Steps to enroll in Benefit plans:
- Choose your plans.
- Download and complete required form for medical/dental, and submit a life insurance beneficiary via webform.
- Download and complete forms for optional additional benefits.
- Email completed forms to employee.benefits@multco.us.
How to download and attach files.
Step 1: Choose your medical/dental plans
- 2021 Medical Plan Comparison Moda 400 Kaiser 10/20 (689.68 KB)
- Medical and Dental Plan Premium Costs
Step 2: Complete the forms for medical/dental and life insurance beneficiary.
Medical and Dental Coverage
- Complete the Medical/Dental Enrollment Form.pdf
- If enrolling a spouse/domestic partner, you must also submit a ** Affidavit of Marriage-Domestic Partnership (325.8 KB).
- Must be submitted within 31 days of hire.
- Benefits begin on the first day of the month following receipt of forms.
- You can Opt-Out if you have group coverage under another health plan and receive a monthly incentive.
- you must still submit the enrollment form.
- and an **Opt-Out Affidavit.pdf
- Detailed information on medical/dental coverage (plan booklets, summaries of benefits coverages, and opt out details).
Life Insurance
- The County provides a Basic Life Insurance Plan of $30,000, at no cost to you.
- You must submit a Life Insurance Beneficiary Form
Long Term Disability Insurance
Long Term Disability Insurance
- The County provides LTD insurance, at no cost to you. This provides partial salary replacement if you are unable to work due to a non-work related illness after a 90 day period.
- No forms are required for this benefit.
Trimet Pass
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The County provides a TriMet Annual Pass to use on TriMet buses, MAX, Streetcar, Wes, Tram, and C-Tran non-express routes.
- Pick up your pass at the Benefits Office on the 3rd floor of the Multnomah Building after receiving an email confirming it is ready.
Employee Assistance Program
- RBH EAP is available to help county employees and their family members find solutions for everyday challenges.
- Employees get 6 free counseling visits, access to a 24-7 Crisis Line: 1-866-750-1327, and help with: work-life balance, home ownership, child & elder care, identity theft recovery, financial counseling, legal and mediation services, stress & resiliency, adapting to change, and more.
- Go to: myRBH.com, access code: GoMultCo, or call 1-866-750-1327
- No forms are required for this benefit.
Step 3: (Optional) Select and complete forms for optional benefit plans.
Flexible Spending Accounts: MERP, DCAP, and TRPs
Flexible Spending Accounts: MERP, DCAP, and TRPs
An FSA reduces your tax burden and increases your take-home pay while setting aside money for eligible expenses. Multnomah County offers four types of Flexible Spending Accounts:- MERP (Medical Expense Reimbursement Program)
- Used for covered medical, dental, and vision expenses.
- DCAP (Dependent Care Assistance Program)
- Used for dependent care expenses such as childcare, preschool, afterschool programs, or eldercare.
- TRPs (Transportation Reimbursement Plan)
- Used for eligible parking and transit commuting expenses.
- 2019 FSA MERP/DCAP Enrollment Form (234.12 KB) - Must be submitted to the Benefits Office within 31 days of hire.
- TRP Enrollment Form.pdf - Can be submitted at any time.
- Detailed information on Flexible Spending Accounts.
Short Term Disability Insurance
Short Term Disability Insurance
- STD Insurance provides salary replacement if you are unable to work due to a non-work related illness after a 30 day period.
- You can apply for STD Insurance at any time, but are guaranteed enrollment if form is submitted within 31 days of hire.
- **Short Term Disability Enrollment form.pdf - The last page of this form is required if you would like to participate.
Supplemental Life Insurance
- You can enroll in supplemental term life insurance above your Basic life insurance to a maximum of $500,000 for yourself and $500,000 for your spouse/domestic partner.
- You are guaranteed up to $150,000 of coverage and/or up to $50,000 spouse/domestic partner coverage if submitted within 31 days of hire.
- Supplemental Life Insurance enrollment
Step 4: Email completed forms to: employee.benefits@multco.us:
How to download and attach files
Required Forms:
- Medical/Dental Enrollment Form.pdf
- Affidavit of Marriage-Domestic Partnership (325.8 KB)
- Opt-Out Affidavit.pdf
- Life Insurance Beneficiary Form
Optional Forms:
- 2019 FSA MERP/DCAP Enrollment Form (234.12 KB)
- Short Term Disability Enrollment Form.pdf
- Supplemental Life Insurance enrollment
