Oregon Administrative Rules
Chapter 459 - OREGON PUBLIC EMPLOYEES RETIREMENT SYSTEM
Division 35 - HEALTH INSURANCE PROGRAMS
Section 459-035-0080 - Effective Date of Coverage
Universal Citation: OR Admin Rules 459-035-0080
Current through Register Vol. 63, No. 9, September 1, 2024
(1) For an eligible person who enrolls in a PERS sponsored health insurance plan under the provisions of OAR 459-035-0070, the effective date of coverage shall be the first of the month following receipt of a completed PERS Medical & Dental Insurance Application form but not before the date described as follows:
(a) For an eligible retiree, the latest of
the following dates:
(A) The effective date of
retirement if enrolled within 90 days of the effective date of
retirement;
(B) The termination
date of other group health insurance coverage;
(C) For a Medicare Companion Plan, the
effective date of enrollment in Parts A and B of Medicare; or
(D) The date specified in an announcement of
a plan change period or an open enrollment period, if applicable.
(b) For an eligible spouse or
dependent, the latest of the following dates:
(A) The date the retiree's coverage is
effective;
(B) The first of the
month following the termination date of other group health insurance
coverage;
(C) For a Medicare
Companion Plan, the effective date of enrollment in Parts A and B of Medicare;
or
(D) The date specified in an
announcement of a plan change period or an open enrollment period, if
applicable.
(c) For a
new eligible spouse, dependent, or dependent domestic partner, the first day of
the month following the date the completed enrollment form is filed and in the
case of a domestic partner, an Affidavit of Dependent Domestic Partnership,
except in the following situations:
(A) A
newborn child is covered from the moment of birth.
(B) An adopted child is covered from the date
he or she is placed in the custody of the eligible retiree.
(d) For an eligible surviving
spouse or dependent, the first of the month following the filing of an
application for health insurance coverage.
(2) Coverage shall cease for an eligible person on the earliest of the following dates:
(a) The end of the month in which a signed
notification is received by PERS from the covered person to terminate
coverage.
(b) The end of the month
for which the last premium is paid.
(c) The end of the month in which a person
ceases to be an eligible person, subject to any continuation of coverage rights
under state or federal law.
Stat. Auth: ORS 238.410 & ORS 238.650
Stats. Implemented: ORS 238.410, ORS & ORS 238.420
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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
