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All active employees and retirees who have a dependent(s) enrolled in the PEBB benefit management system will be required to complete and return the required verification documents when selected for the review process. It is mandatory that members verify and submit the acceptable documentation by the review deadline in order to continue benefit coverage for their dependents.
Our member’s information and privacy is very important to us. All information that the member provides for the dependent eligibility review will be kept confidential. Copies of documents submitted to PEBB will be destroyed following verification of the member’s dependent(s). No documents will be retained! That is why it is especially important that members provide PEBB only copies of the documents.
After you receive your Dependent Eligibility Review letter from PEBB:
Confirm your dependents eligibility status by sending copies (not originals) of the required documents along with your Dependent Eligibility Worksheet by mail, fax or email to:
Vital records are the legal records documenting a vital event, such as a birth, death, marriage, Oregon Registered Domestic Partnership, divorce, or fetal death. Birth certificates are the primary documents used to establish identity.
Required Documentation and Definitions
Review and Eligibility Rules
FAQs - Frequently Asked Questions
Dependent Eligibility Worksheet
Dependent Eligibility Packet Letter
In 2017 the Oregon legislature passed a law that requires PEBB to verify your dependents eligibility. The purpose of this review is to ensure that only eligible dependents are receiving PEBB benefits. This helps keep health care cost down.
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