Oregon Administrative Rules
Chapter 836 - DEPARTMENT OF CONSUMER AND BUSINESS SERVICES, INSURANCE REGULATION
Division 53 - HEALTH BENEFIT PLANS
Section 836-053-0863 - Notifications
Current through Register Vol. 63, No. 9, September 1, 2024
(1) For purposes of the notice required by ORS 743.610(10), an insurer must use the notice set forth on the website for the Division of Financial Regulation of the Department of Consumer and Business Services at dfr.oregon.gov. An insurer:
(2) An insurer may provide a single notice under ORS 743.610(10) to a covered person and a qualified beneficiary when:
(3) The requirement to provide written notice under ORS 743.610(1) may be triggered either by the notification of a qualifying event received from the covered person or qualified beneficiary under ORS 743.610(5) or notice of the qualifying event submitted to the insurer by the group policyholder.
(4) An insurer that requires a covered person or qualified beneficiary to complete a form to request continuation of coverage must provide the form to the person. The form may be provided by electronic means including via a specific website address. However, if a covered person or qualified beneficiary asks an insurer to provide the forms via mail, the insurer must do so within two business days of the request. Notice pursuant to ORS 743.610(10) is deemed provided upon receipt of any required forms when the forms are mailed by the insurer.
(5) Notice under ORS 743.610(5) provided to a group policyholder pursuant to the instruction of an insurer constitutes notice to the insurer that meets the requirements of ORS 743.610(5).
Statutory/Other Authority: ORS 731.244 & ORS 743.610
Statutes/Other Implemented: ORS 743.610