Or. Admin. Code § 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.
Notes
Statutory/Other Authority: ORS 243.860 - 243.886
Statutes/Other Implemented: ORS 243.864(1)(a)
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