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Agent of Record - Medical and Section 125/Cafeteria Plan Elements Health Plans
3326 NE 63rd Avenue
Portland, OR 97213
Medical/Prescription/Vision
Dental

Regence BlueCross BlueShield of Oregon
Southern Regional Office
2057 Commerce Drive
Medford, OR 97504
(541) 734-8968
Fax (541) 772-6276

Customer Service (Medford):
(541) 772-8906
1-800-828-0035

Medical Claims/Durable Medical Equipment or Supplies

http://www.or.regence.com/docs/form/durableMedEquip.pdf

Send to:
Regence BlueCross BlueShield of Oregon
P.O. Box 1271
Portland, OR 97207-1271

Prescription Reimbursement Forms

http://www.or.regence.com/docs/form/rxForm4328.pdf

Send to:
Pharmacy Services
P.O. Box 12625 MS SF1
Salem, OR 97309-0625

Provider Directories Medical Provider Directory - Traditional (Participating)
Dental Provider Directory - PAR Dental
Vision Care Provider Directory - PAR Vision
Pharmacy Search
Life Insurance Regence BlueCross BlueShield of Oregon
Regence Life and Health
2057 Commerce Drive
Medford, OR 97504

Group # WBT000303

Employee Assistance Program Asante Health System
Medford (541) 608-4238
Grants Pass (541) 955-5570
1-800-836-5777
Internet and Email RCC Help Desk
Medford (541) 245-7535
Grants Pass (541) 956-7042
PERS

Oregon Public Employees Retirement System (PERS)
P.O. Box 23700
Tigard, Oregon 97281-3700
(503) 598-7377
1-888-320-7377
TTY (503) 603-7766
FAX (503) 598-0561
24 hr. InfoLine (503) 603-7600
Email Customer-Service.PERS@state.or.us 
Contact Customer Service

Professional Growth Faculty -- James Dunn (541) 956-7071
Classified -- Kathy Peck (541) 956-7204
Management -- Denise Swafford (541) 956-7001
Retirement Christine Murff (541) 956-7025

Oregon Public Employees Retirement System (PERS)
P.O. Box 23700
Tigard, Oregon 97281-3700
(503) 598-7377
1-888-320-7377
TTY (503) 603-7766
FAX (503) 598-0561
24 hr. InfoLine (503) 603-7600
Email Customer-Service.PERS@state.or.us 
Contact Customer Service

Colonial Life & Accident Phil Ellena 
1361 La Loma Drive
Medford, Oregon 97504
(541) 779-8373

Colonial Life & Accident Insurance Company
P.O. Box 1365
Columbia, South Carolina 29202-1365
1-800-325-4368
FAX 1-800-880-9325
Email ServiceCenter@unum.com
Tax Sheltered Anuities (TSA) Christine Murff (541) 956-7025
Tuition Waivers Human Resources (541) 956-7329

Workers' Compensation Contact


Workers' Compensation Insurer


Workers' Compensation Property/Liability Agent

Jenny Rossknecht
Director of Human Resources and Risk Management
Human Resources (541) 956-7017

SAIF Corporation
(800) 285-8525
Policy no.: 954842

Hart Insurance
Terry Faulkner
3389 Crater Lake Highway
Medford, OR 97504
www.hartinsurance.com
(541) 779-4232
Fax (541) 772-3963

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Last updated: 7/10/2006 11:59:19 AM

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