Benefit Plan Summaries and Highlight Guides

2023-2024 Benefits Highlights Guides

2023-2024 Summary Plan Descriptions (SPDs)

2023-2024 Plan Comparison Charts

PROTEC17, DCTU, PFFA, PPCOA, Local 189-H, PCL, Recreation and Non-Represented Employees

Portland Police Association (PPA)

Please Note: Hard copy plan comparisons can also be obtained within your benefits portal. Simply select the plans you wish to compare during your plan election phase and hit compare once selected. As such, this may be the final year in which hard copy plan comparisons are created. 

2023-2024 Summaries of Benefits and Coverage (SBC) Information

PROTEC17, DCTU, PFFA, PPCOA, Local 189-H, PCL, Recreation and Non-Represented Employees

• Download PDF fileKaiser SBC433.62 KB
• Download PDF fileModa CityCore SBC7.61 MB
• Download PDF fileModa CityHD SBC7.6 MB
• Download PDF fileKaiser Medical Summary270.04 KB
• Download PDF fileKaiser Medical Summary - Spanish55.7 KB
  Download PDF fileKaiser Dental Summary206.64 KB
  Download PDF fileKaiser Dental Summary - Spanish140.25 KB
  Download PDF fileDelta Dental Base Plan Summary1.09 MB
• Download PDF fileDelta Dental Base Plan Summary - Spanish895.6 KB
  Download PDF fileDelta Dental Buy-Up Plan Summary1.1 MB
• Download PDF fileDelta Dental Buy-Up Plan Summary - Spanish756.31 KB

Portland Police Association (PPA)

• Download PDF fileKaiser SBC270.04 KB
• Download PDF fileKaiser PPA Medical SBC - Spanish470.04 KB
  Download PDF fileModa CityNet SBC3.86 MB
• Download PDF fileModa CityHDP SBC4.41 MB
• Download PDF fileKaiser Dental Basic Plan Summary281.45 KB
• Download PDF fileKaiser PPA Medical Summary - Spanish55.7 KB

CityBasic

• Download PDF file2023 Moda CityBasic SBC4.06 MB
• Download PDF file2023 Moda CityBasic SBC (Spanish)1.8 MB

Healthy Foundations (Moda CityCore)

• Download PDF fileHealthy Foundations SBC (CityCore)7.61 MB
• Download PDF fileHealthy Foundations SBC (CityNet)7.61 MB

VSP Vision Plan Summaries

Required Notices

• Download PDF fileMedicare Part D Disclosure Notice (Model)99.67 KB
• Children’s Health Insurance Program Reauthorization Act (CHIPRA)
• Health Insurance Portability and Accountability Act (HIPAA)
• HIPAA Special Enrollment Rights Notice
• Newborn's Mother's Health Protection Act
• Patient Protection Act
• Women's Health and Cancer Rights Act
• COBRA General Notice

Plan Document

Transparency in Coverage Health Plan Machine-Readable Files

Moda: Moda Health - Machine Readable Files

Kaiser: Transparency In Pricing Machine-Readable Files | Kaiser Permanente