OAR 461-155-0360
Pursuit of Cost-Effective Employer Sponsored Health Insurance


(1)

This rule applies to the OSIPM program and is for the purpose of applying OAR 461-120-0345 (Clients Required to Obtain Health Care Coverage and Cash Medical Support; OSIPM, QMB).

(2)

The Health Insurance Group (HIG) determines if employer sponsored health insurance meets the criteria as cost effective for the purpose of OAR 410-120-1960 (Payment of Private Insurance Premiums).

(3)

If the insurance is determined to be cost effective and the client or eligible applicant pursues the insurance, HIG will authorize reimbursement of the client or eligible applicant’s portion of the premium per OAR 410-120-1960 (Payment of Private Insurance Premiums).

(4)

If the insurance is determined to be cost effective and the client or eligible applicant fails to pursue cost effective employer sponsored insurance, the Department will apply a penalty per OAR 461-120-0345 (Clients Required to Obtain Health Care Coverage and Cash Medical Support; OSIPM, QMB).

Source: Rule 461-155-0360 — Pursuit of Cost-Effective Employer Sponsored Health Insurance, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=461-155-0360.

Last Updated

Jun. 8, 2021

Rule 461-155-0360’s source at or​.us