Dependent Eligibility Review

Who Will be Included in the Dependent Eligibility Review?

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.

What about the 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 is why it is especially important that members provide PEBB only copies of the documents.

How Do I Complete the Dependent Eligibility Review?

After you receive your Dependent Eligibility Review letter from PEBB:

1. Carefully review the documents included in your Dependent Eligibility Review Packet and
   
   

2. Confirm your dependents eligibility status by sending copies (not originals) of the required documents, along with your Dependent Eligibility Worksheet and mail, fax or email to:

Public Employees’ Benefit Board
Attn: Dependent Eligibility Review

Mail: 500 Summer St. NE
Salem, OR 97301-1063.

or

FAX: 503-373-1654 

or

Email:  pebb.dependenteligibility@state.or.us 

Note:  Email may not be a secure way to transmit private information.

Vital Records Requests

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.

What Documents are needed for Dependent Eligibility Review?

Required Documentation and Definitions

Is my Dependent Eligible?

Eligibility Scenarios

Review and Eligibility Rules

Questions?

 FAQs - Frequently Asked Questions

Sample Letters for the Eligibility Review:

Dependent Eligibility Worksheet

Dependent Eligibility Packet Letter

Reminder Letter

Confirmation Letter