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I have gone in and put calendar reminders on the 15th of each month
we have a termination for the 10-11 year. So far I only have
retirees that turn 65 and Tami Bonney. I will do my <u>best</u> to
stay ahead of it. <br>
<br>
On 9/30/2010 4:57 PM, MyOEBB system updates wrote:
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<div class="Section1">
<p class="MsoNormal"><b><i><u><font size="3" face="Book
Antiqua"><span style="font-size: 12pt; font-family:
"Book Antiqua"; font-weight: bold;
font-style: italic;">Federal Health Care Reform --
Rescission of Coverage<o:p></o:p></span></font></u></i></b></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";">As you may have already heard, the
federal
health care reform bill enacted new restrictions on an
Employers’
rescission of coverage. OEBB will implement the new
restrictions effective <b><i><u><span
style="font-weight: bold; font-style: italic;">October
1, 2010</span></u></i></b>.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";">Rescission of coverage can simply be
defined
as: The <u>retroactive cancellation</u> of a health
insurance policy.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";">Under the new restrictions, a rescission
(retroactive cancellation) by the Employer is illegal <u>except</u>
in cases of
fraud or intentional misrepresentation of material fact
as prohibited by the
terms of the plan or coverage. <font color="red"><span
style="color: red;">Please
read this entire e-mail. It explains how this
change <b><i><u><span style="font-weight: bold;
font-style: italic;">will</span></u></i></b>
affect your
educational entity and members. I also encourage
your educational entity
benefits team to participate in one of the phone
conferences listed below.</span></font><o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><b><i><u><font size="3" face="Book
Antiqua"><span style="font-size: 12pt; font-family:
"Book Antiqua"; font-weight: bold;
font-style: italic;">Grandfathering Medical Plans<o:p></o:p></span></font></u></i></b></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";">OEBB will not grandfather any plans
currently available. This means the Rescission of
Coverage will apply to
all OEBB plans and that overage dependents age 19
through 25 may be enrolled
regardless of whether they are eligible for or have
other group coverage.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><b><i><u><font size="3" face="Book
Antiqua"><span style="font-size: 12pt; font-family:
"Book Antiqua"; font-weight: bold;
font-style: italic;">QSC Changes<o:p></o:p></span></font></u></i></b></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";">Effective October 1, 2010, OEBB will
limit
QSC date ranges in MyOEBB. You will not be able to back
date any coverage
termination date; you will only be able to go forward.
This means you
will not be able to access a 60-day retro feature as you
have in the
past. If you need to retro adjust someone’s enrollment
due to
intentional misrepresentation, you will need to contact
OEBB for assistance.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><b><i><u><font size="3" face="Book
Antiqua"><span style="font-size: 12pt; font-family:
"Book Antiqua"; font-weight: bold;
font-style: italic;">Invoicing Changes<o:p></o:p></span></font></u></i></b></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";">Effective October 1, 2010, the following
invoicing rules will apply due to rescission:<o:p></o:p></span></font></p>
<p class="MsoNormal"><b><i><u><font size="3" face="Book
Antiqua"><span style="font-size: 12pt; font-family:
"Book Antiqua"; font-weight: bold;
font-style: italic;">Active Employees<o:p></o:p></span></font></u></i></b></p>
<ul style="margin-top: 0in;" type="disc">
<li class="MsoNormal" style="color: black; margin-top: 5pt;
margin-bottom: 5pt;"><font size="3" color="black"
face="Book Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">If the <b><u><span
style="font-weight: bold;">Educational Entity
fails to notify OEBB</span></u></b> of a
retroactive employee termination, coverage must end on
the last day of the current month. *<u>No retroactive
terminations</u> or adjustments can be allowed.<a
moz-do-not-send="true" name="OLE_LINK1"></a><o:p></o:p></span></font></li>
<li class="MsoNormal" style="color: black; margin-top: 5pt;
margin-bottom: 5pt;"><font size="3" color="black"
face="Book Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">If the <b><u><span
style="font-weight: bold;">Active Eligible
Employee fails to notify their Educational
Entity</span></u></b> within 31 days in the
event their spouse, domestic partner or other
dependent no longer meets eligibility criteria, the
affected individual’s coverage will be retroactively
terminated to the end of the month in which
eligibility was lost. OEBB considers this to be
intentional misrepresentation and grounds for
retroactive termination of coverage. *<u>Credits for
retroactive adjustments will be issued</u> to the
Entity for up to 90 days.<o:p></o:p></span></font></li>
<li class="MsoNormal" style="color: black; margin-top: 5pt;
margin-bottom: 5pt;"><font size="3" color="black"
face="Book Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">If the <b><u><span
style="font-weight: bold;">Active Eligible
Employee notifies the Educational Entity within
31 days after an event</span></u></b>
terminating eligibility of the employee’s spouse,
domestic partner or other dependent, coverage for the
affected individual will end on the last day of the
month in which OEBB receives notification of the event
from the Educational Entity. *<u>No retroactive
terminations or adjustments</u> are allowed.<o:p></o:p></span></font></li>
</ul>
<p class="MsoNormal" style="margin-right: 0in; margin-bottom:
5pt; margin-left: 0.25in;"><font size="3" color="black"
face="Book Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua"; color: black;"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><b><i><u><font size="3" color="black"
face="Book Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua"; color:
black; font-weight: bold; font-style: italic;">Retirees
(Self-Pays)<o:p></o:p></span></font></u></i></b></p>
<ul style="margin-top: 0in;" type="disc">
<li class="MsoNormal" style="color: black; margin-top: 5pt;
margin-bottom: 5pt;"><font size="3" color="black"
face="Book Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">OEBB <b><u><span
style="font-weight: bold;">can retroactively
terminate coverage in the case of non-payment</span></u></b><u>.</u>
Retroactive terminations for failure to pay premiums
or contributions are not rescissions. Coverage will
be terminated on the last day of the month for which
premiums were paid in full by the retiree to the
Entity and credits for retroactive adjustments will be
issued to the Entity for up to 90 days.<o:p></o:p></span></font></li>
<li class="MsoNormal" style="color: black; margin-top: 5pt;
margin-bottom: 5pt;"><font size="3" color="black"
face="Book Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">The <b><u><span
style="font-weight: bold;">retiree is
responsible for reporting to their Educational
Entity within 31 days of the date he/she or a
dependent becomes eligible for Medicare</span></u></b>
coverage due to a disability. <u>Failure to report</u>
this loss of eligibility within 31 days is considered
by OEBB to be intentional misrepresentation and
grounds for retroactive termination of the affected
individual’s coverage back to the last day of the
month prior to the Medicare effective date.<o:p></o:p></span></font></li>
<li class="MsoNormal" style="color: black; margin-top: 5pt;
margin-bottom: 5pt;"><font size="3" color="black"
face="Book Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">OEBB
automatically terminates coverage for early retirees
who become eligible for Medicare due to age.<o:p></o:p></span></font></li>
</ul>
<p class="MsoNormal"><b><i><u><font size="3" face="Book
Antiqua"><span style="font-size: 12pt; font-family:
"Book Antiqua"; font-weight: bold;
font-style: italic;"><o:p><span
style="text-decoration: none;"> </span></o:p></span></font></u></i></b></p>
<p class="MsoNormal"><b><i><u><font size="3" face="Book
Antiqua"><span style="font-size: 12pt; font-family:
"Book Antiqua"; font-weight: bold;
font-style: italic;">OEBB to Provide Statewide
Question & Answer Phone Conferences<o:p></o:p></span></font></u></i></b></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";">OEBB has scheduled several statewide
phone
conferences (listed below) to discuss federal health
care reform, rescission of
coverage, overage dependent children, and the post Open
Enrollment Mail Out.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";">Monday, October 4<sup>th</sup> – 2:00
to 3:30 PST<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";">Tuesday, October 5<sup>th</sup> – 2:00
to 3:30 PST<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";">Wednesday, October 6<sup>th</sup> –
11:00 to 12:30 PST<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";">Thursday, October 7<sup>th</sup> –
3:30 to 5:00 PST<o:p></o:p></span></font></p>
<p class="MsoNormal"><u><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";"><o:p><span style="text-decoration:
none;"> </span></o:p></span></font></u></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";">If you would like to participate in one
of
the above calls, please call 503-378-2167 using code
31381.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><b><i><u><font size="3" face="Book
Antiqua"><span style="font-size: 12pt; font-family:
"Book Antiqua"; font-weight: bold;
font-style: italic;">Scenarios<o:p></o:p></span></font></u></i></b></p>
<table class="MsoNormalTable" style="border-collapse:
collapse;" border="0" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td style="width: 3.05in; border: 1pt solid windowtext;
padding: 0in 5.4pt;" valign="top" width="293">
<p class="MsoNormal" style="text-align: center;"
align="center"><b><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family:
"Book Antiqua"; font-weight: bold;">Scenario<o:p></o:p></span></font></b></p>
</td>
<td style="width: 2.9in; border-width: 1pt 1pt 1pt
medium; border-style: solid solid solid none;
border-color: windowtext windowtext windowtext
-moz-use-text-color; padding: 0in 5.4pt;" valign="top"
width="278">
<p class="MsoNormal" style="text-align: center;"
align="center"><b><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family:
"Book Antiqua"; font-weight: bold;">Rescind
coverage?<o:p></o:p></span></font></b></p>
</td>
<td style="width: 2.9in; border-width: 1pt 1pt 1pt
medium; border-style: solid solid solid none;
border-color: windowtext windowtext windowtext
-moz-use-text-color; padding: 0in 5.4pt;" valign="top"
width="278">
<p class="MsoNormal" style="text-align: center;"
align="center"><b><font size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family:
"Book Antiqua"; font-weight: bold;">What
does this mean for my educational entity?<o:p></o:p></span></font></b></p>
</td>
</tr>
<tr style="height: 66.1pt;" height="88">
<td style="width: 3.05in; border-right: 1pt solid
windowtext; border-width: medium 1pt 1pt;
border-style: none solid solid; border-color:
-moz-use-text-color windowtext windowtext; padding:
0in 5.4pt; height: 66.1pt;" height="88" valign="top"
width="293">
<p class="MsoNormal"><b><i><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";
font-weight: bold; font-style: italic;">Employment
Termination</span></font></i></b><i><font
face="Book Antiqua"><span style="font-family:
"Book Antiqua"; font-style: italic;"><o:p></o:p></span></font></i></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">In the
event an educational entity does not enter the
termination of coverage timely due to lost
paperwork, untimely reconciliation, or other
administrative reasons.<o:p></o:p></span></font></p>
</td>
<td style="width: 2.9in; border-width: medium 1pt 1pt
medium; border-style: none solid solid none;
border-color: -moz-use-text-color windowtext
windowtext -moz-use-text-color; padding: 0in 5.4pt;
height: 66.1pt;" height="88" valign="top" width="278">
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">No, this
can't be considered intentional
misrepresentation and thus is not grounds for
rescission. The employer was aware of the
change and the terminated employee didn't
misrepresent anything. The termination of
benefits in the MyOEBB system is the
responsibility of the educational entity.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">Coverage
must end on the last day of the current month.
No retroactive terminations or adjustments can
be made.<o:p></o:p></span></font></p>
</td>
<td style="width: 2.9in; border-width: medium 1pt 1pt
medium; border-style: none solid solid none;
border-color: -moz-use-text-color windowtext
windowtext -moz-use-text-color; padding: 0in 5.4pt;
height: 66.1pt;" height="88" valign="top" width="278">
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">This
means when the educational entity discovers the
error in MyOEBB they will only be able to
terminate coverage in MyOEBB at the end of the
month of discovery. There will be no retro
terminations allowed or credits available for
the educational entity. The terminated employee
will have these extra months of benefit
coverage.<o:p></o:p></span></font></p>
</td>
</tr>
<tr>
<td style="width: 3.05in; border-right: 1pt solid
windowtext; border-width: medium 1pt 1pt;
border-style: none solid solid; border-color:
-moz-use-text-color windowtext windowtext; padding:
0in 5.4pt;" valign="top" width="293">
<p class="MsoNormal"><b><i><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";
font-weight: bold; font-style: italic;">Qualified
Status Changes – Death, Divorce, dropping
Domestic Partner, child ceasing to meet
eligibility and, on retiree plans, gaining
of Medicare.<o:p></o:p></span></font></i></b></p>
<p class="MsoNormal"><i><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";
font-style: italic;"><o:p> </o:p></span></font></i></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">In the
event a member (this applies to self-pay and
partial self-pay groups also) experiences a
qualified status change or, on a retiree plan,
gains Medicare and fails to notify their
educational entity within the timeframe
specified in our administrative rules.<o:p></o:p></span></font></p>
</td>
<td style="width: 2.9in; border-width: medium 1pt 1pt
medium; border-style: none solid solid none;
border-color: -moz-use-text-color windowtext
windowtext -moz-use-text-color; padding: 0in 5.4pt;"
valign="top" width="278">
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">Yes,
this can be considered intentional
misrepresentation only if OEBB takes the
following action steps to notify educational
entities and members that failure to take action
in these types of scenarios is considered
intentional misrepresentation.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">These
terminations dates would need to be effective at
the end of the current month or the month the
QSC is occurring the member fails to notify the
educational entity of the QSC event within the
timeframe specified in the OEBB administrative
rules.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">Only if
the member fails to report this timely can we
rescind coverage.<o:p></o:p></span></font></p>
</td>
<td style="width: 2.9in; border-width: medium 1pt 1pt
medium; border-style: none solid solid none;
border-color: -moz-use-text-color windowtext
windowtext -moz-use-text-color; padding: 0in 5.4pt;"
valign="top" width="278">
<p class="MsoNormal" style="line-height: 14.4pt;"><font
size="3" face="Book Antiqua"><span
style="font-size: 12pt; font-family: "Book
Antiqua";">If the member <u>did not</u>
report this change timely it will be considered
misrepresentation. When an eligibility or
enrollment violation has been discovered and
investigated, OEBB will notify the member and
the Educational Entity of the outcome<b><span
style="font-weight: bold;">. </span></b>If
the outcome includes rescission of coverage,
OEBB will give a 30-day notice of such
rescission prior to terminating the affected
individual’s coverage retroactively to the date
the affected individual was no longer eligible
for benefits.</span></font><font size="2"
color="blue" face="Book Antiqua"><span
style="font-size: 11pt; font-family: "Book
Antiqua"; color: blue;"> </span></font><font
face="Book Antiqua"><span style="font-family:
"Book Antiqua";">The notice will
include the specific reason(s) for the decision,
a reference to the specific plan provision or <st1:stockticker
w:st="on">OAR</st1:stockticker> on which the
determination was based, a description of any
additional information required and a
description of the OEBB appeals process, as the
member has the right to appeal the decision
through OEBB.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">The
member may be responsible for any claims paid
and expenses incurred during the period of time
the affected individual was enrolled
inappropriately.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">Policy
term violations may apply to the subscriber and
their dependents.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">There
will be up to a 90-day credit available (if
applicable) for the educational entity.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">If the
member <u>did</u> report this change timely it
will not be considered misrepresentation but an
error originating from the educational entity.
This means when the educational entity discovers
the error in MyOEBB they will only be able to
terminate the benefits in MyOEBB at the end of
the month of discovery. There will be no retros
allowed or credits available for the educational
entity. The terminated employee will have these
extra months of benefit coverage.<o:p></o:p></span></font></p>
</td>
</tr>
<tr>
<td style="width: 3.05in; border-right: 1pt solid
windowtext; border-width: medium 1pt 1pt;
border-style: none solid solid; border-color:
-moz-use-text-color windowtext windowtext; padding:
0in 5.4pt;" valign="top" width="293">
<p class="MsoNormal"><b><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";
font-weight: bold;">100% <i><span
style="font-style: italic;">Self-pay
Groups (COBRA/HB 2557/Retiree)<o:p></o:p></span></i></span></font></b></p>
<p class="MsoNormal"><i><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";
font-style: italic;"><o:p> </o:p></span></font></i></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">In the
event a member in one of OEBB’s self-pay groups
stops paying their premiums, coverage is
terminated retroactive to the end of the month
that the full premium was paid.<o:p></o:p></span></font></p>
</td>
<td style="width: 2.9in; border-width: medium 1pt 1pt
medium; border-style: none solid solid none;
border-color: -moz-use-text-color windowtext
windowtext -moz-use-text-color; padding: 0in 5.4pt;"
valign="top" width="278">
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">OEBB can
retroactively terminate coverage in the case of
non-payment. Retroactive terminations for
failure to pay premiums or contributions are not
rescissions. <o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">Coverage
will be terminated on the last day of the month
for which premiums were paid in full.<o:p></o:p></span></font></p>
</td>
<td style="width: 2.9in; border-width: medium 1pt 1pt
medium; border-style: none solid solid none;
border-color: -moz-use-text-color windowtext
windowtext -moz-use-text-color; padding: 0in 5.4pt;"
valign="top" width="278">
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">OEBB or
its contractor will terminate coverage on the
last day of the month that premiums were paid in
full. </span></font><font face="Book Antiqua"><span
style="font-family: "Book Antiqua";"><o:p></o:p></span></font></p>
</td>
</tr>
<tr>
<td style="width: 3.05in; border-right: 1pt solid
windowtext; border-width: medium 1pt 1pt;
border-style: none solid solid; border-color:
-moz-use-text-color windowtext windowtext; padding:
0in 5.4pt;" valign="top" width="293">
<p class="MsoNormal"><b><i><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";
font-weight: bold; font-style: italic;">Partial
Self-pay Groups - Employees, Early retirees,
or COBRA participants who pay a portion of
their total premium<o:p></o:p></span></font></i></b></p>
<p class="MsoNormal"><i><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";
font-style: italic;"><o:p> </o:p></span></font></i></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">When a
member in a partial self-pay group fails to pay
their portion of the premium and the educational
entity continues to “float” the entire premium
(pay the entire premium to OEBB) while waiting
for the employee, early retiree, or COBRA
participant to make up their portion. Once the
entity notifies OEBB, we will terminate coverage
back to when the member stopped paying their
portion and will give the entity up to a 90-day
credit.<o:p></o:p></span></font></p>
</td>
<td style="width: 2.9in; border-width: medium 1pt 1pt
medium; border-style: none solid solid none;
border-color: -moz-use-text-color windowtext
windowtext -moz-use-text-color; padding: 0in 5.4pt;"
valign="top" width="278">
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">OEBB can
retroactively terminate coverage in the case of
non-payment – whether or not the member was
responsible for the full premium or partial
premium. Retroactive terminations for failure to
pay premiums or contributions are not
rescissions.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">Coverage
will be terminated on the last day of the month
for which premiums were paid in full.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="3" color="red"
face="Book Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua"; color:
red;"><o:p> </o:p></span></font></p>
</td>
<td style="width: 2.9in; border-width: medium 1pt 1pt
medium; border-style: none solid solid none;
border-color: -moz-use-text-color windowtext
windowtext -moz-use-text-color; padding: 0in 5.4pt;"
valign="top" width="278">
<p class="MsoNormal"><font size="3" face="Book
Antiqua"><span style="font-size: 12pt;
font-family: "Book Antiqua";">This
means when an educational entity discovers the
non-payment they will notify OEBB and provide
the necessary information so OEBB can terminate
coverage(s) in MyOEBB at the end of the month of
last full payment was received. There will be
up to a 90-day credit available (if applicable)
for the educational entity.<o:p></o:p></span></font></p>
</td>
</tr>
</tbody>
</table>
<p class="MsoNormal"><font size="3" face="Arial"><span
style="font-size: 12pt;"><o:p> </o:p></span></font></p>
</div>
<pre wrap="">
<fieldset class="mimeAttachmentHeader"></fieldset>
_______________________________________________
MyOEBB mailing list
<a class="moz-txt-link-abbreviated" href="mailto:MyOEBB@listsmart.osl.state.or.us">MyOEBB@listsmart.osl.state.or.us</a>
<a class="moz-txt-link-freetext" href="http://listsmart.osl.state.or.us/mailman/listinfo/myoebb">http://listsmart.osl.state.or.us/mailman/listinfo/myoebb</a>
Hosted by the Oregon State Library (503)932-1004
Please use this contact for technical list questions only.
For informational questions related to message content, please contact the sender of the message, by phone or email.
</pre>
</o:smarttagtype></blockquote>
<br>
<pre class="moz-signature" cols="72">--
Sheri Hatton
Payroll Clerk
Pleasant Hill School District
36386 Highway 58, Pleasant Hill OR 97455
541-736-0794, FAX 541-746-2537
</pre>
</body>
</html>