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2013 Plan Year Materials

You will need Adobe Reader to open most of these documents. If you have questions, please call us at 866-364-4822 or email us at ohip.benefits@state.or.us.

 

2013 OHIP In-Area Plan Handbook

This handbook contains information about the benefits provided by OHIP for the In-Area Medical, Dental, & Vision plans as well as the Employee Assistance Program.  It also contains information about rates and other important program information.

 

2013 OHIP Out-of-Area Plan Handbook

This handbook contains information about the benefits provided by OHIP for the Out-of-Area Medical, Dental, & Vision plans as well as the Employee Assistance Program. It also contains information about rates and other important program information.

 

2013 Enrollment Form

Use this form to enroll in OHIP insurance.
 

2013 Change Form

Use this form to make changes to your enrollment and contact information.
 

Domestic Partner Affidavit

Use this affidavit to document your domestic partnership.
 

Request to Cancel Coverage

Use this form to cancel coverage.
 

2012-13 Kaiser Permanente Summary Plan Descriptions

This link will bring you to the Summary Plan Descriptions for all the OHIP medical, dental and pharmacy plans.

 

2012-13 Kaiser Permanente Summaries of Benefits and Coverage (SBCs)

            In-Area         Out-of-Area

SBCs for each plan option are now available as part of Federal Healthcare Reform regulations. Review these documents to better understand your benefits and the differences between the plans.