Or. Admin. Code § 111-040-0011 - Returning to Benefit Eligible Status
(1)
A former eligible employee returning to benefit-eligible status with the same
entity following an unpaid leave of absence, or termination of employment, or
returning from a strike, lock-out, layoff, within six months of the date
eligibility was lost will have their benefit plans and coverages reinstated.
(a) All coverages and plans previously
enrolled in will be effective the first of the month following the date
eligibility is regained, unless otherwise stipulated in a collective bargaining
agreement or documented Entity policy in effect on or before May 1,
2013.
(b) Plan changes or changes
to covered dependents may only be made if:
(A)
A Qualified Status Change occurred during the period of ineligibility,
consistent with OAR 111-040-0040, and requested within 31 days of returning to
benefit-eligible status, or
(B)
Benefits are being reinstated in a new plan year from which benefits were
initially lost.
(2) If reinstatement occurs within the same
plan year, medical, dental and vision coverage will be reinstated at the same
level as was in effect immediately prior to the loss of eligibility. (i.e.,
dental incentive levels, amounts applied toward deductibles, annual maximum
out-of-pockets and benefit maximums), if applicable.
(3) The Uniformed Services Employment and
Reemployment Rights Act (USERRA). USERRA gives an employee and previously
covered dependents the right to reinstate coverage upon returning to employment
with the Entity in a benefit eligible position with no waiting
period.
Notes
Statutory/Other Authority: ORS 243.860 - 243.886
Statutes/Other Implemented: ORS 243.864(1)(a)
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.