| Please Upate Your "Coordination of Benefits" Information |
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If you opt out of PEBB medical coverage because you have coverage through another group medical plan, PEBB needs your help to make sure your records are up to date.
Why? Certain federal and PEBB rules apply to the opt-out option. These rules can change, so we need accurate information to communicate with you if changes could affect your coverage.
To make sure you get up-to-date information about your medical plan choices, and to make sure your choice fits with PEBB rules, please take the following six steps by May 30, 2008:
- Log in to the online benefit management system.
- Select “Update My Coordination of Benefits Information.”
- As needed, update the information in each field; then select “Save and Continue.”
- Select “Update My Personal Information.”
- As needed, update your contact information including e-mail; then select “Save and Continue.”
- Log out.
If you do not have access to a computer or the Internet, call your agency payroll or benefits office to request an Opt-out Information Form. Complete and return the form as requested.
If you have questions, call PEBB at (503) 373-1102 in Salem or (800) 788-0520 statewide. If you do not provide the needed information by May 30, PEBB will ask your agency to provide it from forms you submitted previously.
Answers to Questions about Opting Out of PEBB Medical Coverage
| Q |
What other group coverage allows me to opt out of PEBB medical coverage? |
| A |
You may opt out of PEBB medical coverage only if you have other group medical coverage that acts as primary coverage. The most common example is when your spouse covers you in a plan through his or her employer. Another example is coverage you receive through tribal affiliation.
Other group medical coverage does not include:
- Medicare or Medicaid
- Veterans' Administration benefit programs
- TriCare (federal military insurance)
- Student health insurance.
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| Q |
What do I do if I opted out through coverage that is not included? |
| A |
Enroll for coverage in a PEBB medical plan within 60 days from the date you receive the Opt Out letter from PEBB, dated April 25, 2008.
- Review the PEBB medical plans, and chose the one that’s best for you (http://oregon.gov/DAS/PEBB/2008benefits/section3healthcareplans.shtml).
- Complete a Medical and Dental Update Form (http://oregon.gov/DAS/PEBB/forms.shtml). Under Section B.5, check the box next to “Enroll in PEBB medical plans from opt out due to loss of other medical group coverage.”
- Send the completed form by fax or mail to your agency or benefits office.
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| Q |
Will I have to pay back any opt-out cash if I enroll in a PEBB medical plan now? |
| A |
No. During this 60-day period, you may move from opt-out status to coverage in a PEBB medical plan without penalty.
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| Q |
If I enroll in a PEBB medical plan, when will my new coverage go into effect? |
| A |
Your new coverage goes into effect the first of the month after your agency or benefits office receives your completed Medical and Dental Update Form. Beginning that month, you will no longer receive opt-out cash in your pay.
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| Q |
Can I enroll in or change other benefits through this process? |
| A |
No. This process is a midyear change of medical plans because you are losing other medical coverage. This allows you to enroll in a PEBB medical plan, only. It does not allow you to change your other benefit selections. You may change those selections during the annual Open Enrollment or if another midyear change affects your eligibility for those specific benefits. |
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*For up-to-date information on the question of opting out against TriCare |
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