Dependent Eligibility Verification (DEV)

In 2017, the Oregon legislature passed a law that requires the Public Employees' Benefit Board (PEBB) to verify your dependent(s) eligibility. The purpose of this review is to ensure that only eligible dependents are receiving PEBB benefits. This helps keep health care cost down.

Who's included?

All active employees and retirees who have dependents listed in the PEBB Benefits Management System (your member account), even if a dependent isn't currently enrolled in benefits coverage, you must reply and confirm eligibility for the dependent(s) listed on your Dependent Eligibility Worksheet. 

• This must be completed by the due date listed on your Dependent Eligibility Worksheet (from inside the packet that PEBB mailed to you), to continue benefits coverage for any listed dependent(s).
  
• You must respond even if a dependent listed isn't currently enrolled in coverage.
  
• If you don't respond or send the required documents, any dependent that hasn't been verified as eligible will have their coverage end on the last day, in the month that your review was due. 
  
• Any dependent(s) will also be locked, preventing any changes in the future. 
  

Sample documents sent to members:

• Dependent Eligibility Worksheet
  
• Dependent Eligibility Packet Letter
  

Other sample letters:

• Reminder Letter
• Confirmation Letter

How do I complete the review?

After you receive your Dependent Eligibility Verification (DEV) review packet from PEBB:

1. Carefully review the documents included in your packet. (Examples above)
   
2. Confirm eligibility for the dependent(s) listed on your Dependent Eligibility Worksheet mailed to you.
   
• You must verify each dependent listed on your DEV Worksheet 
3. Send to PEBB:
   
• Copies (not originals) of all required documents for each dependent listed, as well as the Worksheet from your DEV Packet before the due date listed on your DEV Letter.

*All documents sent to PEBB are destroyed after eligibility is confirmed.

What documents are needed?

• Required Documentation Chart
  

Lost Records?

If you've lost or no longer have access to the required documents, you'll need to make a Vital Records Request. Vital records are the legal documents that record a vital event, such as: birth, death, marriage, divorce, adoption or Court-Appointed Guardianship. Birth Certificates are most often, the first document asked for when proving someone's identity.

Is my dependent eligible?

• Visit the: Dependent Definitions and Domestic Partner FAQ page.
  
• Secretary of State website: DEV reviews and eligibility rules.
  
• Find your:Eligibility examples and scenarios: (children, grandchildren, Domestic Partnership, spouse, etc.)

Disabled Dependent Child?

• Visit our: Dependent Definitions and Requirements page.
  

Contact Information

Mail: Attn. PEBB Dependent Eligibility Team, 500 Summer St NE E89, Salem, OR 97301-1063

Phone: 503-378-2954

Secure Fax: 503-373-1654, or

Secure Email:

• To initiate a secure Email:
• Go to: https://secureemail.dhsoha.state.or.us/encrypt.
• Enter your Email address to create an account.
• Enter pebb.dependenteligibility@odhsoha.oregon.gov as the recipient.
• If you're sending a photo of your documents with a smartphone, please send files as medium or larger.
• Please, don't CC or BCC any other Email addresses. It will remove the secure Email feature.
• If you're a DHS-OHA employee, you can send a secure Email to pebb.dependenteligibility@odhsoha.oregon.gov by adding #secure# (pound sign secure pound sign) to the Subject Line, from your work Email address .
  

Privacy of your information

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's why it's so important that members provide only copies of the documents.