Or. Admin. Code § 101-015-0005

Current through Register Vol. 63, No. 11, November 1, 2024

Section 101-015-0005 - Eligible Individuals

(1) The following individuals are eligible to participate in PEBB-sponsored benefit plans:

(a) An eligible employee as defined in OAR 101-010-0005(20).

(b) A permanent position seasonal or intermittent employee who meets the following requirements:

(A) An individual hired for the first time if expected to work a 90-calendar day continual period and works at least half-time or in a position classified as job share. The eligible employee must enroll within 30 days of the hire or eligibility date; or

(B) An individual hired for the first time working at least half-time or in a position classified as job share who was not expected to work a 90-day or more continual period, and works longer than a 90-calednar day continual period. The employee is eligible for enrollment retroactively effective to the first day of the month following the original hire or eligibility date; or

(C) A previously ineligible employee returning to work is eligible for benefit plans after 60 calendar days of employment within the current or immediately previous plan year. The 60 calendar days of employment need not be consecutive.

(c) An appointed temporary or impermanent employee who (i) as of the date of hire, is expected to work an average of 30 or more hours per week for a 90-day continual period, or (ii) has worked an average of 30 hours or more per week for a full initial measurement period (1,560 hours) and is in a subsequent benefit eligible stability period.

(d) A current spouse, domestic partner, or an eligible dependent child listed by the person who is eligible under subsection (1)(a), (b), (c), or (d) of this rule on the required enrollment form or the electronic equivalent.

(e) An appointed and elected official. Eligibility for benefit plans begins on the first day of the month following the date the official takes the oath of office.

(2) The eligible employee is responsible to maintain a valid PEBB enrollment for all eligible family members receiving coverage. Failure to maintain valid eligibility will result in the removal of coverage. See OAR 101-020-0025.

Or. Admin. Code § 101-015-0005

PEBB 1-1999, f. 12-8-99, cert. ef. 1-1-00; PEBB 1-2000, f. 11-15-00, cert. ef. 1-1-01; PEBB 1-2001, f. & cert. ef. 9-6-01; PEBB 1-2004, f. & cert. ef. 7-2-04; PEBB 1-2004, f. & cert. ef. 7-2-04; PEBB 3-2004, f. & cert. ef. 10-7-04; PEBB 3-2005, f. 8-31-05, cert. ef. 9-1-05; PEBB 2-2007, f. 9-28-07, cert. ef. 10-1-07; PEBB 2-2008, f. & cert. ef. 8-1-08; PEBB 7-2010, f. 12-10-10, cert. ef. 1-1-11; Suspended by PEBB 1-2011(Temp), f. & cert. ef. 3-9-11 thru 8-4-11; PEBB 2-2011(Temp), f. & cert. ef. 8-5-11 thru 1-31-12; Administrative correction 2-24-12; Reverted to PEBB 7-2010, f. 12-10-10, cert. ef. 1-1-11; PEBB 3-2014(Temp), f. & cert. ef. 11-12-14 thru 5-10-15; PEBB 1-2015, f. & cert. ef. 5/12/2015; PEBB 1-2022, amend filed 03/31/2022, effective 3/31/2022

Statutory/Other Authority: ORS 243.061 to ORS 243.302

Statutes/Other Implemented: ORS 243.125(1)