[OEBB_alltopic] DEV Audit Impending Terminations

[OEBB information]

Dear Benefits Administrators:

 

Now available in your MyOEBB document management area is a list of
dependents whose eligibility had not been verified as of noon Wednesday,
March 28. The dependents on this list are scheduled to have their
coverage terminated effective March 31, 2012. Some members have
submitted appropriate documentation since the list was created - OEBB
staff will contact you if a dependent on your list has been verified as
eligible and coverage will continue uninterrupted.

 

Carriers will receive files to update their enrollment records with
these terminations on Saturday, March 31. We have notified BenefitHelp
Solutions to process COBRA notifications immediately as another way to
bring this to an employee's attention to ensure they are aware of their
coverage being terminated before they obtain care or receive a claim
denial for a dependent who does meet the eligibility requirements.

 

Information about COBRA coverage and other coverage options can be found
on the COBRA FAQs page of the OEBB website:
http://www.oregon.gov/OHA/OEBB/FAQ/COBRA.shtml

 

Once coverage has terminated, members are able to use the OEBB Appeal
process if they need to request coverage be reinstated for a dependent
who meets the eligibility requirements. Members can find the Appeal Form
and review the OEBB Appeal Policy on the "Forms" page of the OEBB
website: http://www.oregon.gov/OHA/OEBB/forms.shtml.

 

Thank you for all of your assistance provided throughout this effort to
ensure only eligible dependents are covered on OEBB plans. The goal is
to contain costs for all those who are eligible for coverage.

 

If you or your affected members have any questions about this process,
please contact OEBB Member Services by calling 888-469-6322
(888-4My-OEBB) or by e-mailing: oebb.benefits at state.or.us.

 

Sincerely,

 

Jackie Cowsill

Communications Coordinator

Oregon Educators Benefit Board

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