Oregon Administrative Rules
Chapter 461 - DEPARTMENT OF HUMAN SERVICES, SELF-SUFFICIENCY PROGRAMS
Division 155 - INCOME AND PAYMENT STANDARDS, AND SPECIAL NEEDS
Section 461-155-0360 - Pursuit of Cost-Effective Employer Sponsored Health Insurance
Current through Register Vol. 63, No. 9, September 1, 2024
(1) This rule applies to the OSIPM program and is for the purpose of applying OAR 461-120-0345.
(2) The Health Insurance Group (HIG) determines if employer sponsored health insurance meets the criteria as cost effective for the purpose of OAR 410-120-1960.
(3) If the insurance is determined to be cost effective and the client or eligible applicant pursues the insurance, HIG will authorize reimbursement of the client or eligible applicant's portion of the premium per OAR 410-120-1960.
(4) If the insurance is determined to be cost effective and the client or eligible applicant fails to pursue cost effective employer sponsored insurance, the Department will apply a penalty per OAR 461-120-0345.
Stat. Auth.: ORS 411.060, 411.404
Stats. Implemented: ORS 411.060, 411.404
