Current through Register Vol. 63, No. 12, December 1, 2024
(1) Effective January 1, 2015, each health insurer or health
care service contractor offering:
(a) Qualified health plans through the Marketplace shall pay a
monthly administrative charge equal to $9.66 times the number of members
enrolled through the Marketplace in that month.
(b) Stand alone dental plans through the Marketplace shall pay
a monthly administrative charge equal to $0.97 times the number of members
enrolled through the Marketplace in that month.
(2) Effective January 1, 2016, each health insurer or health
care service contractor offering:
(a) Qualified health plans through the Marketplace shall pay a
monthly administrative charge equal to $9.66 times the number of members
enrolled through the Marketplace in that month
(b) Stand alone dental plans through the Marketplace shall pay
a monthly administrative charge equal to $0.97 times the number of members
enrolled through the Marketplace in that month.
(3) Effective January 1, 2017, each health insurer or health
care service contractor offering:
(a) Qualified health plans through the Marketplace shall pay a
monthly administrative charge equal to $6.00 times the number of members
enrolled through the Marketplace in that month.
(b) Stand alone dental plans through the Marketplace shall pay
a monthly administrative charge equal to $0.57 times the number of members
enrolled through the Marketplace in that month.
(4) Effective January 1, 2018, each health insurer or health
care service contractor offering:
(a) Qualified health plans through the Marketplace shall pay a
monthly administrative charge equal to $6.00 times the number of members
enrolled through the Marketplace in that month.
(b) Stand alone dental plans through the Marketplace shall pay
a monthly administrative charge equal to $0.57 times the number of members
enrolled through the Marketplace in that month.
(5) Effective January 1, 2020, each health insurer or health
care service contractor offering:
(a) Qualified health plans through the Marketplace shall pay a
monthly administrative charge equal to $5.50 times the number of members
enrolled through the Marketplace in that month.
(b) Stand alone dental plans through the Marketplace shall pay
a monthly administrative charge equal to $0.36 times the number of members
enrolled through the Marketplace in that month.
(6) Effective January 1, 2021, each health insurer or health
care service contractor offering:
(a) Qualified health plans through the Marketplace shall pay a
monthly administrative charge equal to $5.50 times the number of members
enrolled through the Marketplace in that month.
(b) Stand alone dental plans through the Marketplace shall pay
a monthly administrative charge equal to $0.36 times the number of members
enrolled through the Marketplace in that month.
(7) Effective January 1, 2022, each health insurer or health
care service contractor offering:
(a) Qualified health plans through the Marketplace shall pay a
monthly administrative charge equal to $5.50 times the number of members
enrolled through the Marketplace in that month.
(b) Stand alone dental plans through the Marketplace shall pay
a monthly administrative charge equal to $0.36 times the number of members
enrolled through the Marketplace in that month.
(8) Effective January 1, 2023, each health insurer or health
care service contractor offering:
(a) Qualified health plans through the Marketplace shall pay a
monthly administrative charge equal to $5.50 times the number of members
enrolled through the Marketplace in that month.
(b) Stand alone dental plans through the Marketplace shall pay
a monthly administrative charge equal to $0.36 times the number of members
enrolled through the Marketplace in that month.
(9) Effective January 1, 2024, each health insurer or health
care service contractor offering:
(a) Qualified health plans through the Marketplace shall pay a
monthly administrative charge equal to $5.50 times the number of members
enrolled through the Marketplace in that month.
(b) Stand alone dental plans through the Marketplace shall pay
a monthly administrative charge equal to $0.36 times the number of members
enrolled through the Marketplace in that month.
(10) Effective January 1, 2025, each health insurer or health
care service contractor offering:
(a) Qualified health plans through the Marketplace shall pay a
monthly administrative charge equal to $5.50 times the number of members
enrolled through the Marketplace in that month.
(b) Stand alone dental plans through the Marketplace shall pay
a monthly administrative charge equal to $0.36 times the number of members
enrolled through the Marketplace in that month.
Statutory/Other Authority: ORS 741.002
Statutes/Other Implemented: ORS
741.105