Oregon Administrative Rules
Chapter 945 - OREGON HEALTH AUTHORITY HEALTH INSURANCE MARKETPLACE
Division 20 - QUALIFIED HEALTH PLANS; ADDENDUM FOR INDIAN HEALTH PROVIDERS
Section 945-020-0025 - Certification of Non-Marketplace Stand-alone Dental Plans
Current through Register Vol. 63, No. 3, March 1, 2024
This rule applies only to SADPs offered outside the Marketplace. The Marketplace will, upon satisfaction of the following criteria, certify as providing pediatric dental benefits a stand alone dental plan (SADP) that an insurer offers for sale outside of the Marketplace.
(1) To be considered for SADP certification, a dental plan must have its rates, form, and binder filed with and approved by the Oregon Insurance Division.
(2) For an SADP to be certified, the insurer must demonstrate to the Marketplace that the SADP:
(3) The Marketplace will recertify an SADP that meets the criteria in paragraph (2) of this rule.
(4)
Stat. Auth.: ORS 741.002
Stats. Implemented: ORS 741.310