Or. Admin. Code § 945-030-0030
Current through Register Vol. 64, No. 1, January 1, 2025
Section 945-030-0030 - Administrative Charge on Insurers and Health Care Service Contractors(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.Or. Admin. Code § 945-030-0030
OHIE 1-2013, f. & cert. ef. 3-18-13; OHIE 3-2013(Temp), f. & cert. ef. 5-28-13 thru 11-22-13; OHIE 5-2013, f. & cert. ef. 8-19-13; OHIE 2-2014, f. & cert. ef. 4-15-14; OHIE 3-2015, f. & cert. ef. 10/15/2015; OHIE 4-2015, f. & cert. ef. 11/6/2015; HMP 2-2016, f. & cert. ef. 4/12/2016; HMP 1-2017, f. & cert. ef. 4/5/2017; HMP 1-2019, amend filed 04/19/2019, effective 4/19/2019; HMP 2-2020, amend filed 04/09/2020, effective 4/9/2020; HMP 1-2021, amend filed 04/12/2021, effective 4/12/2021; HMP 1-2022, amend filed 08/17/2022, effective 8/17/2022; HMP 2-2023, amend filed 12/11/2023, effective 12/11/2023; HMP 1-2024, amend filed 06/03/2024, effective 6/3/2024Statutory/Other Authority: ORS 741.002
Statutes/Other Implemented: ORS 741.105