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

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