Current through Register Vol. 63, No. 3, March 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.
Statutory/Other Authority: ORS
741.002
Statutes/Other Implemented: ORS
741.105