Employee Benefits Wellness Program

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					 Multnomah County                                                              EMPLOYEE BENEFITS &
                                                                               WELLNESS PROGRAM
 Employee Benefits & Wellness Program                                          "Providing benefits to
                                                                                employees, retirees
 NEWSLETTER                                                                      and their families."

                                                                            October 2008

                    ANNUAL OPEN ENROLLMENT
           For January 1, 2009 - December 31, 2009 Plan Year
            Mandatory Response - Health Plan Enrollment
             Optional Response - MERP/DCAP Enrollment
Beginning January 1, 2009, the benefit plan year will operate on a 12 month calendar year basis. In
the past, the plan year ran on a fiscal year basis. Your Health Plan, Medical Expense Reimbursement
Account (MERP) and Dependent Care Account Program (DCAP) elections will run concurrently.

  This year, every benefit-eligible Multnomah County employee is required to
       complete and return a Health Plan Open Enrollment Election form
                              by November 21, 2008.

Even if you are satisified with your current health plan, the Benefits Office needs confirmation the
enrollment information on file for each employee and their family members is accurate and current.

Open Enrollment packets will be mailed to eligible employees the last week of October. If you do not
receive your packet by November 15, 2008, please contact the Employee Benefits Office for a
replacement. Your packet will include a personalized statement outlining your current benefit elec-
tions and the family members you have enrolled under your current medical and dental coverage.

                                                                          Every County
          Important Plan Changes for Local 88 and Local 86                employee MUST
          members.                                                        complete and
          New EE cost share changes.                                      return a Health Plan
          New Kaiser visit copayments.                                    Open Enrollment
          New FSA (MERP/DCAP) Administrator - Manley Services.            form by:
          Medical Opt-Out Changes.                                        November 21, 2008!

Representatives from the Benefits Office, Kaiser, ODS and Manley Services will be available for
employee/retiree questions at informational sessions (see schedule on page 2). Questions? Call
503-988-3477 or email the EBO Office at emplhlthbnft@co.multnomah.or.us for assistance.

                         Multnomah County          Benefits & Wellness                                  1
                                   Employee Benefits


These meetings are opportunities to ask questions of the Benefits staff. We encourage employees
to bring their enrollment packets.

Date                            Time                  Location

Thursday, November 6, 2008      8:30 am - 9:30 am     Courthouse, 1021 SW 4th, Kelly Bacon Rm
Thursday, November 6, 2008      10:30 am - noon       Multnomah Bldg, 501 SE Hawthorne, 4th Floor, Oak Rm

Monday, November 10, 2008       7:15 am - 9:15 am     Inverness Jail, 11540 NE Inverness Drive, Lunch Room
Monday, November 10, 2008       9:45 am - 10:45 am    DCJ North Office, 2205 NE Columbia, Conf Room
Monday, November 10, 2008       11:15 am - 12:15 pm   North Portland Health Center, 9000 N Lombard, Conf Rm A

Wednesday, November 12, 2008    10:00 am - 11:00 am   Animal Services, 1700 W Columbia R. Hwy, Troutdale, Cattery
                                                                (Animal Services employees only)
Wednesday, November 12, 2008    11:30 am - 12:30 pm   Mult County East Bldg, 600 NE 8th, Gresham, Blue Lake Room
Wednesday, November 12, 2008    1:30 pm - 2:30 pm     Gresham Library, 385 NW Miller, Gresham, Community Room
Wednesday, November 12, 2008    3:00 pm - 4:00 pm     Rockwood Library, 17917 SE Stark, Large Meeting Room

Thursday, November 13, 2008     7:30 am - 8:30 am     Blanchard Bldg., 501 N Dixon, Brown Rm
Thursday, November 13, 2008     9:00 am - 10:00 am    Kelly Building, 4747 E. Burnside, Mt. Hood Rm
Thursday, November 13, 2008     11:00 am - noon       NE Portland Health Clinic, 5329 NE MLK Blvd, 1st Fl Conf A

Monday, November 17, 2008       7:30 am - 8:30 am     Justice Center, 1120 SW 3rd, Briefing Rm
                                                             (MCDC employees only)
Monday, November 17, 2008       9:15 am - 10:30 am    Lincoln Building, 421 SW Oak, Willamette Room, 1st Fl
Monday, November 17, 2008       11:00 am - 12:00 pm   Mead Bldg., 421 SW 5th, Basement, B25
Monday, November 17, 2008       12:15 pm - 1:15 pm    McCoy Bldg - 426 SW Stark, 7th Fl., Rm 7
Monday, November 17, 2008       2:30 pm - 3:30 pm     Central Library, 801 SW 10th, US Bank Room

Tuesday, November 18, 2008      10:30 am - 11:30 am   Hansen Bldg., 12240 NE Glisan, Room 104
Tuesday, November 18, 2008      1:00 pm - 2:00 pm     Midland Library, 805 SE 122nd, Large Conf Room
Tuesday, November 18, 2008      3:30 pm - 4:30 pm     Yeon Bldg., 1600 NE 190th, Columbia Room

Wednesday, November 19, 2008    9:00 am - 10:00 am    Juvenile Justice Complex, 1401 NE 68th Ave, Large Conf Rm
Wednesday, November 19, 2008    10:30 am - 11:30 am   Elections, 1040 SE Morrison St., Conference Room
Wednesday, November 19, 2008    12:30 pm - 1:30 pm    SE Health Center, 3653 SE 34th, SE Basement Conf Rm
Wednesday, November 19, 2008    2:30 pm - 4:00 pm     Justice Center, 1120 SW 3rd, Rm 325
                                                             (MCDC employees only)

Thursday, November 20, 2008     10:00 am - 11:00 am   Multnomah Bldg, 501 SE Hawthorne, Rm 320, Celilo Falls Rm
Thursday, November 20, 2008     12:30 pm - 1:30 pm    Library Administration, 205 NE Russell, Admin Bldg. Board Rm
Thursday, November 20, 2008     2:30 pm - 3:30 pm     Inverness Jail, 11540 NE Inverness Drive, Lunch Room

All forms are due at Employee Benefits by 5:00 p.m. November 21, 2008. No faxes will be accepted.
Multnomah County Benefits Office, 501 SE Hawthorne, Suite 400, Portland. Interoffice mail: #503/4/EBO

 2                             Multnomah County              Benefits & Wellness
                                      Wellness Program
Avoid Catching Colds and Flu
How Are Colds & Flu Spread?
You won’t catch a cold from walking in the rain or forgetting to bundle up in cold weather, but you can come down with
something after being around an ill co-worker, family member or friend.

This is how it works:
    ♦ First, an infected person coughs or sneezes, releasing infected respiratory
        droplets into the air, which you then breathe in.
    ♦ Then you touch a surface covered with infected respiratory droplets and subse-
        quently touch your eyes, mouth or nose. Some viruses can live up to 2 hours on
        hard surfaces, like desks or doorknobs.

When you’re busy and on the go, the last thing you need is a runny nose, nagging cough or fever slowing you down.
Don’t let the common cold or flu make you miss life’s important moments – stay healthy during cold and flu season.
Here are six ways to prevent catching colds and flu:

1) Flu Shot
A good defense against the flu is a simple vaccination. Always consult your physician, if you have a question about
whether or not you should receive the flu shot. It takes about 10 to 14 days for the vaccine to take its full effect.
A flu shot:
    ♦ Won’t give you the flu.
    ♦ Won’t prevent all strains of the flu, only the 3 strains deemed by the World Health Organization and the U.S.
        Food & Drug Administration as most likely to infect the general population this year.
    ♦ Won’t protect you against colds.
    ♦ Is only effective for 6 to 9 months, so you should be vaccinated annually.
    ♦ Is highly recommended for children ages 6 to 59 months, adults ages 50 and older, anyone with a chronic
        disease and health care workers.
    ♦ Per the CDC’s recommendations, if you have a severe allergy to chicken eggs, have had a severe reaction
        to a flu shot in the past, or have developed Guillian-Bare syndrome within 6 weeks of a previous flu shot, you
        should talk to your health care provider before getting a flu shot.

2) Wash Your Hands
Lather, rub, rinse, repeat – wash those pesky cold and flu viruses right down the drain by cleaning your hands
several times a day with soap and warm water.

                     ♦Wash your hands for 15 to 20 seconds – that’s about the same amount of time it takes
                      you to sing the “Happy Birthday” song twice.
                     ♦When water and soap are not available, use alcohol-based disposable wipes or
                     ♦Gel hand sanitizers, like Purell.

3) Eat a Balanced Diet
Make smart food choices for your health with leafy green vegetables, crisp fruit, whole grains and lean meats. Using
a sample of the USDA’s Food Guide Pyramid, here’s what you should eat based on a 2,000 calorie diet (the average
recommended diet for moderately active women aged 31-50):
    ♦ Grains: 6 oz. every day                   Milk: 3 cups every day                ♦Fruits: 2 cups every day
    ♦ Vegetables: 2½ cups every day             Meat & Beans: 5½ oz. every day

Want your very own personal eating plan? Find out how much you should eat daily, based on your sex, height,
weight and level of activity, at USDA’s MyPyramid website at http://www.mypyramid.gov/

                                Multnomah County               Benefits & Wellness                                 3
                                         Wellness Program
4) If Possible, Avoid People Who Look Sick
All it takes is a brief exposure to a virus for you to get infected.
     ♦ At the office:
          o Limit your face-to-face interactions with co-workers who are ill. Communicate
              through email or telephone if you can, and remember to wash your hands
     ♦ At home:
          o If someone in your family has a cold or flu, keep surfaces clean of the virus by wiping them with a
              solution of 1 part bleach to 10 parts water.

5) Sleep Well
Curl up under the covers and get your Z’s for an immune system that’s in tip-top shape.
    ♦ Adults: Need 7 to 8 hours of sleep.
    ♦ Teens & Older Adults: Need 8 to 9 hours of sleep.
    ♦ Kids: Need 9 to 12 hours of sleep, depending on their age.

6) Exercise & Relax
Stress can lower your immunity to colds and flu. Hit the gym, take a walk or go on a bike ride for 30 minutes a day
to relieve stress.

Sources for this article: Publications from the Center for Disease Control, NIAID, USDA

       Multnomah County will not be offering on-site flu immunizations this year but as
      an alternative, we are providing some information about where and when flu shots
          will be available within the community. Please see the following information:

Members of the Kaiser health plans can obtain flu shots from Kaiser Permanente at no charge. To find the
Kaiser Permanente location nearest to you access the following web link: http://www.kaiserpermanente.org/ (click on
“Members”, then “Select an area”) or call the Kaiser flu shot hotline at 503-813-2000. Kaiser does not reimburse
members who choose to get their immunization from a non-Kaiser provider. After October 18, Kaiser members can
obtain an immunization from their Kaiser physician during a regularly scheduled visit. After November 7, immuniza-
tions will be available in the nurse treatment rooms throughout the flu season. Access the Kaiser website for more
specifics pertaining to that schedule.

ODS health plan members can either visit their physician’s office or attend a local flu shot clinic sponsored by a
local retail store, pharmacy, etc. The fee for your flu shots is eligible for coverage under the routine physical benefit
and a claim for the expense should be submitted to ODS for consideration. Please be advised ODS does not provide
coverage for Flu Mist (nasal inhalant vaccine). This method of dispensing the vaccine has not proven any more
effective than the usual injectable shot – but the nasal inhalant is much more expensive. If you visit a retail store/
pharmacy for your flu shot, ODS will cover the expense at the in-network benefit level, based on maximum plan
allowables. In most cases, members will need to pay for the immunization and bill ODS directly for claim reimburse-
ment. To be eligible for reimbursement, ODS must have a receipt for the services provided.

Any uninsured expense for a flu shot is eligible for reimbursement from your MERP or VEBA account.

  4                                Multnomah County                  Benefits & Wellness
                                      Wellness Program
The Multnomah County Health Department is administering flu shots through their Community Immunization
Clinic located at 5329 NE Martin Luther King, Jr. Blvd. No appointment is necessary. The cost to County employees
is $30.00 per dose and the walk-in clinic days and hours are Tuesdays and Thursdays from 9:00am to 11:30am and
from 1:00pm to 4:30pm. Additional information is available on their website:

Flu immunizations are available now at the following local businesses:
Fred Meyer – Flu immunizations are available most days by appointment. Some locations accept walk-ins. Call the
pharmacy nearest you to confirm times when immunizations are available and/or to schedule an appointment.
Immunization costs are listed as follows: Influenza: $28.00 and Pneumonia: $45.00.

Safeway – Flu immunizations are available most days by appointment. Some locations accept walk-ins. Call the
pharmacy nearest you to confirm times when immunizations are available and/or to schedule an appointment.
Immunization costs are listed as follows: Influenza: $28.00 and Pneumonia: $45.00.

Walgreens – Participating store locations are offering flu and pneumonia vaccinations by appointment. Call the
pharmacy nearest you to confirm times when immunizations are available and/or to schedule an appointment.
Immunization costs are listed as follows: Influenza: $30.00 and Pneumonia: $45.00.

October is National Domestic Violence Awareness Month.
Throughout the month, domestic violence programs will raise awareness surrounding the issue of domestic vio-
lence. The Multnomah County Domestic Violence Coordinator’s office is organizing a silent witness event in the
Lincoln Building Atrium on October 14th, from 10:00am to 3:00pm. Join them in their efforts to bring attention to the
women and children in Multnomah County who have lost their lives due to domestic violence.

Prevalence of Intimate Partner Violence
Intimate partner violence has a significant impact on our communities and workplaces with 20 to 30 percent of all
women and 7.5 percent of men in the United States reporting physical and/or sexual abuse by an intimate partner at
some point in their adult lives. The effects are far reaching including physical injuries, depression, emotional and
mental distress, and significant impact on social relationships and work productivity. In Oregon, 69 percent of
victims surveyed were employed at the time of their abuse. The statistics illustrate the unfortunate truth that victims
are not alone in their experience. Yet many feel isolated and are unaware of the resources available to them.

Resources are available:
Multnomah County Executive Rule No. 313 - Rule 2-65-010: The County provides leave to its employees who are
victims, or the parents or guardians of a minor child or dependent who is a victim of domestic violence, sexual
assault, or stalking, so they can meet the health and safety needs of themselves or their minor child or dependent
while maintaining their employment status.

Local (Portland Womens Crisis Line; 503-236-2333) and National (1-800-799-SAFE) hotlines provide information
and resources that support survivors in finding safe shelter, legal advocacy, counseling, and safety planning advice.

You can make a difference, if you know a co-worker, friend or family member that is being abused:
   ♦ Express your concern
   ♦ Keep confidentiality
   ♦ Offer resource numbers and information
   ♦ Listen without judgments
   ♦ Call 911, if you witness abuse

                               Multnomah County                Benefits & Wellness                                  5
          Thank you in advance for completing and returning a Health Plan Open Enrollment
          form to the Employee Benefits Office by Friday, November 21, 2008.

                                                          Have questions??
      County Employee Benefits email emplhlthbnft@co.multnomah.or.us or Benefits Voice Mail (503) 988-3477.
                 County Payroll email #dcm.central.payroll@co.multnomah.or.us or (503) 988-3309.
   County Deferred Compensation email DEFERRED.COMP@co.multnomah.or.us or Vanessa Witka (503) 988-5016.
                   County PERS email: PERS@co.multnomah.or.us or Kim Chung (503) 988-5017.
                      (Most PERS questions have to be answered by PERS at (503) 598-7377.)

Some articles contained in this newsletter are obtained from external sources and are intended for internal distribution only.
                                                    Information Request Form
 Fill out form and send to #503/4/Wellness or Multnomah County Wellness Program, 501 SE Hawthorne,
 Suite 400, Portland OR 97214.
                                                                               Ongoing Programs/Activities
    Name: ________________________________
    SAP Personnel No.: ___________                                                 Free Loan of Electric Breast Pumps: Available for
    Bldg./Rm: _______________                                                      employees and/or their spouse/domestic partner.
    Phone: _______________                                                         Peer Support Network Information.
                                                                                   Weight Loss Subsidy Information.
             Please check here if you'd like the return                            Smoking Cessation Subsidy Information.
             envelope to be marked “confidential.”                                 Employee Assistance Program (EAP) Information.
                                                            OCT 2008
 All classes/activities are open to all employees, retirees and those covered by their benefits. Persons requiring accommodations for classes,
 call (503) 988-5015 x24319 or (TDD) (503) 988-5170, during business hours at least two working days prior to the event.

            M 745
            Multnomah County Employee Benefits & Wellness Program
            501 SE Hawthorne, Suite 400
            Portland, OR 97214 Interoffice address: #503/4/Benefits or Wellness Program