Frequently Asked Questions (FAQs)

Select the links below to find answers to common questions. (Go to www.nwadmin.com and log in to view your personalized eligibility and enrollment information.)

General

>   Now that Open Enrollment for 2018 Plan Year is over for Active Employees and Early Retirees, will I get new ID Card(s)?

If you are a new enrollee for Trust Health and Welfare benefits, you will receive ID cards for medical, prescription drug and dental coverage. If you have vision coverage through VSP, you can access an ID card online at vsp.com if you’d like.

If you are currently covered by Trust Health and Welfare benefits, you can expect to receive a new medical plan ID card if:

  • You are enrolled in a Providence medical plan (Providence Option Advantage or Providence Personal Option),
  • You changed medical plans, and/or
  • You added or removed dependents.

Otherwise, you can keep the ID cards you currently have, including your dental plan ID and prescription drug ID cards. If you have vision coverage through VSP, you access an ID card online at vsp.com if you’d like.

>   What if I need to use my benefits before I receive my new ID card(s)?

Remember, if you are an Active Employee or Early Retiree, your 2018 elections begin January 1, 2018, so you should use your existing ID cards for your medical, prescription drug, dental and vision services until December 31, 2017.

As of January 1, 2018, if you are haven’t received your new ID cards (see above) and need to access your benefits, please contact the carrier directly at following customer service number:

Kaiser Permanente HMO - Medical, Prescription Drug and Vision 1-800-813-2000
Providence Option Advantage and Providence Personal Option Plans – Medical 1-800-878-4445
Trust Preferred Provider and Trust Indemnity Plans (through Regence) – Medical 1-866-240-9580
Trust Prescription Drug Plan (through CVS/Caremark®) 1-855-559-6433
Trust Dental Plan (through Regence) 1-866-240-9580
Trust Vision Plan (through VSP) 1-800-877-7195

If you have questions about your enrollment or eligibility, please feel free to contact the Trust Office at 1-503-238-6961 or 1-844-203-0239 (toll free). If you are an Early Retiree, select Option 2 when you call.

>   What if I’m thinking of retiring?

Start by reviewing the Retirement Checklist.

Find additional retirement details by group here.

>   What if I want to change my benefits during the year?

Generally, you may make changes in your benefit elections only during annual open enrollment. However, if you experience a qualifying status change mid-year, you may make related benefit changes. Qualifying status changes include but are not limited to the events listed below. Keep in mind, you will be asked to provide documentation.

  • For marriage: Marriage license (front and back with seal).
  • For divorce or legal separation: Divorce or legal separation divorce decree or court documents.
  • For birth, adoption or legal guardianship: Birth certificate, adoption papers, court documents, custody order or guardianship paperwork.
  • For adding a domestic partner (or a partner's dependent children): Affidavit of domestic partnership.
  • For death: Death certificate.
  • For gain or loss of other coverage: HIPAA certification from former plan, documentation from spouse's/domestic partner's employer on company letterhead or spouse's/domestic partner's group insurance with coverage effective date or end date.
  • For full-time or part-time status change: No documentation required.

If you experience a qualifying status change, go to www.pps.net/Page/7324 to enroll online and submit the appropriate documentation within 31 days of the status change.

>   Where can I go to get help dealing with a stressful situation or depression?

Many people struggle with balancing all of life’s challenges, and could benefit from some help. That’s why Trust members have access to an Employee Assistance Program (EAP), through Reliant Behavioral Health. The program gives you an opportunity to talk to a trained professional about your concerns.

The EAP can help with:

  • Family issues
  • Emotional stress
  • Physical fatigue
  • Health problems
  • Financial pressures
  • Anxiety

Your Trust benefits cover five in-person, completely confidential counseling sessions per issue or over the phone assistance 24/7 for immediate concerns. Remember: your information and interactions with the EAP are always kept completely confidential – nothing is shared with your employer.

Find out more or speak with someone right away: 866-750-1327.

Note: the EAP is not available to substitutes or retirees.

Vision Benefits

>   Who administers my vision benefits?

It depends on your bargaining group, employee status and the medical plan you’re enrolled in...

PAT*
Employee Status: Medical Plan: Vision Administered by: Contact Information:
Full Time and Part-Time
Option 1
  • Trust Preferred Provider Plan (Regence)
  • Providence Personal Option EPO Plan
VSP (Vision Service Plan) 800-877-7195
www.vsp.com
  • Kaiser Permanente
Kaiser Vision Plan 800-813-2000
www.kaiserpermanente.com
Early Retiree
  • Early Retiree Trust Plan 1 (Regence)—CLOSED
  • Early Retiree Trust Plan 2 (Regence)
  • Providence Personal Option EPO Plan
VSP (Vision Service Plan) 800-877-7195
www.vsp.com
  • Kaiser Permanente
Kaiser Vision Plan 800-813-2000
www.kaiserpermanente.com
PFSP / DCU / ATU*
Employee Status: Medical Plan: Vision Administered by: Contact Information:
Full Time
and Part-Time
Option 1
 
  • Providence Option Advantage Plan
  • Providence Personal Option EPO Plan
VSP (Vision Service Plan) 800-877-7195
www.vsp.com
  • Kaiser Permanente
Kaiser Vision Plan 800-813-2000
www.kaiserpermanente.com
Early Retiree
  • Providence Option Advantage Plan
  • Providence Personal Option EPO Plan
VSP (Vision Service Plan) 800-877-7195
www.vsp.com
  • Kaiser Permanente
Kaiser Vision Plan 800-813-2000
www.kaiserpermanente.com

*Substitute Teachers and Part-Time Option 2 employees do not receive vision benefits.

>   Do I need to show my vision doctor an ID card when I receive care?

If your vision benefits are administered by Vision Service Plan (VSP): No — you do not need to show an ID card because VSP does not automatically issue ID cards. You may print an ID card online at www.vsp.com.

If your vision benefits are administered by Kaiser: Yes — you can show the medical ID card that was issued to you by Kaiser. That’s because your Kaiser medical plan includes medical, prescription drug and vision benefits.

Not sure who administers your vision benefits? Review the chart above by selecting the Who administers my vision benefits? link.

>   What is covered by my Vision Plan?

For more details about your vision benefits, review your Plan Comparison chart.

>   Who do I contact if I have more questions about my vision coverage?

Contact your vision plan administrator — review the chart above by selecting the Who administers my vision benefits? link to find your plan administrator — you’ll also find telephone numbers and website links.