OEBB may request voluntary disclosure and consent to use the social security number of an eligible employee or family member for the following reasons:
OEBB’s internal verification and identification of enrollments or elections for participation in benefits provided by OEBB.
Medicare Secondary Payer Mandatory Reporting Provisions in Section 111 of the Medicare, Medi-caid, and SCHIP Extension Act of 2007 (Public Law 110-173).
A request for disclosure of an employee’s social security number will notify the eligible employee or family member:
Whether disclosure is mandatory or voluntary;
Under what statutory or other authority the social security number is requested;
What specific use or uses will be made of the number; and
What effect, if any, refusal to provide the number or to grant consent for a voluntary use as described above in (2) will have on an individual.
An eligible employee’s or family member’s social security number may not be put to a voluntary use as described above in (2) unless the eligible employee or family member has granted consent for that use. If, after having provided notice and received consent to use an eligible employee’s or family member’s social security number for specified purposes, OEBB wishes to use the social security number for addi-tional purposes not included in the original notice and consent, OEBB must provide the eligible employee or family member notice and receive the eligible employee’s or family member’s consent to use the num-ber for those additional purposes.
An eligible employee’s or family member’s refusal to permit voluntary use of his or her social security number will not be used as a basis to deny the eligible employee or family member a right, benefit, or privilege provided by law.
The request for the disclosure of the SSN has been incorporated in the MyOEBB Benefit Management System where all OEBB benefit eligible employees select, enroll, and manage their benefits.
Per guidelines established by Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007, an entity, a plan administrator, or a fiduciary that fails to comply with the requirements may be sub-ject to a civil money penalty of $1,000 for each day of noncompliance for each eligible employee. Failure by the eligible employee to supply the required information, including, but not limited to, their own or their family member’s social security number, Health Insurance Claim Number (HICN) or compliance letter issued by the Centers for Medicare and Medicaid Services (CMS) could result in the termination of coverage provided by the insurance carrier or administrator.