Or. Admin. R. 111-050-0010 - Eligibility for Retiree Insurance Coverage
(1) Active eligible employees and their
enrolled eligible dependents not yet eligible for Medicare may continue
coverage in OEBB medical, dental, vision, life and accidental death and
dismemberment plan options upon retirement, provided the plans are offered to
Eligible Early Retirees through the Entity or OEBB. Insurance coverage under
the OEBB or non-OEBB entity active employee benefit plans, as an employee or as
a dependent of an employee, and retiree benefit plans must be
continuous.
(2) Active eligible
employees and/or their enrolled eligible dependents that are eligible for
Medicare, and therefore not eligible to continue on the OEBB medical or vision
plan options, may continue coverage on OEBB dental, life, and accidental death
and dismemberment plan options upon retirement, provided the plans are offered
to retirees through the Entity or OEBB.
(3) An Eligible Early Retiree means and
includes a previously Eligible Employee who is:
(a) Not Medicare-eligible; or
(b) Under 65 years old; and
(A) Receiving a service or disability
retirement allowance or pension under the Public Employees Retirement System
(PERS) or under any other retirement or disability benefit plan or system
offered by an OEBB participating organization for its employees;
(B) Eligible to receive a service retirement
allowance under PERS and has reached earliest retirement age under ORS Chapter
238;
(C) Eligible to receive a
pension under ORS 238A.100 to
238A.245 and has reached
earliest retirement age as described in ORS
238A.165; or
(D) Eligible to receive a service retirement
allowance or pension under another retirement benefit plan or system offered by
an OEBB participating organization and has reached earliest retirement age
under the plan or system.
(4) An Eligible Early Retiree may continue
medical, dental, vision, optional life and accidental death and dismemberment
coverage for themselves only or may continue to cover any eligible dependents
who were enrolled in the employee's active plan immediately prior to the
retirement as long as the coverage and plan options are included in the plans
offered by the Entity.
(5) Basic
life and basic accidental death and dismemberment requires 100 percent
mandatory enrollment unless otherwise specified in a collective bargaining
agreement in effect on or before September 30, 2009, and the Entity can provide
documentation that supports the administration of this benefit.
(6) A former Eligible Employee who elects
COBRA and is also eligible for early retiree benefits or later becomes eligible
as an Eligible Early Retiree will have the right to transfer the COBRA medical,
dental, and vision insurance coverage to the OEBB early retiree benefit plans
at any time during COBRA or within 30 days of the COBRA end date. Insurance
coverage under the OEBB active, COBRA and early retiree benefit plans must be
continuous.
Notes
Statutory/Other Authority: ORS 243.860 - 243.886
Statutes/Other Implemented: ORS 243.864(1)(a)
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