(a) Two or more employers in the same or related industry;
(b) One or more labor unions;
(c) One or more employers and one or more labor unions; or
(d) An association determined by the director to satisfy the requirements of ORS 743.351 (1).
(2) A policy of group life insurance shall provide coverage for the benefit of employees of the employers, members of the unions or members of the association. The policy may include as employees the officers and managers of the employer, and the individual proprietor or partners if the employer is an individual proprietor or a partnership. In addition to such employees, the policy may also insure retired employees and the trustees or their employees, or both, if their duties are principally connected with the trust.
(3) The director shall determine with respect to a policy whether the trustees are the policyholder. If the director determines that the trustees are the policyholder and if the policy is issued or proposed to be issued in this state, the policy is subject to the Insurance Code. If the director determines that the trustees are not the policyholder, the evidence of coverage that is issued or proposed to be issued in this state to a participating employer, labor union or association shall be deemed to be a group life insurance policy subject to the Insurance Code. For purposes of this section, the director may determine that the trustees are not the policyholder if:
(a) The evidence of coverage issued or proposed to be issued to a participating employer, labor union or association is in fact the primary statement of coverage for the employer, labor union or association; and
(b) The trust arrangement is under the actual control of the insurer.
(4) An insurer shall submit evidence to the director showing that the requirements of subsections (2) and (3) of this section are satisfied. The director shall review the evidence and may request additional evidence as needed.
(5) An insurer shall submit to the director any changes in the evidence submitted under subsection (4) of this section.
(6) The director may adopt rules to carry out this section. [1989 c.784 ยง8]
Structure 2021 Oregon Revised Statutes
Volume : 18 - Financial Institutions, Insurance
Chapter 743 - Health and Life Insurance
Section 743.004 - Submission of information by carriers offering health benefit plans.
Section 743.005 - Protection of health information report.
Section 743.007 - Data reporting.
Section 743.008 - Reporting requirements; rules.
Section 743.018 - Filing of rates for life and health insurance; rules.
Section 743.019 - Procedure for review of proposed rates for health benefit plans; rules.
Section 743.020 - Rate filing to include statement of administrative expenses; rules.
Section 743.022 - Premium rates for individual health benefit plans.
Section 743.023 - Electronic administration; discounted rates; requirements.
Section 743.031 - Stakeholder work group to recommend uniform standards.
Section 743.038 - Consent of individual required for life and health insurance; exceptions.
Section 743.039 - Alteration of application for life or health insurance.
Section 743.040 - Personal insurance, insurable interest and beneficiaries.
Section 743.044 - Life insurance for benefit of charity.
Section 743.046 - Exemption of proceeds of individual life insurance other than annuities.
Section 743.047 - Exemption of proceeds of group life insurance.
Section 743.049 - Exemption of proceeds of annuity policies; assignability of rights.
Section 743.104 - Scope of ORS 743.100 to 743.109.
Section 743.106 - Reading ease standards for life and health insurance policies.
Section 743.107 - When director may authorize lower standards.
Section 743.154 - Acceleration of death benefits; rules.
Section 743.168 - Incontestability.
Section 743.171 - Incontestability and limitation of liability after reinstatement.
Section 743.186 - Policy loan.
Section 743.187 - Maximum interest rate on policy loan; adjustable interest rate.
Section 743.192 - Payment of claim; payment of interest upon failure to pay proceeds.
Section 743.204 - Standard Nonforfeiture Law for Life Insurance; applicability.
Section 743.207 - Required provisions relating to nonforfeiture.
Section 743.210 - Determination of cash surrender values; applicability to certain policies.
Section 743.215 - Calculation of adjusted premiums.
Section 743.216 - Adjusted premiums; applicability.
Section 743.218 - Requirements for determination of future premium amounts or minimum values.
Section 743.219 - Supplemental rules for calculating nonforfeiture benefits.
Section 743.221 - Cash surrender values upon default in premium payment.
Section 743.225 - Prohibited provisions.
Section 743.228 - Acts of corporate insured or beneficiary with respect to policy.
Section 743.230 - Variable life policy provisions.
Section 743.231 - "Profit-sharing policy" defined.
Section 743.234 - "Charter policy" or "founders policy" defined.
Section 743.243 - Restrictions on form of coupon policy.
Section 743.247 - Notice to variable life insurance policyholders.
Section 743.268 - Advancement of policy loans.
Section 743.271 - Periodic stipulated payments on variable annuities.
Section 743.272 - Computing benefits.
Section 743.273 - Standard provisions of reversionary annuities.
Section 743.275 - Standard Nonforfeiture Law for Individual Deferred Annuities; application.
Section 743.278 - Required provisions in annuity policies; exception.
Section 743.284 - Computation of benefits.
Section 743.293 - Minimum forfeiture amounts for annuity policies; rules.
Section 743.298 - Penalties, fees or charges; rules.
Section 743.303 - Requirements for issuance of group life insurance policies.
Section 743.306 - Required provisions in group life insurance policies.
Section 743.327 - Payments under policy; payment of interest upon failure to pay proceeds.
Section 743.333 - Termination of individual coverage.
Section 743.336 - Termination of policy or class of insured persons.
Section 743.348 - Certain sales practices prohibited.
Section 743.351 - Eligibility of association to be group life policyholder; rules.
Section 743.356 - Continuing coverage upon replacement of group life policy.
Section 743.358 - Borrowing by certificate holders under group life policy.
Section 743.360 - Alternative group life insurance coverage.
Section 743.371 - Definitions for credit life and credit health insurance provisions.
Section 743.372 - Applicability of credit life and credit health insurance provisions.
Section 743.373 - Forms of credit life and credit health insurance.
Section 743.374 - Limits on amount of credit life insurance.
Section 743.376 - Duration of credit life and credit health insurance.
Section 743.378 - Charges and refunds to debtor.
Section 743.380 - Claim report and payment.
Section 743.402 - Exceptions to individual health insurance policy requirements.
Section 743.405 - General requirements for health insurance policies.
Section 743.406 - Required provisions in group health insurance policies.
Section 743.414 - Time limit on certain defenses; incontestability.
Section 743.416 - Due date for first premium payment.
Section 743.417 - Grace period for subsequent premium payments; cancellation and nonrenewal.
Section 743.420 - Reinstatement.
Section 743.423 - Notice of claim.
Section 743.435 - Payment of claims.
Section 743.444 - Change of beneficiary.
Section 743.456 - Other insurance in same insurer.
Section 743.459 - Insurance with other insurers; expense incurred benefits.
Section 743.462 - Insurance with other insurers; other than expense incurred benefits.
Section 743.465 - Relation of earnings to insurance.
Section 743.472 - Permissible reasons for cancellation or refusal to renew.
Section 743.495 - Use of terms "noncancelable" or "guaranteed renewable"; synonymous terms.
Section 743.498 - Statement in policy of cancelability or renewability.
Section 743.521 - Leased workers; offering group health insurance.
Section 743.522 - Additional groups designated by director.
Section 743.523 - Certain sales practices prohibited.
Section 743.524 - Eligibility of association to be group health policyholder; rules.
Section 743.526 - Determination of whether trustees are policyholders; consequences; rules.
Section 743.535 - Health benefit coverage for guaranteed association.
Section 743.536 - "Blanket health insurance" defined.
Section 743.550 - Student health insurance.
Section 743.551 - Student health benefit plans; rules.
Section 743.650 - Long Term Care Insurance Act; purpose; application.
Section 743.652 - Definitions for ORS 743.650 to 743.665.
Section 743.655 - Rules; disclosure; contents of policy.
Section 743.656 - Eligibility for benefits; providers required to be covered.
Section 743.658 - Notice of lapse or termination; rules.
Section 743.662 - Rescission of policy and denial of claims.
Section 743.664 - Offer of nonforfeiture benefit; rules.
Section 743.680 - Definitions for ORS 743.680 to 743.689.
Section 743.682 - Application of ORS 743.680 to 743.689.
Section 743.683 - Policy contents; standards for benefit and claims payments; rules.
Section 743.684 - Filing of policy; loss ratio standards; insurance producer compensation.
Section 743.685 - Outline of coverage; information brochure; rules.
Section 743.787 - Definitions for ORS 743.788.
Section 743.788 - Prescription drug identification card.