2011 ORS § 743.822¹
Requirement to offer bronze and silver plans
  • rules

(1) As a condition of transacting business in the health benefit plan market in this state, a carrier shall offer to residents of this state bronze and silver plans approved by the Department of Consumer and Business Services as meeting the requirements of subsection (2) of this section in each individual and small group market in which the carrier offers a health benefit plan through the Oregon Health Insurance Exchange or outside of the exchange.

(2) The Director of the Department of Consumer and Business Services shall prescribe by rule the:

(a) Requirements for a bronze plan to ensure that a bronze plan offered in this state is actuarially equivalent to 60 percent of the full actuarial value of benefits included in the essential health benefits package prescribed by the United States Secretary of Health and Human Services under 42 U.S.C. 18022(a).

(b) Requirements for a silver plan to ensure that a silver plan offered in this state is actuarially equivalent to 70 percent of the full actuarial value of benefits included in the essential health benefits package prescribed by the United States Secretary of Health and Human Services under 42 U.S.C. 18022(a).

(c) Form, level of coverage and benefit design for the bronze and silver plans to be used by carriers in the individual and small group market in this state. [2011 c.322 §§2,3]

Note: 743.822 (Requirement to offer bronze and silver plans) becomes operative January 2, 2014. See section 6, chapter 322, Oregon Laws 2011, as amended by section 50, chapter 500, Oregon Laws 2011.

Note: 743.822 (Requirement to offer bronze and silver plans) and 743.826 (Requirements for catastrophic plans) were added to and made a part of 743.730 (Definitions for ORS 743.730 to 743.773) to 743.773 (Rules for ORS 743.766 to 743.769) by legislative action but were not added to any other series. See Preface to Oregon Revised Statutes for further explanation.