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House Bill 2557
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Article Content  |
| Forms & Materials |
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| Eligibility |
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Q: How is eligibility determined?
A: Eligibility is defined as a member who is Oregon PERS-eligible during the previous calendar year who worked in either a part-time research and/or faculty position at an Oregon public institution of higher education and is not eligible for health insutrance through their employer.
Q: How will I know if OEBB has a record showing I'm eligible?
 A: OEBB mails postcards in late July to those identified as eligible, with a message to watch for their "Open Enrollment Packet" which will be mailed the first week in August.
Q: Can I find out now if OEBB has a record showing I'm eligible?
A: Yes, you can call OEBB customer service at (888) 469-6322 and ask a service representative.
Q: What if I believe I should be eligible but OEBB doesn't have a record of my eligibility?
A: If you believe you are eligible but OEBB doesn't have a record of your eligibility it could be due to a variety of reasons. Please call OEBB customer service at (888) 469-6322 and we will research your concern.
Q: I'm currently enrolled in OEBB coverage under HB2557, but I didn't meet the eligibility requirements to continue coverage next year. What will happen to my coverage?
A: Your last day of coverage will be September 30th and you should receive COBRA information from BenefitHelp Solutions. For more information on continuing coverage and options other than COBRA, visit our "COBRA and Loss of Coverage" FAQ page.
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| Enrolling & Plan Details |
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Q: What if I didn't receive an Open Enrollment Packet?
A: If you didn't receive an Open Enrollment Packet, it could be due to OEBB not having your correct address. You can call OEBB customer service at (888) 469-6322 and we will be happy to assist you.
Q: When will I receive my Open Enrollment Packet?
A: If you met the eligibility requirements, you should receive your Open Enrollment packet during the first week of August. It will be mailed to your home/mailing address.
Q: What plans can I enroll in?
A: You can enroll in either ODS Medical Plan 8 or ODS Medical Plan 9.
Q: When can I enroll?
A: You can enroll by submitting a completed Enrollment Form and ACH Debit Authorization Form to OEBB from August 15th to September 25th. You will not be able to enroll after September 25th, unless you experience a qualified status change (QSC) event which would allow a mid-year enrollment (for example, loss of other coverage). A full list of QSC events is available on the Tools & Resources page of the OEBB website.
Q: Can I enroll my family?
A: You can enroll your eligible spouse/domestic partner (DP), eligible children (includes biological, legally adopted, or children for whom the Employee, Spouse, or DP is the legal guardian) up to age 26, and eligible disabled dependents. Click here to review the dependent eligibility requirements.
Q: What is my plan year?
A: Your plan year begins October 1st and ends on September 30th.
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| Changes After Open Enrollment |
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Q: What if I need to update my enrollment during the plan year?
A: You may make certain changes to your enrollment outside the Open Enrollment period if you experience a Qualified Status Change (QSC). You must contact OEBB at (888) 469-6322 within 31 days of a QSC. QSC's include, but are not limited to, the following:
- Marriage
- Divorce
- Death
- Birth/Adoption
Find the full menu in the QSC Matrix.
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| Appeals |
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Q: Do I have appeal rights?
A: Yes, each member has a right to file an appeal. For information about the OEBB appeal process, please go to OEBB forms.
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| Premium Payments |
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Q: When are premium payments due and how are they submitted?
A: Members will submit payment for benefits to OEBB each month by electronic funds transfer (EFT), also known as an "auto debit" or "ACH debit". OEBB will work with members and their financial institutions to set up an auto debit. Use the ACH Debit Authorization form (available in the "Forms & Materials" section above) to establish these payments. Premium payments will be debited from accounts on the 25th day of the month prior to the next month's health care coverage. (For example: October premiums would be deducted from bank accounts on September 25th.)
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| COBRA Rights |
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Q: Will I have COBRA rights after my HB2557 enrollment?
A: There are certain restrictions to COBRA determination. If you fail to make timely premium payments, then you will not be eligible for COBRA coverage. If your eligibility under HB2557 expires after the plan year and you made all your payments on time, you will be eligible for COBRA continuation coverage. Your last day of coverage will be September 30th and you should receive COBRA information from BenefitHelp Solutions.
For more information on continuing coverage and options other than COBRA, visit our "COBRA and Loss of Coverage" FAQ page.
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| Additional Assistance/Contact Information |
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Q: How can I get answers to other questions about HB2557 and my health insurance coverage?
A: You can contact either OEBB or the medical carrier, ODS, using the contact information below:
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OEBB
1225 Ferry Street SE
Salem, OR 97301-4278
Phone: (888) 469-6322
Fax: (503) 378-5832
http://oregon.gov/OHA/OEBB
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ODS
PO Box 40384
Portland, OR 97204-0384
Medical Customer Service Phone: (866) 923-0409
Pharmacy Customer Service Phone: (866) 923-0411
http://www.odscompanies.com/oebb |
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