Forms at your fingertips
Quickly and easily download everything you and your employees need for enrolling in an ODS medical or dental plan, filing claims and administering benefits.
Claims
- Prescription Drug Claim Form for Major Medical Plans
- Prescription Drug Claim Form for Med Impact Plans
- Tobacco Cessation Claim Form
Declination of coverage
Affidavit of Domestic Partnership
- Affidavit of Domestic Partnership for qualifying plans
Oregon Continuation of Coverage
Insurance through employer
Group Size 2-4
Group Size 5-99
- Dental Only
- Dental Only (Spanish)
- Medical Only
- Dual Medical
- Medical and Dental
- Medical and Dental (Spanish)
- Dual Medical and Dental
Group Size 100+
- Dental Only
- Medical Only
- Dual Medical
- Medical and Dental
- Dual Medical and Dental
- Dental and Vision
- Dual Medical w/PCP and Dental
Administrative
- Oregon Group Profile Form (Online)
- Oregon Group Profile Form (Downloadable)
- Request Information
- Request Printed Materials
Log in to Benefit Tracker
Check benefits and eligibility
Log in to Benefit Tracker
Check benefits and eligibility
Shopping for health insurance?
Shopping for health insurance?
