OAR 340-174-0040
Application for UST Insurance Copayment Certificate

340‑174‑0005
Authority, Purpose, and Scope 340‑174‑0010
Definitions 340‑174‑0020
Insurance Copayment Benefits 340‑174‑0030
General Provisions, Insurance Copayment 340‑174‑0040
Application for UST Insurance Copayment Certificate 340‑174‑0050
Additional Information Required on the UST Financial Assistance Application 340‑174‑0055
Insurance Copayment Certificate of Eligibility 340‑174‑0060
Requirement of Financial Responsibility 340‑174‑0065
UST Insurance Requirements Letter 340‑174‑0070
Insurance Copayment 340‑174‑0080
Insurance Cancellation and Termination 340‑174‑0090
Appeal Procedures