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The Oregon Administrative Rules contain OARs filed through March 15, 2014

 

Oregon Health Authority

Oregon Medical Insurance Pool

DIVISION 1

PROCEDURAL RULES

 

443-001-0000 Notice of Rulemaking

443-001-0005 Rules of Administrative Procedure

443-001-0010 Rules Governing Contracting Procedures

DIVISION 2

OREGON MEDICAL INSURANCE POOL

443-002-0010 Definitions

443-002-0020 Administering Insurer

443-002-0030 Assessment for Operating Expenses and Counting Insureds

443-002-0040 Adjustment of Assessment for Insurers in Individual Health Benefits Market

443-002-0050 Agent's Referral Fees

443-002-0060 Eligibility

443-002-0070 Benefits, Benefit Limitations, Benefit Exclusions and Claims Administration

443-002-0080 Premiums

443-002-0090 Member Termination

443-002-0100 Member Suspension and Resumption of Coverage

443-002-0110 Coordination of Benefits

443-002-0120 Effective Dates

443-002-0130 Enrollment Limitations

443-002-0150 Enrollment When Waiting Lists Exist

443-002-0160 Enrollment When No Waiting Lists Exist

443-002-0170 Pre-Existing Conditions

443-002-0180 Credit Towards the Six-Month Waiting Period for Pre-Existing Conditions

443-002-0190 Grievance, Appeals, External Review

DIVISION 3

TEMPORARY MEDICAL INSURANCE PLAN (TMIP)

443-003-0005 Scope and Duration

443-003-0010 Definitions

443-003-0015 Eligibility

443-003-0020 Premiums and Benefits

443-003-0025 Member Termination

443-003-0030 Removing an Ineligible Individual from Benefit Plan

443-003-0035 Coordination of Benefits

443-003-0040 Effective Dates

443-003-0045 Pre-Existing Conditions

443-003-0050 Credit Towards the Six-Month Waiting Period for Pre-Existing Conditions

443-003-0055 Appeals and External Review

443-003-0060 Purpose and Statutory Authority

443-003-0070 Member Invoicing

443-003-0075 Member Payments

443-003-0080 Refunds

443-003-0085 Member Refunds

443-003-0090 Member Reporting

443-003-0095 Termination of Subsidy

443-003-0100 Misrepresentation/Civil Penalty

443-003-0105 Overpayments

443-003-0110 Collections

443-003-0115 Subsidy Member Appeals

443-003-0120 Contested Case Hearings

443-003-0125 Extenuating Circumstances


Notes
1.) The OAR Compilation is updated on the first of each month to include all rule actions filed with the Secretary of State’s Office by the 15th of the previous month, or by the previous workday if the 15th is on a weekend or holiday.

2.) The official copy of an Oregon Administrative Rule is contained in the Administrative Order filed at the Archives Division, 800 Summer St. NE, Salem, Oregon 97310. Any discrepancies with the published version are satisfied in favor of the Administrative Order. The Oregon Administrative Rules and the Oregon Bulletin are copyrighted by the Oregon Secretary of State. Terms and Conditions of Use

Oregon Secretary of State • 136 State Capitol • Salem, OR 97310-0722
Phone: (503) 986-1523 • Fax: (503) 986-1616 • oregon.sos@state.or.us

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