Oregon Administrative Rules Chapter 111 - OREGON HEALTH AUTHORITY, OREGON EDUCATORS BENEFIT BOARD
🏛️ Overview of OAR Chapter 111 – Oregon Health Authority, Oregon Educators Benefit Board
OAR Chapter 111 establishes the regulatory framework for the administration of health and wellness benefits to public education employees and their families in Oregon. The rules are organized into various divisions, each addressing specific aspects of the benefits program:
Division 1 – Procedural Rules
Purpose: Outlines the procedures for adopting, amending, and repealing administrative rules within the OEBB.
Division 2 – Powers of the Board
Purpose: Defines the authority and responsibilities of the OEBB in administering benefit plans.
Division 5 – Procurement and Contracting for Benefit Plans and Services
Purpose: Sets forth the rules governing the procurement of goods and services related to benefit plans.
Division 10 – Definitions
Purpose: Provides definitions for terms used throughout the OEBB rules.
Division 15 – Eligibility Rules
Purpose: Establishes criteria for determining eligibility for participation in OEBB-sponsored benefit plans.
Division 20 – Program Participation
Purpose: Describes the requirements and procedures for enrolling in OEBB-sponsored benefit plans.
Division 30 – Plan Design Development and Selection
Purpose: Outlines the process for developing and selecting benefit plans offered by OEBB.
Division 40 – Enrollment
Purpose: Details the rules and procedures for enrolling in and making changes to benefit plans.
Division 50 – Continuation of Coverage
Purpose: Specifies the conditions under which coverage may continue after employment ends.
Division 60 – Information Requirements and Requests
Purpose: Sets forth the requirements for providing information related to benefit plans.
Division 65 – OEBB Administration of Early Retiree Groups
Purpose: Describes the administration of benefit plans for early retirees.
Division 70 – SB 551
Purpose: Addresses the implementation of Senate Bill 551, which pertains to the administration of benefit plans.
Division 80 – Operations
Purpose: Outlines the operational procedures for the OEBB.
⚖️ Relevant Case Law
While there may not be a plethora of published appellate decisions specifically interpreting OAR Chapter 111, several legal principles and cases provide insight into how the rules are applied and enforced:
1. Wilson v. Department of Agriculture (2013)
Issue: Whether OAR 603-052-0126, which establishes a quarantine against the European corn borer, is valid.
Ruling: The Oregon Court of Appeals upheld the rule, stating it was a valid regulation aimed at protecting Oregon's agriculture from invasive pests.
2. Oregon Justice Resource Center v. Oregon Department of Agriculture (2025)
Issue: Whether certain provisions of OAR Chapter 603 violate constitutional protections.
Ruling: The Oregon Court of Appeals reviewed the application of specific rules within OAR Chapter 603, affirming that the Department's practices were consistent with constitutional standards.
🧾 Practical Implications
For stakeholders involved with Oregon's public education sector, understanding and complying with OAR Chapter 111 is crucial. Here are some key takeaways:
Eligibility and Enrollment: Ensure that all eligible employees and their dependents are enrolled in the appropriate benefit plans.
Plan Selection and Design: Participate in the development and selection of benefit plans to ensure they meet the needs of employees.
Compliance with Rules: Adhere to the rules and procedures set forth in OAR Chapter 111 to maintain compliance and ensure the effective administration of benefit plans.
🔍 Conclusion
OAR Chapter 111 serves as the cornerstone for regulating the administration of health and wellness benefits to public education employees and their families in Oregon. By adhering to these rules, the Oregon Health Authority and the Oregon Educators Benefit Board ensure the fair and effective delivery of benefit plans across the state.
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