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Oregon Small Business Groups

New Group Implementation Forms

Employee Enrollment and Change Forms

Renewal Election Form

Pharmacy

This kit is for members only and may not be included in Open Enrollment Kits.

Pharmacy Reimbursement Form

Pharmacy Reimbursement Form (PDF)

Continuation of Coverage Forms

HIPAA Disclosures

Additional Forms and Materials

CommunityCare 1T Plans

Available to Oregon groups located in Multnomah, Clackamas, Washington, Clatsop, Columbia, and Tillamook counties.

PPO Plans

Available to Oregon groups statewide.

PPO High Deductible Plans

Available to Oregon groups statewide.

PPO Standard Plans

Available to Oregon groups statewide.

CommunityCare 1T Plans

Available to Oregon groups located in Multnomah, Clackamas, Washington, Clatsop, Columbia, and Tillamook counties.

CommunityCare 3T Plans

Available to Oregon groups located in Multnomah, Clackamas, Washington, Clatsop, Columbia, and Tillamook counties.

PPO Plans

Available to Oregon groups statewide.

PPO High Deductible Plans

Available to Oregon groups statewide.

PPO Standard Plans

Available to Oregon groups statewide.

Health Care Reform

Preventive Care and Screenings (Facts about ACA-Covered Services) (PDF)

PDF provides detailed instructions for distribution and reproduction of the Summary of Benefits and Coverage form required under the Affordable Care Act.

Summary of Benefits and Coverage (SBC) Employer Group Instructions Sheet (PDF)

CommunityCare

Additional Tools

Uniform Glossary of Health Coverage and Medical Terms

Health insurance companies and group health plans are required to make available a uniform glossary of health coverage and medical terms commonly used in plan documents. The Uniform Glossary is meant to help the consumer understand some of the most common language used in health insurance documents. Please log in to request a hard copy of the document by mail.

Are your clients looking for greater convenience, service and choice in consumer directed health care benefits? We have partnered with HealthEquity for HSA integration alongside our Small group high deductible health plans (HDHP’s). A proven expert in financial arrangement integration and administration, HealthEquity offers easy-to-use tools and comprehensive resources.

Learn more about HealthEquity HSA Plans on the HealthEquity website. Go to HealthEquity sales resource site.