Enrollment

Medical | Dental

Medical Enrollment

Eligibility

Eligible members must reside in the state of Oregon, and/or reside in specific service areas of the plan.

Underwriting

Applicants must be approved by ODS underwriting using the Oregon Standardized Health questionnaire. Effective dates are assigned by underwriting and are generally the first day of the month following underwriting approval. Agents and applicants are required to submit a clean and complete application a minimum of 10 days prior to the requested effective date. Applications received after the cut-off date will be processed for the subsequent month's effective date.

ODS Individual Underwriting outcomes include:

Billing

Members have the option to pay monthly by electronic checking account deduction, monthly via a billing statement, or quarterly via a billing statement. Premium must be collected and sent in with the application.

Dental Enrollment

Eligibility

Eligible members must reside in the state of Oregon and be enrolled in an Individual Medical Plan.

Members must choose the dental plan upon original enrollment in one of the individual medical plans (see underwriting for additional dental plan eligibility rules).

Underwriting

Applicants must be approved by ODS underwriting. Effective dates are assigned by underwriting and are generally the first day of the month following underwriting approval.

Dental plan members must choose the dental plan upon originally enrolling, otherwise will not be able to select the dental plan at a later date. If a member drops the dental plan, it cannot be reinstated. If a member drops an individual medical plan, they cannot retain the dental plan.

Billing

Members have the option to pay monthly by electronic checking account deduction, monthly direct pay, or quarterly via a billing statement. Premium must be collected and sent in with the application.