Or. Admin. Code § 101-030-0010 - Continuation of Group Health Benefit Coverage for Injured Workers (CBIW)
(1) The state is
required by ORS 659A.060-069 to continue to pay
the benefit amount for PEBB health benefit coverage in effect at the time an
eligible employee has a work-related injury or illness. The benefit amount may
continue for up to 12 consecutive months or until one of the events listed in
ORS 659A.063 occurs, whichever
occurs first. Health benefit coverage for this purpose includes the medical,
dental, vision, and prescription drug coverage of the employee, family members,
and domestic partner.
(2) An
eligible employee may continue coverage for life, accidental death and
dismemberment and Long Term Care insurance plans for up to 12 months if they
self-pay the premiums to the agency.
(3) Refer to OAR 101-020-0002(7)(d) for
employee premium payment requirements.
(4) When an employee returns to work within
12 months, they will have their previous enrollment for medical, dental, life,
and disability insurance reinstated the first of the month following their
return to work. The employee may make midyear plan changes within 30 days of
the date they return to work.
(5)
An employee returning to work will not be reinstated in any pretax Flexible
Spending Accounts, or PEBB Commuter Accounts. They may reenroll within 30 days
of the date they return to work.
(6) A previously benefit eligible employee
returning to paid regular status immediately following CBIW is not required to
work at least half-time in the month they return to be eligible for benefits
the following month.
(7) A COBRA
qualifying event occurs at the end of the CBIW continuation period, or when the
current benefit eligible stability period ends the allowable benefit period, if
the employee has not returned to paid regular status.
Notes
Stat. Auth.: ORS 243.061 - 302 & 659A.060 - 069
Stats. Implemented: ORS 243.061 - 302 & 659A.060 - 069
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