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Dependent Eligibility Review

 

New in 2022

Do you have a disabled dependent? 
Starting Jan. 1, 2022, you may be able to add your disabled dependent to your plan. 
Your dependent qualifies if:
  • A medical provider confirms the disability before age 26, AND
  • The dependent has not had a break in coverage, AND
One of the following is true: 
  • You claim the dependent on your federal tax return, OR You have court-ordered legal guardianship*, OR 
  • The disabled dependent files their own tax return. In this case their adjusted gross income cannot exceed 150% of the federal poverty level (FPL)*.

* Imputed taxes may apply.

Who Will be Included in the Dependent Eligibility Review?

All active employees and retirees who have a dependent(s) enrolled in the PEBB benefit management system will be required to complete and return the required verification documents when selected for the review process.  It is mandatory that members verify and submit the acceptable documentation by the review deadline in order to continue benefit coverage for their dependents.

What about the privacy of your Information?

Our member’s information and privacy is very important to us. All information that the member provides for the dependent eligibility review will be kept confidential. Copies of documents submitted to PEBB will be destroyed following verification of the member’s dependent(s). No documents will be retained! That is why it is especially important that members provide PEBB only copies of the documents.

How Do I Complete the Dependent Eligibility Review?

After you receive your Dependent Eligibility Review letter from PEBB:

  1. Carefully review the documents included in your Dependent Eligibility Review Packet.

  2. Confirm your dependents eligibility status by sending copies (not originals) of the required documents along with your Dependent Eligibility Worksheet by contacting:

Public Employees’ Benefit Board
Attn: Dependent Eligibility Review
500 Summer St. NE
Salem, OR 97301-1063
or;
Note: 
  • Unencrypted email is not a secure way to transmit private information, including documents.
  • All documentation sent to PEBB is securely destroyed once eligibility has been verified.

Vital Records Requests

Vital records are the legal records documenting a vital event, such as a birth, death, marriage, Oregon Registered Domestic Partnership, divorce, or fetal death. Birth certificates are the primary documents used to establish identity.

What Documents are needed for Dependent Eligibility Review?

Required Documentation and Definitions

Is my Dependent Eligible?

Eligibility Scenarios
Review and Eligibility Rules

Questions?

FAQs - Frequently Asked Questions

Sample Letters for the Eligibility Review:

Dependent Eligibility Worksheet
Dependent Eligibility Packet Letter
Reminder Letter
Confirmation Letter

In 2017 the Oregon legislature passed a law that requires PEBB to verify your dependents eligibility. The purpose of this review is to ensure that only eligible dependents are receiving PEBB benefits. This helps keep health care cost down.