County Employee gaining other group coverage; County Employee losing non-County coverage; Enrolled family member gaining other group coverage; Family member losing other group coverage.
Gaining Other Coverage
Did you or your dependent acquire new group health plan coverage and want to Opt Out of County coverage?
Employees have 90 days from the effective date of other coverage to report the event to the Employee Benefits Office in order to Opt Out of County-sponsored health plan coverage.
Forms are required to change plan elections.*
- Bargaining Unit specific Medical and Dental election change form available at: /benefits/medical-and-dental-forms
- Opt-Out Affidavit webform also required.
Loss of Coverage
Did you or your dependent lose coverage and need to opt into County coverage?
Employees have 90 days from loss of coverage date to report the event to the Employee Benefits Office in order to enroll into County-sponsored health coverage. This change is only applicable to the employee if you are enrolled in the Opt-Out option with Multnomah County and lose non-County coverage. Eligible family members losing coverage can also be enrolled at this time.
If the employee did not lose coverage, but family members are losing coverage, they can be added to the employee's current health plan elections due to the loss of coverage.
The documents below are required to enroll and/or add new dependents to health plan coverage.