Oregon
Rule Rule 111-070-0050
Premium Payment


(1)

HB 2557 Eligible Member Payment Methods and Due Dates:

(a)

HB 2557 eligible members will submit payment to OEBB for benefits through Direct Payment via ACH (ACH Debit).

(b)

OEBB may grant an exception from the requirement in section (1) to pay by ACH Debit if the HB 2557 eligible member demonstrates their financial institution cannot accommodate an ACH transfer, or the member does not maintain an account at a financial institution.

(c)

Notwithstanding section (2), the ACH Debit will occur on the 25th day of the month prior to the next months health care coverage. All payments will be subject to this due date.

(2)

If the HB 2557 member has a checking account, but submits a written letter declining to use the ACH Debit payment method, a $35.00 processing fee shall be applied to the HB 2557 members monthly premium.

(3)

HB 2557 Eligible Member Invoicing:

(a)

OEBB will enroll a new HB 2557 eligible member after one of the following is completed:

(A)

The required ACH Debit Authorization Form is received from the member, processed and set-up with their financial institution; or

(B)

The Exception Request Form is received from the member, reviewed and approved;

(b)

OEBB will mail payment reminders to HB 2557 eligible members to provide notification of the amount and date the ACH Debit will occur.
(c)(A) If the payment is not received in full by the 25th calendar day of the month, the members coverage will be terminated on the last day of the month in which a full premium payment was received. All premium payments must be paid in full before payment to the carrier will be made.

(B)

OEBB shall not be responsible for any unpaid portion of premiums for coverage and will terminate the HB 2557 eligible member and dependent coverage for non-payment or underpayment of premiums due.

(4)

HB 2557 Eligible Member Overpayments:

(a)

OEBB will mail notification of overpayments to the HB 2557 eligible member. This written notice shall inform the member of the amount overpaid and a description of the overpayment.
(b)(A) OEBB will automatically apply any overpayments to the next months premium due. The member may complete a Request for Reimbursement form if a refund of an overpayment is desired. However, the member may be responsible for processing fees associated with refunds less than $100.

(B)

Remaining balances on coverage that has ended will be refunded in full.

(5)

HB 2557 Eligible Member Underpayments:

(a)

Premiums that are not paid in full by the 25th calendar day of the month prior to the coverage effective month will result in the eligible members and dependents coverage being terminated at the end of the last month for which premiums were paid in full.
(b)(A) HB 2557 eligible members will be notified if their coverage was terminated due to the premium not being paid in full, including payments returned by the bank for Non-Sufficient Funds (NSF), closed bank accounts, and frozen accounts.

(B)

A check or ACH transaction that is returned for NSF, closed bank account, or frozen account is considered non-payment of premiums.

(c)

Coverage terminated due to non-payment or underpayment cannot be reinstated until a following Plan Year in which a person is deemed a HB 2557 eligible member.
Source
Last accessed
Aug. 25, 2019