Oregon Administrative Rules
Chapter 101 - OREGON HEALTH AUTHORITY, PUBLIC EMPLOYEES' BENEFIT BOARD
Division 15 - ELIGIBILITY
Section 101-015-0005 - Eligible Individuals
Universal Citation: OR Admin Rules 101-015-0005
Current through Register Vol. 63, No. 9, September 1, 2024
(1) The following individuals are eligible to participate in PEBB-sponsored benefit plans:
(a) An eligible employee as defined in
OAR 101-010-0005(20).
(b) A
permanent position seasonal or intermittent employee who meets the following
requirements:
(A) An individual hired for the
first time if expected to work a 90-calendar day continual period and works at
least half-time or in a position classified as job share. The eligible employee
must enroll within 30 days of the hire or eligibility date; or
(B) An individual hired for the first time
working at least half-time or in a position classified as job share who was not
expected to work a 90-day or more continual period, and works longer than a
90-calednar day continual period. The employee is eligible for enrollment
retroactively effective to the first day of the month following the original
hire or eligibility date; or
(C) A
previously ineligible employee returning to work is eligible for benefit plans
after 60 calendar days of employment within the current or immediately previous
plan year. The 60 calendar days of employment need not be
consecutive.
(c) An
appointed temporary or impermanent employee who (i) as of the date of hire, is
expected to work an average of 30 or more hours per week for a 90-day continual
period, or (ii) has worked an average of 30 hours or more per week for a full
initial measurement period (1,560 hours) and is in a subsequent benefit
eligible stability period.
(d) A
current spouse, domestic partner, or an eligible dependent child listed by the
person who is eligible under subsection (1)(a), (b), (c), or (d) of this rule
on the required enrollment form or the electronic equivalent.
(e) An appointed and elected official.
Eligibility for benefit plans begins on the first day of the month following
the date the official takes the oath of office.
(2) The eligible employee is responsible to maintain a valid PEBB enrollment for all eligible family members receiving coverage. Failure to maintain valid eligibility will result in the removal of coverage. See OAR 101-020-0025.
Statutory/Other Authority: ORS 243.061 to ORS 243.302
Statutes/Other Implemented: ORS 243.125(1)
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