Oregon Administrative Rules
Chapter 111 - OREGON HEALTH AUTHORITY, OREGON EDUCATORS BENEFIT BOARD
Division 80 - OPERATIONS
Section 111-080-0005 - Overpayments and Underpayments
Universal Citation: OR Admin Rules 111-080-0005
Current through Register Vol. 63, No. 3, March 1, 2024
(1) For the purpose of this rule:
(a) "Overpayment" means the amount of an
Entity's monthly payment to OEBB that exceeded the amount due.
(b) "Underpayment" means a payment submitted
by an Entity that is less than the invoiced amount.
(2) Entities seeking a refund of overpayments must:
(a) Notify OEBB within 90 calendar days
from the date overpayment occurred;
(b) OEBB will resolve member overpayments by
requesting a refund from the carrier in accordance with the law. The carrier
shall refund the premium to OEBB back to the date of the termination or the
date allowed by law for recoupment of paid claims.
(c) OEBB will generally reimburse Entity
overpayments through adjustments to future monthly payments.
(3) The Entity shall submit any underpayment to OEBB as soon as it is discovered.
(4) OEBB reserves the right to issue surcharges or use other appropriate means for Entities that submit underpayments.
Statutory/Other Authority: ORS 243.860 - 243.886
Statutes/Other Implemented: ORS 243.864(1)(a)
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