[MyOEBB] Self-Pay Early Retiree Forms Update

MyOEBB system updates myoebb at listsmart.osl.state.or.us
Wed Jun 21 16:03:19 PDT 2017


ATTENTION:  Self-Pay Retiree Forms Update

If your entity has OEBB administer the Self-Pay Early Retiree enrollments please be aware the forms you provide to your retirees have been updated.  Make sure you are providing them the most current ACH Debit Authorization form and Self-Pay Early Retiree Enrollment form.  If you have old forms, please discard them and print the latest version here:  http://www.oregon.gov/oha/OEBB/Pages/Self-Pay-Early-Retirees.aspx

I have also included the forms as an attachment to this email.  If the retiree submits an outdated ACH Debit Authorization form, it will be returned and they will be asked to submit the current version.

Please contact me If you have any questions relating to Self-Pay Retirees.

Thank you,

Dawn Wrezinski
Senior Benefits Analyst
OREGON HEALTH AUTHORITY
Health Policy and Analytics
Oregon Educators Benefit Board
OEBB.Benefits at state.or.us<mailto:OEBB.Benefits at state.or.us>
Phone: 888.469.6322
www.OEBBinfo.com<http://www.OEBBinfo.com>


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