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Dependent Eligibility Review


PEBB has a fiduciary responsibility to manage health care costs and to ensure that health plans offered through PEBB cover only those who meet eligibility criteria.

Beginning November 2017, PEBB will conduct a review of dependents enrolled in the PEBB benefit management system to make sure that only eligible dependents are receiving core benefit (medical, dental and vision) coverage.

Who Will be Included in the Dependent Eligibility Review?

All active employees and retirees who cover a dependent or dependents and who have been contacted by PEBB must complete and return the required documentation. Dependents may include a spouse, domestic partner, or child.

How Do I Complete the Dependent Eligibility Review?

After you receive your Dependent Eligibility Review letter from PEBB:

  • Carefully review the documents included in your Dependent Eligibility Review Packet and
  • Confirm your covered dependent(s) status by mailing or faxing your copies (not originals) of the required documents, along with your completed Dependent Eligibility Worksheet to:

    • Public Employees’ Benefit Board
      Attn: Dependent Eligibility Review Team
      500 Summer St NE, E-89
      Salem OR 97301-1063


      Attn: Dependent Eligibility Review Team
      FAX: 503-373-1654


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