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Section 743.004 - Submission of information by carriers offering health benefit plans. - (a) The following information for the preceding year that is...
Section 743.005 - Protection of health information report. - (a) "Covered entity" has the meaning given that term in...
Section 743.007 - Data reporting. - (2) The department shall aggregate the data collected under subsection...
Section 743.008 - Reporting requirements; rules. - Note: Definitions for 743.008 may be found in 743B.001.
Section 743.009 - Note: Sections 42 and 43, chapter 12, Oregon Laws 2020...
Section 743.010 - Health insurance policy and health benefit plan forms; expenditures on primary care; rules. - (a) Establishing minimum benefit standards; (b) Requiring the ratio of...
Section 743.015 - Filing and approval of credit life and credit health insurance forms; filing of rates. - (2) An insurer may revise the schedules of premium rates...
Section 743.018 - Filing of rates for life and health insurance; rules. - (2) Except as provided in ORS 743B.013 and subsection (3)...
Section 743.019 - Procedure for review of proposed rates for health benefit plans; rules. - (2) After the close of the public comment period described...
Section 743.020 - Rate filing to include statement of administrative expenses; rules. - (1) A statement of administrative expenses on a per member...
Section 743.022 - Premium rates for individual health benefit plans. - (1) Each carrier must file the carrier’s initial geographic average...
Section 743.023 - Electronic administration; discounted rates; requirements. - (a) "Explanation of benefits" means claim processing advice or notification...
Section 743.025 - Rate filing to include prescription drug cost information; reports to Legislative Assembly. - (a) The 25 most frequently prescribed drugs; (b) The 25...
Section 743.029 - Uniform standards for health care financial and administrative transactions; rules. - (a) Eligibility inquiry and response; (b) Claim submission; (c) Payment...
Section 743.031 - Stakeholder work group to recommend uniform standards. - (2) The authority shall report uniform standards recommended under subsection...
Section 743.034 - Coordination with Oregon Health Authority concerning uniform standards; Department of Human Services to be subject to standards. - (2) The Department of Human Services shall be subject to...
Section 743.035 - Uniform prior authorization form for prescription drug benefits; consultation with Oregon Health Authority; rules. - (a) Be uniform for all providers; (b) Not exceed two...
Section 743.038 - Consent of individual required for life and health insurance; exceptions. - (1) A spouse may effectuate such insurance upon the other...
Section 743.039 - Alteration of application for life or health insurance. - (2) No alteration of any written application for any health...
Section 743.040 - Personal insurance, insurable interest and beneficiaries. - (2) If the beneficiary, assignee or other payee under any...
Section 743.044 - Life insurance for benefit of charity. - (2) In making such policies the person paying the premium...
Section 743.046 - Exemption of proceeds of individual life insurance other than annuities. - (2) The person to whom a policy of life insurance...
Section 743.047 - Exemption of proceeds of group life insurance. - (2) The provisions of subsection (1) of this section do...
Section 743.049 - Exemption of proceeds of annuity policies; assignability of rights. - (a) As to amounts paid for or as premium on...
Section 743.101 - Purpose. - (2) ORS 743.100 to 743.109 is not intended to increase...
Section 743.104 - Scope of ORS 743.100 to 743.109. - (a) Any policy that is a security subject to federal...
Section 743.106 - Reading ease standards for life and health insurance policies. - (a) The policy text achieves a score of 40 or...
Section 743.107 - When director may authorize lower standards. - (1) Will provide a more accurate reflection of the readability...
Section 743.154 - Acceleration of death benefits; rules. - (a) Are payable to the policy owner or certificate holder...
Section 743.168 - Incontestability. - (2) A provision in a life insurance policy providing that...
Section 743.171 - Incontestability and limitation of liability after reinstatement. - (2) When any policy of life insurance is reinstated, such...
Section 743.183 - Dividends. - (2) In participating industrial life insurance policies, in lieu of...
Section 743.186 - Policy loan. - (a) Interest on any indebtedness that is 90 or more...
Section 743.187 - Maximum interest rate on policy loan; adjustable interest rate. - (2) The adjustable interest rate provision: (a) Shall state in...
Section 743.192 - Payment of claim; payment of interest upon failure to pay proceeds. - (2) If the insurer fails to pay the proceeds of...
Section 743.204 - Standard Nonforfeiture Law for Life Insurance; applicability. - (2) The operative date of the Standard Nonforfeiture Law for...
Section 743.207 - Required provisions relating to nonforfeiture. - (a) That in the event of default in any premium...
Section 743.210 - Determination of cash surrender values; applicability to certain policies. - (a) The present value on such anniversary of the adjusted...
Section 743.215 - Calculation of adjusted premiums. - (2) Except as provided in subsection (8) of this section,...
Section 743.216 - Adjusted premiums; applicability. - (1) Except as provided in subsection (3) of this section,...
Section 743.218 - Requirements for determination of future premium amounts or minimum values. - (1) The director must be satisfied that the policy benefits...
Section 743.219 - Supplemental rules for calculating nonforfeiture benefits. - (2) All values referred to in the Standard Nonforfeiture Law...
Section 743.221 - Cash surrender values upon default in premium payment. - (2) Any cash surrender value available in the event of...
Section 743.222 - Policy benefits and premiums that shall be disregarded in calculating cash surrender values and paid-up nonforfeiture benefits. - (a) In the event of death or dismemberment by accident...
Section 743.225 - Prohibited provisions. - (1) Limit the time within which any action at law...
Section 743.228 - Acts of corporate insured or beneficiary with respect to policy. - (2) Such a statement shall be binding upon the corporation...
Section 743.230 - Variable life policy provisions. - (1) A provision that there will be a period of...
Section 743.231 - "Profit-sharing policy" defined. - (1) A life insurance policy which by its terms expressly...
Section 743.234 - "Charter policy" or "founders policy" defined. - (1) A life insurance policy which by its terms expressly...
Section 743.243 - Restrictions on form of coupon policy. - (1) No detachable coupons or certificates or passbooks may be...
Section 743.247 - Notice to variable life insurance policyholders. - (1) A statement reporting the investments held in the applicable...
Section 743.268 - Advancement of policy loans. - (a) The policy premium is not in default beyond the...
Section 743.271 - Periodic stipulated payments on variable annuities. - (1) A provision that there will be a period of...
Section 743.272 - Computing benefits. - (2) In computing the dollar amount of variable benefits or...
Section 743.273 - Standard provisions of reversionary annuities. - (1) The provisions specified in ORS 743.255 to 743.267, except...
Section 743.275 - Standard Nonforfeiture Law for Individual Deferred Annuities; application. - (2) The Standard Nonforfeiture Law for Individual Deferred Annuities does...
Section 743.278 - Required provisions in annuity policies; exception. - (a) That upon the termination of considerations under the policy,...
Section 743.284 - Computation of benefits. - (2) For annuity policies that provide cash surrender benefits, the...
Section 743.287 - Commencement of annuity payments at optional maturity dates; calculation of benefits. - (2) Any paid-up annuity, cash surrender or death benefits available...
Section 743.293 - Minimum forfeiture amounts for annuity policies; rules. - (2) The minimum nonforfeiture amount at or prior to the...
Section 743.295 - Effect of certain life insurance and disability benefits on minimum nonforfeiture amounts. - (2) Notwithstanding ORS 743.284 and 743.287, additional benefits payable in...
Section 743.298 - Penalties, fees or charges; rules. - (2) In adopting rules under subsection (1) of this section,...
Section 743.303 - Requirements for issuance of group life insurance policies. - (1) The policy shall be issued upon the lives of...
Section 743.306 - Required provisions in group life insurance policies. - (2) The provisions described in ORS 743.327 to 743.339 shall...
Section 743.327 - Payments under policy; payment of interest upon failure to pay proceeds. - (2) If the insurer fails to pay the proceeds of...
Section 743.333 - Termination of individual coverage. - (1) The individual policy shall, at the option of such...
Section 743.336 - Termination of policy or class of insured persons. - (1) The amount of the person’s life insurance protection ceasing...
Section 743.348 - Certain sales practices prohibited. - (2) No person selling membership in a common group is...
Section 743.351 - Eligibility of association to be group life policyholder; rules. - (a) The association must have had an active existence for...
Section 743.354 - Requirements for certain group life policies issued to trustees of certain funds; rules. - (a) Two or more employers in the same or related...
Section 743.356 - Continuing coverage upon replacement of group life policy. - Note: 743.356 was enacted into law by the Legislative Assembly...
Section 743.358 - Borrowing by certificate holders under group life policy. - (a) The insurer may require a certificate holder, in order...
Section 743.360 - Alternative group life insurance coverage. - (a) The Director of the Department of Consumer and Business...
Section 743.371 - Definitions for credit life and credit health insurance provisions. - (2) "Credit health insurance" means insurance on a debtor to...
Section 743.372 - Applicability of credit life and credit health insurance provisions. - (a) Insurance in connection with a loan or other credit...
Section 743.373 - Forms of credit life and credit health insurance. - (1) Individual policies of life insurance issued to debtors on...
Section 743.374 - Limits on amount of credit life insurance. - (2) Notwithstanding the provisions of subsection (1) of this section,...
Section 743.376 - Duration of credit life and credit health insurance. - (2) The term of the insurance shall not extend more...
Section 743.377 - Credit life and credit health insurance policy or group certificate; contents; delivery of policy, certificate or copy of application. - (2) Each individual policy or group certificate of credit life...
Section 743.378 - Charges and refunds to debtor. - (2) If a creditor requires a debtor to make any...
Section 743.380 - Claim report and payment. - (2) All claims shall be paid either by draft drawn...
Section 743.402 - Exceptions to individual health insurance policy requirements. - (1) Any workers’ compensation insurance policy or any liability insurance...
Section 743.405 - General requirements for health insurance policies. - (1) The policy must include a statement of the entire...
Section 743.406 - Required provisions in group health insurance policies. - (1) A provision that, in the absence of fraud, all...
Section 743.414 - Time limit on certain defenses; incontestability. - (2) The policy provision set forth in subsection (1) of...
Section 743.416 - Due date for first premium payment. - Note: 743.416 was added to and made a part of...
Section 743.417 - Grace period for subsequent premium payments; cancellation and nonrenewal. - (a) Ten days for a policy other than an individual...
Section 743.420 - Reinstatement. - (2) The last sentence of the provision set forth in...
Section 743.423 - Notice of claim. - (2) In a policy providing a loss-of-time benefit which may...
Section 743.435 - Payment of claims. - (2) The following provisions, or either of them, may be...
Section 743.444 - Change of beneficiary. - (2) The first clause of the provision set forth in...
Section 743.456 - Other insurance in same insurer. - (2) In lieu of the provisions set forth in subsection...
Section 743.459 - Insurance with other insurers; expense incurred benefits. - (2) If the policy provision set forth in subsection (1)...
Section 743.462 - Insurance with other insurers; other than expense incurred benefits. - (2) If the policy provision set forth in subsection (1)...
Section 743.465 - Relation of earnings to insurance. - (2) The policy provision set forth in subsection (1) of...
Section 743.472 - Permissible reasons for cancellation or refusal to renew. - (1) A fraudulent or material misstatement made by the applicant...
Section 743.495 - Use of terms "noncancelable" or "guaranteed renewable"; synonymous terms. - (a) The unqualified terms "noncancelable" or "noncancelable and guaranteed renewable"...
Section 743.498 - Statement in policy of cancelability or renewability. - (a) "THIS POLICY IS NONCANCELABLE ______" (designating the applicable period...
Section 743.521 - Leased workers; offering group health insurance. - (2) If a leasing company offers group health insurance to...
Section 743.522 - Additional groups designated by director. - (a) "Client employer" means an employer to whom workers are...
Section 743.523 - Certain sales practices prohibited. - (2) No person selling membership in an association, including a...
Section 743.524 - Eligibility of association to be group health policyholder; rules. - (2) An insurer shall submit evidence to the director that...
Section 743.526 - Determination of whether trustees are policyholders; consequences; rules. - (2) The director shall determine with respect to a policy...
Section 743.535 - Health benefit coverage for guaranteed association. - (a) The Director of the Department of Consumer and Business...
Section 743.536 - "Blanket health insurance" defined. - (1) Under a policy issued to a common carrier or...
Section 743.550 - Student health insurance. - (2) Coverage under a student health insurance policy may be...
Section 743.551 - Student health benefit plans; rules. - (2) Notwithstanding any other provision of law, the Department of...
Section 743.650 - Long Term Care Insurance Act; purpose; application. - (2) The purpose of ORS 743.650 to 743.665 is to:...
Section 743.652 - Definitions for ORS 743.650 to 743.665. - (1) "Applicant" means: (a) In the case of an individual...
Section 743.655 - Rules; disclosure; contents of policy. - (b) In adopting rules under this section, the Director of...
Section 743.656 - Eligibility for benefits; providers required to be covered. - (a) The policyholder be functionally impaired and needing assistance in...
Section 743.658 - Notice of lapse or termination; rules. - (A) A written designation of the full name and residential...
Section 743.662 - Rescission of policy and denial of claims. - (2) For a policy or certificate that has been in...
Section 743.664 - Offer of nonforfeiture benefit; rules. - (2) When a group long term care insurance policy is...
Section 743.680 - Definitions for ORS 743.680 to 743.689. - (1) "Applicant" means: (a) In the case of an individual...
Section 743.682 - Application of ORS 743.680 to 743.689. - (a) All Medicare supplement policies and subscriber contracts delivered or...
Section 743.683 - Policy contents; standards for benefit and claims payments; rules. - (2) The Director of the Department of Consumer and Business...
Section 743.684 - Filing of policy; loss ratio standards; insurance producer compensation. - (2) Medicare supplement policies shall return benefits which are reasonable...
Section 743.685 - Outline of coverage; information brochure; rules. - (2) The Director of the Department of Consumer and Business...
Section 743.787 - Definitions for ORS 743.788. - (1) "Carrier" has the meaning given that term in ORS...
Section 743.788 - Prescription drug identification card. - (2) Upon renewal of a health benefit plan, a carrier...
Section 743.824 - Cash dividends for healthy behaviors. - (2) An insurer offering a health benefit plan, as defined...
Section 743.826 - Requirements for catastrophic plans. - (a) "Catastrophic plan" means a health benefit plan that meets...