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The Oregon Administrative Rules contain OARs filed through March 15, 2014

 

Oregon Health Authority

Oregon Educators Benefit Board

DIVISION 1

PROCEDURAL RULES

111-001-0000 Notice of Proposed Rule Changes

111-001-0005 Uniform and Model Rules of Procedure

DIVISION 2

POWERS OF THE BOARD

111-002-0005 Powers and Duties of the Board

111-002-0010 Conduct of Meetings of the Board

DIVISION 5

PROCUREMENT AND CONTRACTING FOR BENEFIT PLANS AND SERVICES

111-005-0010 Policy

111-005-0015 Renewal, Screening and Selection for Benefits, Vendor and Personal Services Contracts

111-005-0020 Definitions

111-005-0040 Extensive Procurement Process

111-005-0042 Intermediate Procurement Process

111-005-0044 Small Procurement Process

111-005-0046 Sole Source Procurement Process

111-005-0047 Renewal Process

111-005-0048 Emergency Contract Process

111-005-0050 Mistakes

111-005-0055 Responsible Proposer

111-005-0080 Contract Amendments

DIVISION 10

DEFINITIONS

111-010-0015 Definitions

DIVISION 15

ELIGIBILITY RULES

111-015-0001 Eligible Individuals

DIVISION 20

PROGRAM PARTICIPATION

111-020-0001 Initial Employee Group Phase-in

111-020-0005 Employee Group Phase-in for Non-subject Districts

111-020-0010 Educational Entity or Local Government Joining OEBB

DIVISION 30

PLAN DESIGN DEVELOPMENT AND SELECTION

111-030-0010 Medical, Pharmaceutical, Dental and Vision Plan Selection Criteria

111-030-0035 Optional Benefit Plans Selection Criteria

111-030-0040 Long Term Care (LTC) Benefit Plan Selection Criteria

111-030-0045 Employee Assistance Program (EAP) Plan Selection Criteria

111-030-0046 Development of Health Savings Accounts (HSA)

111-030-0047 Development of Flexible Spending Accounts

111-030-0050 Premium Rate Structure Selection Process and Limitations

DIVISION 40

ENROLLMENT

111-040-0001 Effective Dates

111-040-0005 Termination Dates

111-040-0010 Newly-hired and Newly-eligible Employees

111-040-0011 Returning to Benefit Eligible Status

111-040-0015 Removing an Ineligible Individual from Benefit Plans

111-040-0020 Open Enrollment

111-040-0025 Correcting Enrollment and Processing Errors

111-040-0030 Late Enrollment

111-040-0039 Transition Relief

111-040-0040 Qualified Status Changes (QSC's)

111-040-0050 Declination of Coverage

DIVISION 50

CONTINUATION OF COVERAGE

111-050-0001 Continuation of Group Medical and Dental Insurance Coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA)

111-050-0010 Eligibility for Retiree Insurance Coverage

111-050-0015 Medical, Dental and Vision Termination Dates for Retirees

111-050-0016 Life and Accidental Death and Dismemberment Termination Dates for Retirees

111-050-0020 Initial Enrollment

111-050-0025 Effective Dates

111-050-0030 Correcting Enrollment and Processing Errors

111-050-0035 Late Enrollment

111-050-0045 Termination Dates

111-050-0050 Removing an Ineligible Individual from Benefit Plans

111-050-0060 Continuation of Coverage for Eligible Employees Covered under the Federal Family Medical Leave Act

111-050-0065 Continuation of Coverage for Eligible Employees Covered under the Oregon Family Leave Act

111-050-0070 Continuation of Coverage for Eligible Employees during an Approved Leave of Absence.

111-050-0075 Continuation of coverage for Eligible Employees on Active Military Service

111-050-0080 Portability and Conversion of Coverage

DIVISION 60

INFORMATION REQUIREMENTS AND REQUESTS

111-060-0001 Use of Social Security Numbers

DIVISION 65

OEBB ADMINISTRATION OF EARLY RETIREE GROUPS

111-065-0001   Definitions

111-065-0005   Untitled

111-065-0010   OEBB Early Retiree Invoicing

111-065-0015   Early Retiree Payment Methods and Due Dates

111-065-0020   Early Retiree Overpayments

111-065-0025   Early Retiree Underpayments

111-065-0030   Termination

111-065-0035   Appeals

111-065-0040   Continuation of Coverage

DIVISION 70

HB 2557

111-070-0001 Definitions

111-070-0005 Plan Selections

111-070-0015 Enrollment

111-070-0020 Effective Date

111-070-0030 Termination

111-070-0040 Qualified Status Changes (QSC’s)

111-070-0050 Premium payment

111-070-0060 Appeals and Administrative Reviews

111-070-0070 Continuation of Coverage

DIVISION 80

OPERATIONS

111-080-0001 Payment Methods and Dates

111-080-0005 Overpayments and Underpayments

111-080-0030 Complaints and Administrative Review

111-080-0040 Eligibility and Policy Term Violations — Definitions

111-080-0045 Eligibility Violations

111-080-0050 Policy Term Violations

111-080-0055 Eligibility Verifications and Reviews


Notes
1.) The OAR Compilation is updated on the first of each month to include all rule actions filed with the Secretary of State’s Office by the 15th of the previous month, or by the previous workday if the 15th is on a weekend or holiday.

2.) The official copy of an Oregon Administrative Rule is contained in the Administrative Order filed at the Archives Division, 800 Summer St. NE, Salem, Oregon 97310. Any discrepancies with the published version are satisfied in favor of the Administrative Order. The Oregon Administrative Rules and the Oregon Bulletin are copyrighted by the Oregon Secretary of State. Terms and Conditions of Use

Oregon Secretary of State • 136 State Capitol • Salem, OR 97310-0722
Phone: (503) 986-1523 • Fax: (503) 986-1616 • oregon.sos@state.or.us

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