Or. Admin. R. 111-030-0050 - Premium Rate Structure Selection Process and Limitations
(1) Educational
Entities may choose a composite or tiered rate structure for each Employee
Group for medical, dental and vision coverage unless otherwise specified in an
OEBB administrative rule. The rate structure selected for each coverage type
applies to all individuals electing to participate as active employees within
an Employee Group. Local Governments are limited to using the tiered rate
structure for medical, dental and vision plans.
(2) Educational Entities may select a
composite or tiered rate structure for early retirees unless otherwise
specified in an OEBB administrative rule. Local Governments are limited to
using the tiered rate structure for medical, dental and vision plans.
(3) Educational Entities may select a
composite or tiered rate structure for part-time employees of an Employee Group
unless otherwise specified in an OEBB administrative rule. If a different rate
structure is selected for part-time employees that structure must apply to all
participating part-time employees within that Employee Group. Local Governments
are limited to using the tiered rate structure for medical, dental and vision
plans.
(4) Rate structures must be
selected during the plan selection process.
(5) Once an Educational Entity elects a
change in rate structure for a type of coverage within an Employee Group, the
rate structure selection cannot be changed for at least three plan years. The
rate structure change will go into effect on the first day of the next plan
year, October 1.
(6) Educational
Entities or Local Governments who offered LTD on a composite rate structure
prior to moving to OEBB coverages can continue to do so. Use of the composite
rate structure for LTD plans is only available on a mandatory LTD plan and
requires 100 percent enrollment.
(a) Employee
Groups using a composite rate structure for mandatory LTD plans effective
October 1, 2012, may continue to use either the employer-paid or employee-paid
option.
(b) Effective October 1,
2013, OEBB will expand the availability of the composite rate structure for
mandatory LTD plans only to those Employee Groups that chose to elect an
employer-paid plan option.
(c) Rate
structures must be selected during the plan selection period and become
effective the first day of the next plan year, October 1.
Notes
Stat. Auth.: ORS 243.860 - 243.886
Stats. Implemented: ORS 864(1)(a)
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