Oregon Administrative Rules
Chapter 111 - OREGON HEALTH AUTHORITY, OREGON EDUCATORS BENEFIT BOARD
Division 50 - CONTINUATION OF COVERAGE
Section 111-050-0030 - Correcting Enrollment and Processing Errors
Universal Citation: OR Admin Rules 111-050-0030
Current through Register Vol. 63, No. 3, March 1, 2024
(1) Enrollment Errors. Enrollment errors occur when an Eligible Early Retiree employee provides incorrect information or fails to make correct selections when making benefit plan changes. The Eligible Early Retiree is responsible for identifying enrollment errors or omissions.
(a) OEBB authorizes Entities to correct
enrollment errors reported by the Eligible Early Retiree within 45 calendar
days of the original eligibility date, annual plan change period end date, or
Qualified Status Change date.
(b)
Enrollment errors identified after 45 calendar days of the eligibility date,
annual plan change period end date or Qualified Status Change date must be
submitted to OEBB for review and approval based on OAR 111-080-0030.
(2) Benefit Administrator Processing Errors. Processing errors or omissions occur when benefit plan changes are processed incorrectly in the benefit system.
(a) OEBB authorizes Entities to correct
processing errors identified within 45 calendar days of the eligibility date,
annual plan change period end date, or Qualified Status Change date. Entities
must reconcile all premium discrepancies.
(b) Processing errors identified after 45
calendar days of the eligibility date, annual plan change period end date, or
Qualified Status Change date must be submitted to OEBB for review and approval
based on OAR 111-080-0030. If approved, corrections are retroactive to the
original effective date as identified in 111-040-0001. The Entity must
reconcile all premium discrepancies within 30 calendar days of any adjustments
made in the system.
Statutory/Other Authority: ORS 243.860 - 243.886
Statutes/Other Implemented: ORS 243.864(1)(a)
Disclaimer: These regulations may not be the most recent version. Oregon may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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