Dependent Eligibility Verification Audit Information

Dependent Eligibility Verification (DEV) Review

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 initiate reviews in the following months:
• September 
  
• 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 that the month of their review be rescheduled.
• 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?

1. OEBB will contact the entity two months prior to the review month to review the process.
2. OEBB sends a letter and an email to every employee with dependent(s) listed in MyOEBB to communicate the timeline and documentation requirements. Employees will be able to fax, mail, or use a link to securely email copies of their appropriate documentation to OEBB. 
   
• DO NOT SEND ORIGINALS
• All documents received will be securely destroyed at the conclusion of the review.
3. OEBB sends a reminder letter to the members who have not submitted appropriate documentation requested during the review.
   
4. 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.
5. 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:

1. 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.
2. Lock dependent records in MyOEBB.
3. Provide a file to the entity that identifies any dependents whose coverage has been terminated in MyOEBB.

DEV Review Schedule