MissionSquare Retirement (formerly ICMA-RC) Lane County's deferred compensation administrator!
www.icma-rc.org (new url coming soon)
Please contact your MissionSquare representative today to schedule and appointment!
DeLana Hansen
888-803-2726
You may also call MissionSquare Participants at 800-669-7400 (press “0” to speak with a representative). Monday through Friday 5:30 a.m. to 6:00 p.m. PT.
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Retirees - Drop In's are not being accepted at this time. You will need to contact Sue Heron at 541-682-3920 or email her at [email protected] to discuss any issues with your retirement benefits or to set up an appointment. Please see the contacts below for further assistance.
Lane County Retirees on Medicare
For questions, please contact QVI at (800) 408-9717
2022 Medicare Proof of Enrollment
January 1, 2022
DUE: February 14, 2022
Please note:
QVI Risk Solutions will mail eligible Lane County Retirees the 2022 Medicare Proof of Enrollment form or you can complete, sign and date the 2022 Medicare Proof of Enrollment" form under the Quick Links on the right side of this page and they will be due back to QVI by February 14, 2022.
QVI Risk Solutions, on behalf of Lane County, requests annual Medicare Proof of Enrollment needed to reimburse amounts due for eligible retirees in 2022.
The form/proofs needed for 2022 are:
1) Medicare Proof of Enrollment Form for 2022 Quarterly Reimbursements
Please complete, sign and date the "2022 Proof of Enrollment" form under the Quick Links on the right side of this page.
Please return to QVI Risk Solutions no later than February 14, 2022 to ensure your reimbursements continue without interruption.
2) 2022 Proof of Part B Premium
Please provide a copy of your “Benefit Verification Letter.” You can request this letter from Social Security by:
If you are not yet receiving monthly Social Security benefits, please contact Medicare for your “Notice of Premium Payment Due.” You can request this letter from Medicare by:
3) 2022 Proof of Medicare Advantage or Supplemental Plan (if applicable)
Please provide proof of what plan and monthly premium rate you will pay in 2022.
Please call you plan provider directly for your Medicare Advantage or Supplement plan to receive proof of your monthly plan cost for 2022.
If you are on a Lane County Regence BCBS Group plan or PERS plan, please write in the name of the plan only on the Proof of Enrollment Form - NO PROOF is necessary.
Once you have the form/proofs required, please mail to:
QVI Risk Solutions, Inc.
PO Box 7199
Bend, OR 97708
For further assistance, contact QVI at (800) 408-9717
QVi BANK AUTHORIZATION FORM
2022 Regence BlueCross BlueShield Plans
There are no premium changes for the Lane County Regence Plan Group rates in 2022
Lane County Retiree monthly rates for Regence Group Plans:
2022 Regence Basic or Primary Plan: No cost to Retiree
2022 Regence Classic Plan: $49.90 per month
2022 Regence Enhanced Plan: $80.40 per month
Please see below for the 2022 Plan Summary and Annual Notices of Changes to the Regence Group plans.
Regence PPO Plan Star Rating
2022 Basic Plan - Annual Notice of Changes
2022 Classic Plan - Annual Notice of Changes
2022 Enhanced Plan - Annual Notice of Changes
Regence Long Form for NEW enrollees
Regence Short Form (Current Members Only)
Regence Disenrollment Request Form
Contact Information
QVI Risk Solutions, Inc.
(Billing for: Retirees, COBRA, Medicare)
(800) 408-9717
[email protected]
Social Security Administration
(800) 772-1213
www.ssa.gov
PERS Health Insurance Program
(800) 768-7377
www.pershealth.com/
Regence Medicare Advantage
(888) 319-8904
Benefit Resource Center for PacificSource
(866) 468-7272
Optum Bank - Health Savings Accounts
(877) 470-1771
https://mycdh.optum.com/
PacificSource Health Plans
(541) 684-5582
www.PacificSource.com
Delta Dental (formerly MODA)
(877) 277-7280
www.MODAhealth.com
Willamette Dental Group
(800) 460-7644
www.willamettedental.com
Lane County Benefits & Wellness
(MUST CALL OR EMAIL FIRST, NO DROP IN'S WILL BE ACCEPTED)
125 E 8th Ave, Eugene, OR 97401
(541) 682-3124
[email protected]