Oregon Administrative Rules
Chapter 945 - OREGON HEALTH AUTHORITY HEALTH INSURANCE MARKETPLACE
Division 40 - ELIGIBILITY STANDARDS, APPLICATION PROCESS, AND APPEALS OF ELIGIBLITY DETERMINATIONS
Section 945-040-0020 - Eligibility for Enrollment in a Qualified Health Plan in the Individual Market
Universal Citation: OR Admin Rules 945-040-0020
Current through Register Vol. 63, No. 3, March 1, 2024
(1) To qualify for enrollment in a qualified health plan in the individual market, an applicant must:
(a) Be a United States
citizen or national, or a lawfully present non-citizen;
(b) Be a resident of Oregon; and
(c) Not be incarcerated. Incarceration
pending the disposition of charges is not a disqualifying factor.
(2) To qualify for enrollment in a qualified health plan that is a catastrophic plan, in addition to meeting the requirements of (1), an applicant must either:
(a) Have not attained the age of 30 before
the beginning of the plan year; or
(b) Have a certification showing that he or
she is exempt from the requirement to maintain minimum essential coverage for
the plan year for which he or she is applying by reason of:
(A) Lack of access to affordable coverage, in
accordance with §5000A(e)(1) of the Internal Revenue Code; or
(B) Hardship, in accordance with
§5000A(e)(5) of the Internal Revenue Code.
Stat. Auth.: ORS 741.002
Stats. Implemented: ORS 741.500
Disclaimer: These regulations may not be the most recent version. Oregon may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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