Licensed Substitute Benefits

2006-2007 Licensed (certified) Substitute Employee Benefits

(also applies to 2007-2008 plan year)

The following pages are available as PDF downloadable files. To download the PDF file you will need a free version of Acrobat Reader.

How to Enroll
    Determine Your Eligibility
    The Tax Shelter Plan
    The Enrollment Process
Medical Coverage
    Overview of Medical Coverage
    Coverage Highlight Charts
    How Is the Cost for Prescription Drugs Covered?
    Pre-Authorization Requirements
    Mental Health and Substance Abuse Coverage
    Coordination of Benefits
    Q & A About Medical Coverage
Special Programs
    Overview of the Wellness Clinic
    Q & A About the Wellness Clinic
    Overview of the Employee Assistance Program
    Q & A About the Employee Assistance Program
    What Is the Workers' Compensation Program?
    Q & A About Workers' Compensation
    Overview of the COPES Program
    Q & A About COPES
    Overview of the Flexible Spending Program
    Q & A About the Flexible Spending Program
Help Information
    How to File a Dental Claim
    How to File a Medical Claim: Office and Hospital Visits
    How to File a Medical Claim: Emergency Room Visits and Pharmacy
    How to Resolve a Medical, Vision or Dental Claim
    How to File Out-of-Area Claims: BlueCard Program

Look for answers to commonly asked questions at the end of each section.

This booklet is a summary of programs and benefits offered by the 4J School District. It is not complete. Your ODS
Medical and Hospital Subscriber Agreement (hereafter referred to as Subscriber Agreement) takes precedence over any
information provided in this publication.

4J Employee Benefits Office 200 N. Monroe Eugene, OR 97402 ph: (541) 687-3491 www.4J.lane.edu/hr/rm email: EBO	ODS Medical PO Box 40384 Portland, OR 97240 ph: 1-888-217-2363 www.odscompanies.com	ODS Pharmacy Network P.O. Box 40168 Portland, OR 97240-0168 ph: 1-888-217-2363
	To avoid confusion and delays, include a copy of your ODS I.D. card with all correspondence and reimbursement requests to ODS

Please send comments or questions to the 4J Web Team.
Last updated: September 28, 2007 by Lutz Eugene School District 4J