Oregon
Rule
Rule
111-070-0060
Appeals and Administrative Reviews
HB 2557 eligible members have the right to use the OEBB Appeals and Administrative Review process.
(1)
HB 2557 eligible members may appeal OEBB’s eligibility decision.
(2)
HB 2557 eligible members have the right to request a review of benefit and claim issues that are not resolved following the completion of the carrier appeal process. Administrative Review requests relating to denied benefits are limited to a determination of whether or not a benefit was intended to be covered under the current contract.