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Dependent Eligibility

Dependent Eligibility Verification (DEV) Reviews

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 (spouse/partner/child) active in the myOEBB database, even if the person is not enrolled in any coverage right now.
  • Early Retirees are included in a school's (entity) review if coverage for that employee group is provided by that school (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 your school or district two months before a review starts.
  2. OEBB sends a letter and an email to every employee with dependent(s) listed in the myOEBB enrollment database.
    • Included with this letter will be a worksheet, timeline and a list of required documents and which ones need to be sent to be sent to OEBB to confirm your dependent(s) as eligible.
  1. 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 shredded at the conclusion of the review.
  1. OEBB sends a reminder letter to members who haven't completed their review.
  2. 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.

At the end of your review, OEBB will do the following:

  1. End all coverage for dependents who don't meet eligibility requirements or for members that didn't complete their review
    • Coverage will end on the last day of the month that the review was completed.
      • Coverage includes Optional Benefits, such as: Spouse, Domestic Partner, Child Life and Disability insurance.
  2. Lock any of your dependent(s) records in myOEBB, that were not confirmed as eligible.
  3. Information for any dependent(s) that was not confirmed as eligible by OEBB will be sent to your school or district and the dependent(s) coverage will end.

Employees have the right to appeal all eligibility decisions within 60 days of the coverage end date.

DEV Review Schedule

  • Dependent Eligibility Verification Review Schedule

Entities who would like to request a change to the Review Schedule should send their request via email to: 
OEBB.dependenteligibility@odhsoha.oregon.gov

Required Documentation / Documentos requeridos

OEBB provides a DEV Documentation Requirements List along with instructions to each employee required to participate in the OEBB DEV review. If an entity chooses to contract with a third party vendor to conduct their DEV review, that vendor must, at a minimum, follow these same requirements.

OEBB proporciona una lista de requisitos de documentación de DEV junto con instrucciones para cada empleado que debe participar en la revisión de OEBB DEV. Si una entidad elige contratar a un proveedor externo para realizar su revisión DEV, ese proveedor debe, como mínimo, seguir estos mismos requisitos.

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