Appeals

Appeals Process

OEBB provides a process for members to request a formal review of an eligibility, enrollment or coverage issue. 

• Appeal Form (Adobe PDF format)
  
1. Save and fill in, or print and fill out this blank form
2. Complete ALL information
   
3. SIGN your completed form
   
4. Send to OEBB - You will find Mail, Fax and Email information on the OEBB Contact Us page