[OEBBBUSMAN] OEBB Board expands dependent children's coverage and eligibility

[Business Managers-OEBB]

Dear Business Managers:

 

On September 24, 2010, OEBB filed temporary rules to implement changes
which expand coverage and eligibility for dependents age 19 through 25.
These changes may affect members who chose not to add a dependent child
who gained eligibility for OEBB plans effective October 1, 2010 due to
the federal healthcare reform legislation.

 

At their core, the changes are:

 

1)     Dependents age 19 through 25 who were enrolled in dental and/or
vision coverage during the 2010 Open Enrollment period will not be
subject to the 12-month waiting period, and

 

2)     Dependents age 19 through 25 who have access to other health care
coverage (through any source, including their own employment) are
eligible for OEBB coverage.

 

As a result of these changes, OEBB will allow members who chose not to
cover a dependent child who became eligible due to the federal
provisions, to add or enroll their dependent in medical, dental, and/or
vision coverage at this time. The member must submit an "Overage
Dependent

Child QSC Change Form" (which will be available on the forms page of the
OEBB website next week) to their Educational Entity no later than
October 29, 2010. Coverage must be retroactively effective October 1,
2010.

 

Attached are two documents which OEBB will mail directly to members
along with their benefits statements on October 8, 2010.  One explains
the changes described above, and the other explains the new restrictions
on rescission of coverage (described in an email sent out yesterday).

 

Thank you for your assistance in communicating and implementing these
changes for any affected OEBB members.

 

If you have any questions about these changes, please call OEBB Member
Services at (888) 469-6322, or email oebb.benefits at state.or.us.

 

 

Jackie Cowsill

Communications Coordinator

Oregon Educators Benefit Board

 

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