Oregon Administrative Rules
Chapter 836 - DEPARTMENT OF CONSUMER AND BUSINESS SERVICES, INSURANCE REGULATION
Division 20 - ADVERTISEMENTS OF HEALTH INSURANCE
Section 836-020-0210 - Definitions
Current through Register Vol. 63, No. 9, September 1, 2024
(1) Definitions given in the Insurance Code and in this rule govern the construction of this rule.
(2) "Advertisement" includes:
(3) "Policy" includes any certificate of insurance or statement of coverage.
(4) "Insurer" includes fraternal benefit societies and health care service contractors.
(5) "Health Insurance" does not include incidental coverages issued with or supplemental to liability insurance, or coverages included within the Insurance Code definition of life insurance.
(6) "Exception" means any policy provision whereby coverage for a specified hazard is entirely eliminated. An "exception" is a statement of a risk not assumed under the policy.
(7) "Reduction" means any policy provision which reduces the amount of the policy benefit. Under the terms of a "reduction", a risk of loss is assumed but payment upon the occurrence of such loss is limited to some amount or period that is less than would otherwise be the case had the reduction provision not been used.
(8) "Limitation" means any policy provision which restricts coverage under the policy, other than an "exception" or a "reduction".
Stat. Auth.: ORS 731, 743 & 746
Stats. Implemented: ORS 742.009 & 746.075