Forms & Handbooks

ASI Flex (Flexible Spending Account)

Website
Member Handbook - mailed directly to your home. If you need another copy, please contact Customer Service at the number listed below.
Facility Directory
Medical Staff Directory
Complementary Health Plans - If your employer offers alternative care, click this link to view a list of participating chiropractors, acupuncturists and naturopathic providers.
To order an ID card call Customer Service at:
- Portland Metro Area: 503-813-2000
- Outside Portland Metro Area: 800-813-2000

Website
Member Handbook - Username and Password is required to view handbook.
Dentist Look Up - Select Dental (Oregon Only) Premier Plan.
Order an ID Card - Click here to order an ID card online, or call Customer Service at 503-265-5680 or 877-277-7280.

myRegence.com

myregence.com - Health portal to view claim status and manage account. Username and Password is required.
Member Handbook - Username and password is required. To view handbook click on the following links in the order provided:
Order an ID Card Click here to order an ID card online, or call Customer Service at 503-225-5336 or 800-452-7278
Provider Look Up - Preferred Provider Plan (PPP)
Provider Look Up - Traditional Plans

Prescription Benefits

RegenceRx View list of participating pharmacies, view formulary list and find generic equivalents
Prescription Reimbursement Claim Form - Request form required to be completed for employees enrolled on Plan V to receive reimbursement of their presciption expenses.
Locate a Pharmacy
Mail Order Prescription Program Overview
- Mail Order Registration & Prescription Order Forms

Benefits Overview - A Username and Password is required to view benefits
Find a VSP Doctor
Out of Network Reimbursement Form - A Username and Password is Require to complete the online reimbursement form. Request for reimbursement must be submitted within six months.

Website - To find a location, click here.
To order an ID card, call Customer Service:
- Portland Metro Area: 503-952-2000
- Outside Portland Metro Area: 800-460-7644

The Hartford (Life and Long Term Disability Insurance)