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This document provides detailed information about optional benefits available to employees of the State of Oregon, including life insurance, disability insurance, and flexible spending accounts.
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How to fill out Public Employees’ Benefit Board Summary Plan Description

01
Gather necessary personal and employment information, including your full name, employee ID, and contact details.
02
Review the plan options provided by the Public Employees' Benefit Board (PEBB), including health insurance, dental, and vision plans.
03
Fill out the Personal Information section of the form accurately.
04
Select the benefit plans you wish to enroll in, ensuring you understand the coverage each option provides.
05
Complete any required sections regarding dependents, if applicable.
06
Sign and date the form to confirm the accuracy of the information provided.
07
Submit the completed form according to the instructions provided, ensuring it is sent to the correct address or office.

Who needs Public Employees’ Benefit Board Summary Plan Description?

01
Current public employees looking to enroll in or change benefit plans.
02
Individuals considering employment with public institutions that offer PEBB plans.
03
Family members of eligible employees who need to understand benefits available to them.
04
Human resources personnel managing employee benefits for public agencies.
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People Also Ask about

The SBC is a snapshot of a health plan's costs, benefits, covered health care services, and other features that are important to consumers. SBCs also explain health plans' unique features like cost sharing rules and include significant limits and exceptions to coverage in easy-to- understand terms.
New employees must receive a copy of their plan sponsor's latest Summary Plan Description within 90 days after becoming covered by the plan. Plan sponsors are not required to file the Summary Plan Description with the Department of Labor (DOL), although they are required to provide it to DOL upon request.
A summary plan description (SPD) is a document that an employer must give to employees participating in retirement or health benefits plans. It describes their rights, responsibilities and benefits under the plan.
People with SPD misinterpret everyday sensory information, such as touch, sound, and movement. They may feel bombarded by information, they may crave intense sensory experiences, or they may be unaware of sensations that others feel.
A summary plan description (SPD) is a required document for any benefits or retirement plan covered by the Employee Retirement Income Security Act (ERISA). SPDs use simple, plain language to provide an overview of a plan's most important details (e.g., claims processes, calculation methods, vesting periods, etc.)
The summary plan description is an important document that tells participants what the plan provides and how it operates. It provides information on when an employee can begin to participate in the plan and how to file a claim for benefits.

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The Public Employees’ Benefit Board Summary Plan Description is a document that outlines the benefits provided by the Public Employees' Benefit Board (PEBB) to eligible employees, including health insurance and other benefits.
Employers who participate in the Public Employees' Benefit Board programs and provide health benefits to their employees are required to file the Public Employees’ Benefit Board Summary Plan Description.
To fill out the Public Employees’ Benefit Board Summary Plan Description, one must gather relevant information about the benefits offered, complete the designated sections of the form accurately, and provide necessary details about the plan's structure and eligibility.
The purpose of the Public Employees’ Benefit Board Summary Plan Description is to inform eligible employees about their benefits, including coverage details, rights, and obligations related to the health insurance plans provided by their employer.
The Public Employees’ Benefit Board Summary Plan Description must report information such as benefits covered, eligibility requirements, procedures for obtaining benefits, and any rights and protections afforded to the employees under the plan.
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