Oregon Administrative Rules
Chapter 111 - OREGON HEALTH AUTHORITY, OREGON EDUCATORS BENEFIT BOARD
Division 70 - SB 551
Section 111-070-0075 - Administration of SB 551 Program
Current through Register Vol. 63, No. 3, March 1, 2024
(1) For purposes of this rule:
(2) SB 551 eligible members may only enroll in employee-only medical/pharmacy, dental, and vision coverage, or a combination thereof, subject to carrier specific requirements.
(3) SB 551 members shall not receive any monetary incentives for opting out, declining, or waiving any combination of or all available coverage.
(4)
(5) If the SB 551 eligible member misses their enrollment period to enroll in coverage, they will have the ability to appeal to OEBB for enrollment.
(6) Coverage elected under this section is effective the entire plan year unless the SB 551 eligible member is terminated by OEBB or an Oregon public institution of higher education for failure to meet SB 551 eligibility or participation requirements or enrolls in OEBB coverage under section (4) of this rule.
(7) OEBB will not credit deductibles or out of pocket maximums for SB 551 members who transfer between an OEBB medical plan and PEBB medical plan.
(8) It shall be the sole responsibility of the Oregon public institution of higher education to determine eligibility for coverage pursuant to ORS 350.355.
(9) It shall be the sole responsibility of the part-time faculty member to submit all information necessary for the Oregon public institution of higher education to make an eligibility determination for SB 551 coverage pursuant to ORS 350.355.
(10) The SB 551 eligible member is eligible to continue coverage through COBRA should their coverage end, and they meet the criteria for COBRA continuation coverage as per OAR 111-050-0001.
Statutory/Other Authority: ORS 243.860 - ORS 243.886
Statutes/Other Implemented: ORS 243.864(1)(a) & ORS 350.355