Chapter 743 Health and Life Insurance

General Provisions

§ 743.010 Health insurance policy and health benefit plan forms
§ 743.013 Disclosure of differences in replacement health insurance policies
§ 743.015 Filing and approval of credit life and credit health insurance forms
§ 743.018 Filing of rates for life and health insurance
§ 743.024 Personal insurance, insurable interest and beneficiaries
§ 743.027 Consent of individual required for life and health insurance
  more...

Policy Language Simplification

§ 743.100 Short title
§ 743.101 Purpose
§ 743.103 Definitions for ORS 743.100 to 743.109
§ 743.104 Scope of ORS 743.100 to 743.109
§ 743.106 Reading ease standards for life and health insurance policies
§ 743.107 When director may authorize lower standards
  more...

Individual Life Insurance and Annuities

Generally

§ 743.150 Scope of ORS 743.150, 743.153 and 743.156
§ 743.153 Statement of benefits
§ 743.154 Acceleration of death benefits
§ 743.156 Statement of premium

Individual Life Insurance Policies

§ 743.159 Scope of ORS 743.162 to 743.243
§ 743.162 Payment of premium
§ 743.165 Grace period
§ 743.168 Incontestability
§ 743.171 Incontestability and limitation of liability after reinstatement
§ 743.174 Entire contract
  more...

Individual Annuity and Pure Endowment Policies

§ 743.252 Scope of ORS 743.255 to 743.273
§ 743.255 Grace period for annuities
§ 743.258 Incontestability
§ 743.261 Entire contract
§ 743.264 Misstatement of age or sex
§ 743.267 Dividends
  more...

Group Life Insurance

§ 743.303 Requirements for issuance of group life insurance policies
§ 743.306 Required provisions in group life insurance policies
§ 743.309 Nonforfeiture provisions
§ 743.312 Grace period
§ 743.315 Incontestability
§ 743.318 Application
  more...

Credit Life and Credit Health Insurance

§ 743.371 Definitions for credit life and credit health insurance provisions
§ 743.372 Applicability of credit life and credit health insurance provisions
§ 743.373 Forms of credit life and credit health insurance
§ 743.374 Limits on amount of credit life insurance
§ 743.375 Limit on amount of credit health insurance
§ 743.376 Duration of credit life and credit health insurance
  more...

Health Insurance

Individual

§ 743.402 Exceptions to individual health insurance policy requirements
§ 743.405 General requirements
§ 743.408 Mandatory provisions
§ 743.411 Entire contract
§ 743.414 Time limit on certain defenses
§ 743.417 Grace period
  more...

Group and Blanket

§ 743.522 "Group health insurance" described
§ 743.523 Certain sales practices prohibited
§ 743.524 Eligibility of association to be group health policyholder
§ 743.526 Determination of whether trustees are policyholders
§ 743.527 When group health insurance policies to continue in effect upon payment of premium by insured individual
§ 743.528 Required provisions in group health insurance policies
  more...

Continuation

§ 743.600 Availability of continued coverage under group policy for surviving, divorced or separated spouse 55 or older
§ 743.601 Procedure for obtaining continuation of coverage under ORS 743.600
§ 743.602 Premium for continuation of coverage under ORS 743.600
§ 743.610 Continuation of coverage under group policy upon termination of employment or membership or dissolution of marriage

Long Term Care

§ 743.650 Long Term Care Insurance Act
§ 743.652 Definitions for ORS 743.650 to 743.664
§ 743.653 Prohibition on certain policies
§ 743.655 Rules
§ 743.656 Eligibility for benefits
§ 743.662 Rescission of policy and denial of claims
  more...

Medicare Supplement

§ 743.680 Definitions for ORS 743.680 to 743.689
§ 743.682 Application of ORS 743.680 to 743.689
§ 743.683 Policy contents
§ 743.684 Filing of policy
§ 743.685 Outline of coverage
§ 743.686 Right to return of policy
  more...

Small Employer, Group, Individual and Portability Health Insurance, Generally

§ 743.730 Definitions for ORS 743.730 to 743.773
§ 743.731 Purposes
§ 743.733 Issuance of group health benefit plan to affiliated group of employers
§ 743.734 Group health benefit plans subject to provisions of specified laws
§ 743.736 Requirements for basic health benefit plans
§ 743.737 Requirements for small employer health benefit plans
  more...

Miscellaneous

§ 743.801 Definitions
§ 743.803 Medical services contract provisions
§ 743.804 Requirements for insurer offering health benefit plan
§ 743.806 Utilization review requirements for medical services contracts to which insurer not party
§ 743.807 Utilization review requirements for insurers offering health benefit plan
§ 743.808 Requirements for insurers that require designation of participating primary care physician
  more...

Rights of Enrollees

§ 743.854 Continuity of care
§ 743.856 Referrals to specialists
§ 743.857 External review
§ 743.858 Director to contract with independent review organizations to provide external review
§ 743.859 Inclusion of statements regarding external review in health benefit plans
§ 743.861 Enrollee application for external review
  more...

Payment of Claims

§ 743.911 Payment or denial of health benefit plan claims
§ 743.913 Interest on unpaid claims
Source:
Legislative Counsel Committee, CHAPTER 743—Health and Life Insurance, https://­www.­oregonlegislature.­gov/­bills_laws/­Archive/­2007ors743.­pdf (2007) (last ac­cessed Feb. 12, 2009). Currency Information