Health Insurance Information

SEA Members have a variety of insurance options to suit your needs. A one-page summary of insurance options is available by clicking on the image to the right. Detailed information specific to your family type is available by clicking one of the options below.

Please note that the cost to members is based on a full time (1.0 FTE) position. If working in a part-time position, a member is responsible for the amount shown on each page, plus the prorated portion of the cost to the district of your plan.

SEA Insurance Guide 2021-22.pdf

2021-2022 Update

SEA Insurance Update 8-25-21.mp4

What's the same?

  • Full-time members will continue to experience no out of pocket costs for insurance premiums this year.

  • Members with Kaiser insurance will maintain their current deductibles and out of pocket maximums. The $100 per month contribution to a VEBA is also maintained.

  • Members who opt out of insurance will continue to see an additional $20 per month added to their VEBA contribution, for a total of $520 per month.

What's changed?

  • All members will be required to complete open enrollment.

  • Members with Moda insurance will now select Plan 5 during open enrollment. However, you will still have the same deductibles and out of pocket maximums as last year. The differences you will experience with the shift to plan 5 are as follows:

    • Copays for office visits from $25 to $30 starting October 1.

    • If admitted to the hospital, a copay of $100 per admission will be added to your member responsibility of 25% starting October 1.

Interested in comparing what the Moda vs. Kaiser plans cover? See the plan designs from OEBB at https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/me3707.pdf.


About the Group HRA

SSD_GHRA_Video_21-22.mp4

We use a special healthcare account called a Group Health Reimbursement Account to enhance health benefits offered through the district. This arrangement provides our members with substantially reduced deductibles and maximum out of pocket costs than the Moda and Kaiser plans alone. The video at left provides some additional information about how this arrangement works.

Medical Coverage Options by Family Type

Employee Only - choose this option if you are only covering yourself and have no dependents.

Employee and Spouse - choose this option if you are covering yourself and your spouse, but no children.

Employee and Child - choose this option if you are covering yourself and a child, but not a spouse.

Full Family - choose this option if you are covering yourself, your spouse, and your child(ren).

Dental & Vision Coverage Options

Base plans are provided to members at no cost as described in the summary page linked above. If wishing to "upgrade" your coverage, members may do so by paying the difference in cost.

Upgrade Your Dental Insurance

Delta Plan 5 (with ortho)

  • Employee Only: +$14.61/mo

  • Employee & Spouse: +$29.03/mo.

  • Employee & Child(ren): +$40.61/mo.

  • Full Family: +$58.06/mo.

Delta Plan 1 (with ortho)

  • Employee Only: +$22.33/mo.

  • Employee & Spouse: +$44.33/mo.

  • Employee & Child(ren): +$57.63/mo.

  • Full Family:+$81.26/mo.

Exclusive PPO Delta Dental

  • Employee Only: +$13.33/mo.

  • Employee & Spouse: +$26.48/mo.

  • Employee & Child(ren): +$37.77/mo.

  • Full Family: +$51.87/mo.

Upgrade Your Vision Insurance

Pearl Plan

  • Employee Only: +$/mo.

  • Employee & Spouse: +$/mo.

  • Employee & Child(ren): +$/mo.

  • Full Family: +$/mo.

Opal Plan

  • Employee Only: +$/mo.

  • Employee & Spouse: +$/mo.

  • Employee & Child(ren): +$/mo.

  • Full Family: +$/mo.

VSP Choice Plus

  • Employee Only: +$/mo.

  • Employee & Spouse: +$/mo.

  • Employee & Child(ren): +$/mo.

  • Full Family: +$/mo.

VSP Choice (no effective cost difference)
VSP Choice plans are cheaper than the Moda options, but members do not get a credit toward other insurance. However, there may be differences in coverage amounts or eye doctors covered by the plans. Check the VSP and Moda websites for additional information.

Additional Insurance Offerings

SEA members may be interested in considering the Short-Term Disability, Long Term Disability, or Life Insurance Benefits offered through OEBB. See the documents below for additional information.

Short Term Disability Insurance.pdf

Short-Term Disability

Long Term Disability Insurance.pdf

Long-Term Disability

Group Optional Life.pdf

Group Life Insurance

Opt Out of Insurance through the District

If an SEA member has other group coverage (e.g., through a spouse), the member may opt out of insurance through the district. Members opting will receive $500 per month into an HRA VEBA account that they can use for any unreimbursed medical expense. For the 2021-22 school year, members who opt out will receive an additional $20 per month into their accounts, for a total of $520 per month.

Members wishing to opt out of insurance should complete the form linked at right, then submit it along with proof of your other group coverage to Julie Barker at the District Office.

FY22 Certified Ind and Married opt out.pdf