Or. Admin. Code § 945-040-0020

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

Section 945-040-0020 - Eligibility for Enrollment in a Qualified Health Plan in the Individual Market

(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.

Or. Admin. Code § 945-040-0020

OHIE 6-2013, f. & cert. ef. 9-30-13

Stat. Auth.: ORS 741.002

Stats. Implemented: ORS 741.500