Benefits & Insurance


Insurance Forms

New Employee Member Enrollment Form

Appeal Form

Opt Out Form

Mid-Year Change Form

List of Qualifying Mid-year Change Events

Beneficiary Form

Current Plan Rates & Plan Designs

16-17 - 50% Cap Synergy

16-17 - 75% Cap Synergy

16-17 - 100% Cap Synergy

16-17 - 50% Cap PPO

16-17 - 75% Cap PPO

16-17 - 100% Cap PPO

Dental Plan Designs - 16-17

Medical Plan Designs - 16-17

Vision Plan Designs - 16-17


Cobra FAQ

16-17 Plan Rates


Oregon Educators Benefit Board (OEBB)

MyOEBB Member Login

OEBB Main Site

List of Qualifying Mid-year Change Events


HSA Information

HSA Application

Short Term Disability


American Fidelity

Oregon Savings Growth Plan

Oregon Savings Growth Plan - information

Enrollment Form

Plan Comparison

Employee Assistance Program (EAP)

As part of our employee benefits package, Douglas ESD offers an Employee Assistance Program (EAP).  Services are provided by Reliant Behavioral Health.

The program provides assistance to employees who may be dealing with personal or professional problems that may interfere with work or family responsibilities. 

EAP Informational Flyer

EAP - Tips for a better experience

Reliant Behavioral Health


Douglas Education Service District | 1871 NE Stephens | Roseburg, OR 97470
Telephone: 541.440.4777 | Fax: 541.440.4771

Admin Login

Accessibility Statement - The Douglas ESD is committed to making its electronic and information technologies accessible to individuals with disabilities by meeting or exceeding the World Wide Web Consortium’s (W3C’s) Web Content Accessibility Guidelines (WCAG) 2.0 Level AA and the Web Accessibility Initiative Accessible Rich Internet Applications Suite (WAI-ARIA) 1.0 for web content. We are currently in the process of upgrading our site to meet all requirements.

For more information on how to report an issue related to the accessibility or how to file a formal Section 504 or ADA (Title II) complaint about the accessibility of any content on our website, please see our full Accessibility Statement.

Anti-Discrimination Policy - It is a policy of the Douglas ESD that there will be no discrimination or harassment on the grounds of race, color, sex, marital status, religion, national origin, age, sexual orientation, or disability in any educational programs, activities or employment. For more information, visit the Nondiscrimination Policy page.