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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-size:10.0pt'>OEBB is extending the Dependent Eligibility Verification (DEV) Review and Audit deadline an additional two weeks. Members selected for the audit will now have until 11:59 p.m. Friday, February 24, to submit documents supporting the eligibility of their enrolled dependents. <b>As of February 7, 2012, the Dependent Verification Center had received some documentation from you, but they have determined it was not sufficient to verify your dependents.</b> <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt'>If you have recently submitted additional documentation and completed the process, please disregard this letter. You will receive a statement shortly confirming the dependents you have verified as eligible for OEBB benefits.</span> <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-size:10.0pt'>If you have NOT yet submitted the additional documents required, please review the instructions below and take the necessary steps to ensure your eligible dependents remain covered on your OEBB insurance plans.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt'><o:p> </o:p></span></p><p class=MsoNormal><b><span style='font-size:10.0pt'>You are required to submit copies of the <i><u>acceptable</u></i> documents no later than February 24, 2012, to verify your dependents’ eligibility for enrollment in OEBB plans. Failure to do so will result in termination of all OEBB coverages for all non-verified dependents.</span></b><span style='font-size:10.0pt'> If you have misplaced your verification packet, copies of all communications sent to you and all of the information you need to complete verification is available online at <a href="https://review.ehr.com/OEBB">https://review.ehr.com/OEBB</a>, including the Verification Center mailing address and secure fax number.<o:p></o:p></span></p><p class=MsoBodyText align=left style='text-align:left'><span style='font-size:10.0pt'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt'>You can complete the verification process through a convenient online process by following these steps:<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt'><o:p> </o:p></span></p><ol style='margin-top:0in' start=1 type=1><li class=MsoNormal style='margin-bottom:6.0pt;mso-list:l0 level1 lfo1'><b><span style='font-size:10.0pt'>Log on to </span></b><span style='font-size:10.0pt'><a href="https://review.ehr.com/OEBB">https://review.ehr.com/OEBB</a><b> </b>and click <u>Verify Dependents</u>.<o:p></o:p></span></li><li class=MsoNormal style='margin-bottom:6.0pt;mso-list:l0 level1 lfo1'><b><span style='font-size:10.0pt'>Review the <i>Dependent Eligibility Matrix </i></span></b><span style='font-size:10.0pt'>and make sure your enrolled dependent(s) meet the requirements.<o:p></o:p></span></li></ol><p class=Default style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:6.0pt;margin-left:.5in;text-indent:-.25in;mso-list:l0 level1 lfo1'><![if !supportLists]><b><span style='font-size:10.0pt'><span style='mso-list:Ignore'>3.<span style='font:7.0pt "Times New Roman"'> </span></span></span></b><![endif]><b><span style='font-size:10.0pt'>Confirm your covered dependents’ eligibility status. </span></b><span style='font-size:10.0pt'>Remove any dependents who are not eligible by checking the appropriate button.<o:p></o:p></span></p><p class=Default style='margin-left:.5in;text-indent:-.25in;mso-list:l0 level1 lfo1'><![if !supportLists]><b><span style='font-size:10.0pt'><span style='mso-list:Ignore'>4.<span style='font:7.0pt "Times New Roman"'> </span></span></span></b><![endif]><b><span style='font-size:10.0pt'>Submit copies of required documents</span></b><span style='font-size:10.0pt'> electronically by scanning and uploading documents to the site for each dependent no later than February 24, 2012.<o:p></o:p></span></p><p class=Default><span style='font-size:10.0pt'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt'>You can find answers to frequently asked questions regarding the verification process in the <i>Frequently Asked Questions</i> section of the verification website:<b> </b><a href="https://review.ehr.com/OEBB">https://review.ehr.com/OEBB</a>. If you have any questions about this process or dependent eligibility, contact the Dependent Verification Center at <span class=MsoBookTitle>888-814-1194</span>.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt'>Thank you for your immediate attention to this matter.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt'>Sincerely,<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt'>Denise L. Hall<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt'>Deputy Administrator</span><span style='font-size:10.0pt'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt'><o:p> </o:p></span></p></div></body></html>