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Dependent Eligibility Verification Review Information

Overview

Per OEBB Administrative Rules (OAR 111-080-0055), OEBB must complete a Dependent Eligibility Verification (DEV) review for each participating entity at least once every five years. The information below is intended to assist entities plan for these reviews.

The responsibility to conduct the review lies with OEBB, not the entity. Entities are not required to incur any additional cost or provide any services related to these reviews. OEBB provides this information in order to be as transparent and efficient as possible. However, we have found that the more communication to the employee from OEBB and their employer makes for a smooth review process and puts employee’s minds at ease.

Who?

The Dependent Eligibility Verification (DEV) review includes all dependents (spouses/partners/children) active in the MyOEBB system even if the individual is not enrolled in any coverage.

Early Retirees are included in the entity’s review if coverage for this employee group is administered by the entity. Employees, and early retirees if applicable, who do not have any active dependents listed in MyOEBB will not be included in the review.

When?

The Dependent Eligibility Verification (DEV) review will be competed at least once every five years for each entity. The monthly review schedule for the following calendar year will be posted on the OEBB website each September. (See Review Schedule section below.)

Please note that OEBB will not perform reviews in during the following months: July, August, September and October. This is due to OEBB’s annual open enrollment time period.

If the assigned time period conflicts with entity priorities, an entity may request to change the month of their review. Generally, it must be to another month within the same calendar year. OEBB will try to accommodate all requests, but cannot guarantee that all can be granted.

How?

OEBB will contact the entity two months prior to the review month to review the process.

OEBB sends a letter to all employees with dependents listed in MyOEBB to communicate the timeline and documentation requirements. Employees will be able to fax or mail in copies of their appropriate documentation to OEBB. All documents received will be manually shredded at the conclusion of the review.

OEBB sends a reminder letter to the members who have not submitted appropriate documentation requested during the review.

OEBB sends a confirmation letter to each employee included in the DEV review within one week after the review is completed, including employees who have not submitted documentation or who were unable to supply appropriate documentation.

Coverage for dependents for whom a member cannot provide appropriate documentation for will end on the last day of the month in which the determination was made and no later than the last day of the month in which the review was completed. Employees have the right to appeal all eligibility decisions within 60 days of the termination date.

At the conclusion of the review, OEBB will do the following:

Terminate coverage on any dependents that were not verified during the review. Coverage includes optional spouse/partner life insurance and AD&D and/or child life and AD&D.

Lock dependent records in MyOEBB.

Provide a file to the entity that identifies any dependents whose coverage has been terminated in MyOEBB.

Review Schedule

2017 DEV Review Schedule

2018 DEV Review Schedule

2019 DEV Review Schedule 

Entities wishing to request a change to the Review Schedule should send their request via email to:
oebb.benefits@state.or.us

Required Documentation

OEBB provides the Dependent Eligibility Verification Program Documentation Requirements document along with complete instructions to each employee required to participate in the OEBB DEV review. If an entity chooses to contract with a third party vendor to conduct their DEV review, that vendor must, at a minimum, follow these same requirements.

Third Party Vendors

An entity may choose to contract with a third party vendor to complete their DEV review. The vendor must be approved by OEBB before the review begins in order to qualify as meeting the five year requirement under OEBB’s administrative rules.

The process for an entity wishing to submit a third party vendor's DEV Review Plan for OEBB's consideration is a follows:

  1. Review the OEBB DEV Review Third Party Checklist.
  2. Ensure that your DEV Review Plan follows the guidelines listed in the checklist.
  3. Complete the OEBB Dev Review Third Party Vendor Approval Form.
  4. Submit your individual review plan along with the completed form via email to: OEBB.benefits@state.or.us. The review plan should be a formal document prepared by the third party vendor specifically for your entity.
  5. OEBB will review the submitted review plan and will respond to your entity within two weeks. If the review plan is not approved, OEBB will provide feedback on areas that need to be changed in order for the review plan to be approved.

Questions?

If you have questions, please contact OEBB Member Services at:

888-469-6322
oebb.benefits@state.or.us

Frequently Asked Questions (FAQs)

OEBB Dependent Eligibility Verification Review FAQs


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