Or. Admin. Code § 836-150-0020

Current through Register Vol. 64, No. 1, January 1, 2025

Section 836-150-0020 - Definitions

The terms used in OAR 836-150-0010 to 836-150-0060 have the meaning prescribed in section 19, chapter 538, Oregon Laws 2017 (Enrolled House Bill 2391) and:

(1) "Benefit year" means a calendar year beginning on or after January 1, 2018 for which a reinsurance eligible health benefit plan provides health insurance coverage.

(2) "Department" means the Oregon Department of Consumer and Business Services.

(3) "Reinsurance eligible claim" means a claim for services covered under a reinsurance eligible health benefit plan that is incurred by a reinsurance eligible issuer during a benefit year and paid by the reinsurance eligible issuer before July 1 of the following year.

(4) "Reinsurance eligible issuer" means an insurer or health care service contractor who offers a reinsurance eligible health benefit plan to reinsurance eligible individuals.

(5) "Reinsurance payment" means payments issued to a reinsurance eligible issuer in accordance with section 2(3), chapter 538 Oregon Laws 2017 (Enrolled House Bill 2391) and OAR 836-150-0050.

Or. Admin. Code § 836-150-0020

ID 38-2018, adopt filed 12/19/2018, effective 1/1/2019

Statutory/Other Authority: ORS 731.244 & 2017 Or Laws ch 538 sec 19

Statutes/Other Implemented: 2017 Or Laws ch 538 sec 18-21