(1) All newly hired or a newly eligible
active employees have 30 days from the date of hire or date of eligibility to
enroll in PEBB core and optional benefit plans. Benefit plan elections are
irrevocable for the plan year except as specified in OAR
101-020-0050.
(a) Full time temporary or impermanent
employees that will be benefit eligible by the fourth month of employment
enroll for benefits during the third employment month for benefits to be
effective by the first of the fourth month.
(b) Variable hour temporary or impermanent
employees that become benefit eligible after an initial measurement period have
30 days from their benefit eligibility date to enroll.
(2) A newly hired benefit eligible employee
or newly eligible employee can enroll in benefit plans for the following month
regardless of the number of paid regular hours in the month of hire or
eligibility. The employee must be actively at work, as specified in OAR
101-010-005(2) on the coverage effective date. In the months following initial
eligibility and enrollment, to continue to receive coverage a benefit eligible
employee:
(a) Not in a current benefit
eligible stability period must meet the requirement of a minimum of 80 hours
paid regular status each month to receive benefits the following
month.
(b) In a current benefit
eligible stability period is eligible for benefits the following month
regardless of the number of paid regular status hours in the month.
Example: Sarah was a new hire and she enrolled in
benefit plans on June 25. Sarah was in paid regular status on July 1; her
coverage is effective July 1. Sarah will need to be in paid regular status for
80 hours in July in order to receive August coverage.
(c) Who enrolls in benefit plans and
terminates employment before the effective date of insurance coverage will not
receive active employee benefits or COBRA.
Example 1: Sarah was a new hire into a benefit
eligible position, she enrolled in benefit plans on June 25. Sarah was in paid
regular status on July 1; on July 2, she terminated employment. Sarah's
coverage was effective July 1 and will remain in place through July 31. Sarah
will not receive PEBB coverage in August, but will receive a COBRA
notice.
Example 2: Ron was a new hire into a benefit
eligible position, he enrolled in benefit plans on June 25. He terminated
employment on June 30. Ron is not eligible for insurance coverage because he
was not in paid regular status on July 1. He will not receive a COBRA notice
because he did not receive active coverage.
(3) Any employee that becomes eligible for
benefits during or after the open enrollment period but before the start of the
new plan year must receive the opportunity to complete open enrollment
elections before the start of the plan year.
Notes
Or. Admin. Code §
101-020-0005
PEBB 1-1999, f. 12-8-99,
cert. ef. 1-1-00; PEBB 1-2000, f. 11-15-00, cert. ef. 1-1-01; PEBB 1-2001, f.
& cert. ef. 9-6-01; PEBB 1-2002, f. 7-30-02, cert. ef. 8-1-02; PEBB 1-2004,
f. & cert. ef. 7-2-04; PEBB 3-2004, f. & cert. ef. 10-7-04; PEBB
3-2005, f. 8-31-05, cert. ef. 9-1-05; PEBB 2-2007, f. 9-28-07, cert. ef.
10-1-07; PEBB 3-2009, f. 9-29-09 cert. ef. 10-1-09; PEBB 7-2010, f. 12-10-10,
cert. ef. 1-1-11;
PEBB
1-2015, f. & cert. ef.
5/12/2015;
PEBB
2-2017, f. & cert. ef.
8/17/2017
Stat. Auth.: ORS
243.061 - 302
Stats. Implemented: ORS
243.061 -
302
