Duties of discount medical plan organization
A discount medical plan organization shall establish or provide, in connection with every discount medical plan:
(1) A 30-day period in which new plan members may review the discount medical plan and decide whether to continue or to cancel the plan for any reason. The discount medical plan organization shall provide to a member who cancels a discount medical plan within the 30-day period a full and unconditional refund for any fees, service or subscription charges, dues or other consideration the member paid, except that the discount medical plan organization may retain the amount of any one-time processing fee that is less than an amount established by the Director of the Department of Consumer and Business Services by rule. The 30-day period begins on the day following the date on which the member completed any application for the plan or the day following the date on which the member paid any fees, service or subscription charges, dues or other consideration, whichever is later.
(2) A standard set of procedures by which a new plan member may obtain a refund under subsection (1) of this section.
(3) A toll-free telephone line and an Internet website. The toll-free telephone line must enable plan members to contact the discount medical plan organization with questions and requests for assistance. The website must list all providers in the organization’s provider network, and the organization must provide the same information to plan members in writing upon request.
(4) Disclosures, in writing in a font not less than 12 points in size and on the first content page of advertisements, marketing materials or brochures made available to the public and relating to a discount medical plan, that:
(a) The discount medical plan is not insurance; and
(b) Plan members must pay for all medical and ancillary services, but will receive a discount from providers. [2007 c.272 §8]
Note: See note under 742.420 (Definitions for ORS 742.420 to 742.440).
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