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Self-Pay Early Retirees

Early Retiree Coverage Option

When an OEBB member retires prior to age 65, and is not yet Medicare-eligible, they have the option to remain on OEBB benefit plans as an “early retiree” until they gain eligibility for Medicare. If the early retiree does not receive an employer contribution toward their benefits, the employing entity has the option to turn the benefits administration for that “Self-Pay Early Retiree” over to OEBB. These “OEBB-Administered Self-Pay Retirees” are the members referred to in this section of the website.

Benefits Administrator Toolkit

If you are a benefits administrator at an OEBB-participating entity, OEBB has created a toolkit to help you transition your self-pay early retiree’s benefits administration to OEBB.

Current Self-Pay Early Retiree

If you are a Self-Pay Early Retiree whose benefits are administered by OEBB, you can find applicable forms and information in this section of the website. For additional assistance, call OEBB Member Services at 888-469-6322.

Retiree Resource Guide

Forms

  
Notes
SPERS-Dental-Only-Enrollment-Form
Use this form for Dental only enrollment.
SPERS-ACH-Authorization
SPERS-Change-of-Address
Use this form to notify OEBB of an address change
SPER Terminate All Benefits Form
SPER-Initial-Enrollment-Form
For active employee transitioning to Self-Pay Early Retiree use
2017-18 SPER Midyear Change Form
For Self-Pay Early Retirees (SPERs) Only - those who pay their premiums directly to OEBB. Use this form to make benefit changes if you experience a Qualified Status Change (QSC) event outside of the annual Open Enrollment period.
2018-19 Plan Year HB 2557 Member Enrollment Form
HB 2557 Member Enrollment Form
2018-19 SPERS Dental Only Enrollment Form
2018-19 SPERS Enrollment Form
Use this form for your initial transition to Self-Pay Early Retiree (SPER) status.
2018-19 SPERS Open Enrollment (No Optional Plans)
Use this form to make plan selections during Open Enrollment.
2018-19 SPERS Open Enrollment Form
Use this form to make plan selections during Open Enrollment.
Self-Pay-Early-Retiree-Sample-Welcome-Letter-With-Form
Self-Pay-Early-Retiree-Sample-Welcome-Letter-No-Form
SPERS-Agreement
SPERS-Midyear-Change-Form
Self-Pay-Early-Retiree-Sample-Cover-Letter
Self-Pay-Early-Retiree-Sample-Cover-Letter-2
SPER Change of Address
SPERS-ACH-Authorization
SPERS-Terminate-Benefits-Form
Use this form to terminate your benefits with OEBB

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