Or. Admin. R. 111-050-0015 - Medical, Dental and Vision Termination Dates for Early Retirees
(1) An Eligible
Early Retiree enrolled in OEBB early retiree insurance plan that becomes
eligible for Medicare coverage may not continue on an OEBB medical or vision
plan, unless they are eligible as a result of end-stage renal disease. OEBB
benefits end the last day of the month prior to the Medicare effective date.
The retiree is responsible for reporting to their Entity and to OEBB when the
retiree is covered by Medicare within 31 days after the Medicare coverage
effective date. Failure to report within this timeframe may be considered
intentional misrepresentation by OEBB and OEBB may rescind OEBB coverage back
to the last day of the month prior to the Medicare effective date.
(2) If an Eligible Early Retiree becomes
eligible for Medicare coverage, but his or her currently-enrolled eligible
dependents are not, these eligible individuals may continue OEBB medical,
dental and vision insurance coverage until such time as they no longer meet
OEBB eligibility requirements or become eligible for Medicare coverage for
reasons other than end-stage renal disease, whichever occurs first. The
eligible individuals must confirm intent to continue coverage with the retiree
plan administrator within 31days after the retiree's eligibility for
Medicare.
(3) Eligible dependents
who were covered on a plan at the time of retirement who are eligible for
Medicare, or who become eligible for Medicare, may not continue coverage on an
OEBB medical or vision plan unless it is stated in a collective bargaining
agreement or documented entity policy in effect on or before February 1, 2010,
that they may continue on OEBB medical plans until the retiree becomes eligible
for Medicare with the following exception: OEBB coverage must end for
Medicare-eligible dependents of a retiree enrolled on a Kaiser Permanente
medical plan.
(4) If the Eligible
Early Retiree is responsible for self-paying all or partial premiums and fails
to remit the premium amount to their Entity, all coverage will terminate on the
last day of the month in which premiums are paid in full to OEBB.
(5) Dental coverage may be continued subject
to the Entity's documented policy or collective bargaining agreement. Coverage
is based on the OEBB dental plans that the Entity offers to retired OEBB
Medicare-eligible individuals.
Notes
Statutory/Other Authority: ORS 243.860 - 243.886
Statutes/Other Implemented: ORS 243.864(1)(a)
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