Oregon Health Insurance Exchange, Chapter 945
Rule Caption: 2015 Administrative Charge on Insurers
Adm. Order No.: OHIE 2-2014
Filed with Sec. of State: 4-15-2014
Certified to be Effective: 4-15-14
Notice Publication Date: 3-1-2014
Rules Amended: 945-030-0030
Subject: Establishes the 2015 administrative charge to be paid by insurers offering medical and dental plans through the Exchange.
Rules Coordinator: Gregory Jolivette—(503) 373-9406
Annual Administrative Charge on Insurers
(1) Effective January 1, 2015, each health insurer offering qualified health plans through the Exchange shall pay a monthly administrative charge equal to $9.66 times the number of members enrolled through the Exchange in that month.
(2) Effective January 1, 2015, each health insurer offering standalone dental plans through the Exchange shall pay a monthly administrative charge equal to $0.97 times the number of members enrolled through the Exchange in that month.
(3) If the total charges collected exceed the maximum amount permissible under ORS 741.105, Cover Oregon will return excess funds to carriers on a pro-rata basis no later than the end of the 2nd quarter of the next calendar year.
Stat. Auth.: ORS 741.002
Stats. Implemented: ORS 741.105
Hist.: OHIE 1-2013, f. & cert. ef. 3-18-13; OHIE 3-2013(Temp), f. & cert. ef. 5-28-13 thru 11-22-13; OHIE 5-2013, f. & cert. ef. 8-19-13; OHIE 2-2014, f. & cert. ef. 4-15-14
Oregon Secretary of State • 136 State Capitol • Salem, OR 97310-0722
Phone: (503) 986-1523 • Fax: (503) 986-1616 • firstname.lastname@example.org
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