Seasonal Maintenance Workers and Seasonal Park Rangers
Seasonal Maintenance Workers and Seasonal Park Rangers are eligible for benefits starting the 1st of the month following the date of hire or rehire.
For continued eligibility, Seasonal Maintenance Workers and Seasonal Park Rangers need to maintain 112 paid hours per month (except for one month per calendar year in which there is a grace period).
Benefits end the last day of the month in which a Seasonal Maintenance Workers and Seasonal Park Rangers do not meet the 112 paid hours requirement for the 2nd time in a calendar year, or, the last day of the month in which employment ends.
Employees Eligible for Benefits Under the Affordable Care Act (ACA)
Employees eligible for benefits under the ACA have initial eligibility by meeting the 6-month measurement requirement from Date of Hire or rehire. The employee must be paid a total of at least 676 hours during the measurement period, or, an average of 26 hours per week. Coverage begins the 1st of the month following the 60-day administrative period, and proceeds for 6 months.
Employees eligible for benefits under the ACA have standard eligibility by meeting the 6-month measurement period listed below. The employee must be paid a total of at least 676 hours during the measurement period, or, an average of 26 hours per week.
- May 1 - October 31 (measurement period for benefits beginning January 1 - June 30)
- November 1 - April 30 (measurement period for benefits beginning July 1 - December 31)
Health Benefits (Medical/Dental/Vision)
The medical plan for Seasonal Employees is called Moda CityBasic. The network for this plan is "Connexus", and includes any providers within OHSU, Providence, Portland Adventist & Legacy Health. Employees can create a https://modahealth.com/memberdashboard/ account and search for providers, or go to modahealth.com and search under the “Find Care” option. Log on to www.modahealth.com and click on “Find Care” or call our Health Advocate at Moda Health at 855-466-6340 or email email@example.com.
The dental plan for Seasonal Employees is called Delta Dental, and the network is called "Delta Dental Premier". You can create an account at https://modahealth.com/memberdashboard/ and search for providers, or go to modahealth.com and search under the “Find Care” option.
The pharmacy benefit for Seasonal Employees is through ExpressScripts Rx. Express Scripts Rx will send a separate set of ID cards in the mail to show a pharmacist. Members can visit the Express Scripts website at www.express-scripts.com to create their online account, view coverage information, and locate in-network pharmacies.
Vision coverage is through VSP. Members can go to VSP.com to find a vision provider under the “Signature” network. VSP does not provide ID cards; simply notify your provider that you are a VSP member, and they will find you within the system.
Employee Assistance Program (EAP) through CityStrong Guidance Resources
This benefit is provided by the City of Portland and offers support for personal and work/related issues. Professionally trained Guidance Consultants are available 24 hours a day, 7 days a week, 365 days a year. Learn more at CityStrong Guidance Resources.
Premium is collected from the first two paychecks of each month. If premium deductions are missed, they will be collected from a future paycheck.
Adding Dependents and/or Opting Out of City-Sponsored Benefits
You will be automatically enrolled in benefits plans, but you can add dependents onto your benefit plans by completing the CityBasic Dependent Enrollment form (located below). If you have other qualifying health care coverage, you can opt-out of City sponsored plans. If you would like to opt-out of city paid benefits, please remit proof of your other health insurance to the Health & Financial Benefits Office along with the Opt-Out form.
Health Insurance Resources after your City Insurance Ends
Summary Plan Description (SPD)
Summary of Benefits and Coverage (SBCs)
- 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
- Medicare Part D Disclosure Notice