Partner's Child(ren) on your PPS benefits:

1. Review the (OEBB website) for information about the increase in taxes (imputed income tax) associated with covering a Domestic Partner/Domestic Partner's Child(ren).
   
   
2. Complete the Affidavit of Domestic Partnership form and have the form notarized by an Oregon Notary.
   
   • Most banks offer free notary services and only one of the two partners needs to be present.
   • Free notaries will be available during the Benefits Fair and Open Enrollment Labs: /Page/7327.
     
   • PPS does have free notaries available in Human Resources at the BESC by appointment only.  Email benefits@pps.net to schedule an appointment.
     
     
3. Submit your completed notarized Affidavit of Domestic Partnership form to the PPS Benefits Team at benefits@pps.net by Friday, September 13, 2024.
   
   If you do NOT complete/submit your notarized Affidavit of Domestic Partnership form by the deadline listed above, your Domestic Partner/Domestic Partner's Child(ren) will be dropped from your benefits.
   

IMPORTANT: The value of your domestic partner health insurance coverage is considered a taxable benefit under federal IRS regulations. If you have domestic partner health insurance coverage, an additional taxable income, also known as imputed income, is added to your pay each month and then the appropriate taxes are withheld. The impact on your tax withholding will depend on your gross pay and your W-4 filing status.  PPS cannot provide tax advice.  We strongly encourage you to seek out a certified tax professional for assistance.

* A Domestic Partner is an unmarried individual of the same or opposite sex whom you have been living with for six months or more prior to enrolling in PPS benefits.  NOTE: A legally married spouse is not a Domestic Partner.

IMPORTANT:  If you are enrolling in the HSA for the 2024-2025 Plan Year, you MUST complete a new HSA Authorization Form even if you had an HSA last plan year.

Enroll in the Health Savings Account (HSA) for Plan Year 2024-2025
Moda Plan 6 & Kaiser Plan 3 ONLY

Complete the Health Savings Account Enrollment/Change Google Form (even if you had an HSA last plan year) by Thursday, September 5, 2024

• • Fillable Google Form:  

If you do NOT complete/submit your form by the deadline listed above, 1) you will NOT receive the PPS Employer Contribution (District Contribution) until your HSA form is received AND 2) any missed PPS Employer Contributions will NOT be caught up.

What is an HSA?

An HSA is a pre-tax account established to pay for qualified medical expenses for those who are covered under a High Deductible Health Plan. More information  

To receive a district contribution to your HSA, you must be enrolled in a high deductible health plan (Moda Plan 6 or Kaiser 3) and be a full-time active employee. In addition, you can contribute your own pre-tax dollars to the account and unused funds roll over year to year.

Medicare and HSA

If you have an HSA when you sign up for Medicare, you can't contribute to your HSA once your Medicare coverage begins. If you contribute to your HSA after your Medicare coverage starts, you may have to pay a tax penalty. If you'd like to continue contributing to your HSA, you shouldn't apply for Medicare, Social Security, or Railroad Retirement Board (RRB) benefits.

Note: Premium-Free Part A coverage begins six months before the date you apply for Medicare (or Social Security/RRB benefits), but no earlier than the first month you were eligible for Medicare. To avoid a tax penalty, you should stop contributing to your HSA at least six months before you apply for Medicare.

(OEBB website)

Group Term Life (Basic LIfe) Insurance

• Non-Represented Employee Group
  Non-Represented employees enrolled in a medical plan or opted out are automatically enrolled in a group term life insurance policy of two times their annual salary to a maximum of $300,000 of coverage through The Standard Insurance Company.
  
  
• SEIU Employee Group
  SEIU employees enrolled in a medical plan or opted out are automatically enrolled in a group term life insurance policy of $30,000 of coverage through The Standard Insurance Company.
  
  

Additional Group Term Life (Basic Life) Insurance:

Long Term Disability (LTD) Insurance

• Non-Represented Employee Group
  Non-Represented employees enrolled in a medical plan or opted out are automatically enrolled in this salary replacement policy. This is for a disability sustained off the job following a 90-day waiting period, benefits are payable at a rate of 66 2/3% of pre-disability income up to a maximum benefit of $8,000 per month through The Standard Insurance Company.
  
  
• SEIU Employee Group
  SEIU employees enrolled in a medical plan or opted out are automatically enrolled in this salary replacement policy. This is for a disability sustained off the job following a 90-day waiting period, benefits are payable at a rate of 66 2/3% of pre-disability income up to a maximum benefit of $8,000 per month through The Standard Insurance Company.
  

Additional LTD Insurance Information:

IMPORTANT:  If you had the FSA (Health Care or Dependent Care) last plan year, you MUST re-enroll during OEBB Open Enrollment to continue participating in the FSA for the upcoming 2024-2025 Plan Year.

Enroll in the Flexible Spending Account (FSA) for Plan Year 2024-2025

• Please read the 2024 FSA Announcement for instructions on how to enroll by Thursday, September 5, 2024, the last day of OEBB Annual Open Enrollment.
  
  

If you do NOT complete/submit your FSA enrollment on the PacificSourse website by the deadline listed above, 1) you will NOT have the FSA for the 2024-2025 Plan Year AND 2) you will NOT be eligible to enroll in the FSA again until next year's OEBB Open Enrollment.

*A change in daycare provider is considered a Qualifying Event within 31 days to enroll in Dependent Care FSA 

What is the FSA?

The Flexible Spending Account (FSA) is a way for you to save income taxes when paying for eligible Health Care OR Dependent Care expenses. Normally, the FSA is a use it or lose it plan and any unused funds are forfeited.

• Health Care FSA
  Related expenses may include medical, prescription, vision and dental insurance co-pays, coinsurance, and deductibles not covered by insurance. The 2024 Health Care FSA contribution limits are a minimum of $240 up to a maximum of $3,200 per plan year. The first time you enroll in a Health Care FSA, you will receive a FSA debit card, which allows you to pay directly from your FSA account without having to wait to be reimbursed. Review the IRS Rules regarding undocumented FSA debit charges.
  
  
• Limited Purpose Flexible Spending Account (LFSA) - Moda Plan 6 & Kaiser Plan ONLY
  Non-Represented and SEIU employees who have an Health Savings Account (HSA)— must be enrolled in Moda Plan 6 or Kaiser Plan 3 to have an HSA—are eligible to enroll in a Limited Purpose Flexible Spending Account (LFSA) similar to the traditional Health Care FSA.  An LFSA allows you to pay for eligible out-of-pocket preventive care for dental, orthodontic, and vision expenses.  The 2024 Limited Purpose FSA contribution limits are a minimum of $240 up to a maximum of $3,200 per plan year. 
  
  
• Dependent Care FSA
  May be used for a qualifying dependent under the age of 13 or an eligible dependent who is physically or mentally incapable of self-care. The 2024 Dependent Care FSA contribution limits are a minimum of $240 up to a maximum of $5,000 per plan year. You can access account information online and set up recurring payments for reimbursement of dependent care expenses. 
  
  

Additional FSA Information:

Optional Life Insurance

Employees may purchase additional life insurance on a self-pay basis. The benefit values range from $10,000 to $500,000, in increments of $10,000.  Employees who enroll in optional life insurance may also enroll a spouse or domestic partner and child(ren).

Additional Optional Life Insurance Information:

Long Term Care (LTC) Insurance

Employees and their family members are eligible to enroll in LTC Insurance provided by UNUM.  Whether it's due to a motorcycle accident or a serious illness, LTC is the type of care you may need if you couldn't independently perform the basic activities of daily living. If this situation were to occur, LTC insurance coverage could help pay for a home health aide, an assisted living facility, or a private nursing home. 

Additional LTC Insurance Information: .