Or. Admin. Code § 111-040-0001

Current through Register Vol. 64, No. 1, January 1, 2025

Section 111-040-0001 - Effective Dates

(1) Effective Dates for Newly Eligible Employees. Initial benefit elections, unless otherwise specified in a collective bargaining agreement or documented entity policy in effect on June 30, 2008, are effective on the later of:

(a) The first of the month following a completed online enrollment in the OEBB benefit management system or submission of a paper enrollment or change form, or

(b)

(A) The first of the month following the date of hire or the date of eligibility; with the following exception:

(B) The first of the month following approval of Evidence of Insurability for Optional Life Insurance above the guarantee issue amount, Long Term Disability, or Long Term Care insurance. The approval letters sent to the member are not official until entered into OEBB's benefit management system.

(2) Effective Dates for Qualified Status Changes. Covered dependent changes are effective the first of the month following the date of the event causing the dependent to be eligible under OEBB administrative rules with the following exceptions:

(a) Coverage for a newborn child is effective on the date of birth through the first 31 days of life without completing an enrollment form and submitting it to the eligible employee's entity for processing. To continue coverage beyond the first 31 calendar days, the eligible employee must complete and submit an enrollment form to their entity with the intent of enrolling the newborn child in their coverage. The eligible employee has 60 calendar days from the newborn's date of birth to complete this action.

(b) Coverage for a newly adopted child is effective the date of the adoption decree or date of placement for adoption through the first 31 days without completing an enrollment form and submitting it to the eligible employee's entity for processing. To continue coverage beyond the first 31 calendar days, the eligible employee must complete and submit an enrollment form to their entity with the intent of enrolling the newly adopted child in their coverage. The active eligible employee has 60 calendar days from the date the child is adopted to placed for adoption to complete this action; and

(A) The eligible employee must submit the adoption or placement agreement with the enrollment forms to their entity.

(B) Claims payments will not be made for expenses incurred prior to the date of decree or placement.

(c) The first of the month following approval of Evidence of Insurability for Optional Spouse/Domestic Partner Life insurance above the guaranteed issue amount, if applicable, or Long Term Care Insurance.

(3) Elections made during an open enrollment period are effective on the first day of the new plan year.

Or. Admin. Code § 111-040-0001

OEBB 14-2008, f. & cert. ef. 8-15-08; OEBB 14-2009(Temp), f. & cert. ef. 7-31-09 thru 1-26-10; OEBB 21-2009, f. & cert. ef. 12-17-09; OEBB 9-2010(Temp), f. & cert. ef. 8-3-10 thru 1-29-11; OEBB 12-2010(Temp), f. 9-30-10, cert. ef. 10-1-10 thru 1-29-11; Reverted to OEBB 21-2009, f. & cert. ef. 12-17-09; OEBB 3-2011, f. & cert. ef. 2-11-11; OEBB 17-2011(Temp), f. 9-30-11, cert. ef. 10-1-11 thru 3-29-12; OEBB 23-2011, f. & cert. ef. 12-14-11; OEBB 4-2012(Temp), f. & cert. ef. 4-20-12 thru 10-16-12; OEBB 9-2012, f. & cert. ef. 10-9-12; OEBB 23-2013(Temp), f. & cert. ef. 12-27-13 thru 6-25-14; OEBB 2-2014, f. & cert. ef. 3-7-14; OEBB 5-2017, amend filed 11/07/2017, effective 11/7/2017; OEBB 1-2018, temporary amend filed 09/24/2018, effective 09/25/2018 through 03/23/2019; OEBB 1-2019, amend filed 03/15/2019, effective 3/15/2019; OEBB 1-2024, amend filed 10/01/2024, effective 10/1/2024

Statutory/Other Authority: ORS 243.860 - 243.886

Statutes/Other Implemented: ORS 243.864(1)(a)