ODS Portability Coverage

If you are an employee or member whose coverage terminated under an ODS group medical benefit plan, you may be eligible to enroll in an ODS Portability Plan.

All of your dependents may obtain coverage under the ODS Portability Plan provided that your dependents were covered as dependents under your prior plan. Dependents include your spouse and dependent children.

Eligibility for coverage under a portability plan also extends to:

A surviving spouse of a deceased individual
Each surviving child of a deceased individual who had no surviving spouse
A spouse or any child who no longer qualifies as your family

This assumes that each such person was covered under your prior plan.

Requirements

You are eligible for portability coverage under this agreement if you meet the following requirements:

You have been continuously covered (not counting any required employment probationary period prior to coverage) for 180 days or more under one or more Oregon group health benefits plans, or you meet the eligibility requirements of the Health Insurance Portability and Accountability Act of 1998;
You have applied for portability coverage no later than the 63rd day after termination of your prior coverage;
You are not eligible for prior group coverage or would remain eligible for prior group coverage under the Federal Employee Retirement Income Security Act of 1974, as amended, were it not for action by the plan sponsor relating to actual or expected health condition(s) of the individual;
You are not covered under another health benefit plan at the time that portability coverage would begin;
You are not eligible for the federal Medicare program; and
You are an Oregon resident.

Spouse’s Eligibility

Your spouse is eligible for coverage if he or she is under 65 years of age and is not covered under another health benefit plan.

Children’s Eligibility

Your unmarried children are eligible if they are under age 23 and are not covered under another health benefit plan. A child is also eligible, up to age 23, if a court or administrative order requires you to provide health insurance.

Plans

You must choose the plan below that is consistent with the plan you had with your former employer.

Managed Care Plan | Rates | Application
PPO Plan | Rates | Application

You can set up automatic payment for your coverage by submitting the Electronic Funds Transfer form.

All documents should be submitted to:

The ODS Health Companies
Attn: Portability - 10th Floor
601 SW 2nd Ave Ste. 900,
Portland, OR 97204-9747