OAR 836-020-0210
Definitions


(1)

Definitions given in the Insurance Code and in this rule govern the construction of this rule.

(2)

“Advertisement” includes:

(a)

Written, oral, and pictorial material used in direct mail, newspapers, magazines, radio scripts, TV scripts, billboards, and other similar mediums for reaching the public;

(b)

Written, oral, and pictorial material intended for individual presentation to the public, including, but not limited to, circulars, leaflets, booklets, depictions, illustrations; and

(c)

Written, oral, and pictorial material prepared for any other use by insurance producers or other representatives of an insurer.

(3)

“Policy” includes any certificate of insurance or statement of coverage.

(4)

“Insurer” includes fraternal benefit societies and health care service contractors.

(5)

“Health Insurance” does not include incidental coverages issued with or supplemental to liability insurance, or coverages included within the Insurance Code definition of life insurance.

(6)

“Exception” means any policy provision whereby coverage for a specified hazard is entirely eliminated. An “exception” is a statement of a risk not assumed under the policy.

(7)

“Reduction” means any policy provision which reduces the amount of the policy benefit. Under the terms of a “reduction”, a risk of loss is assumed but payment upon the occurrence of such loss is limited to some amount or period that is less than would otherwise be the case had the reduction provision not been used.

(8)

“Limitation” means any policy provision which restricts coverage under the policy, other than an “exception” or a “reduction”.
836‑020‑0200
Purpose and Authority
836‑020‑0205
Applicability
836‑020‑0210
Definitions
836‑020‑0215
Method of Disclosure of Required Information
836‑020‑0220
Form and Content of Advertisements
836‑020‑0225
Advertisements of Benefits Payable, Losses Covered, or Premiums Payable
836‑020‑0230
Necessity for Disclosing Policy Provisions Relating to Renewal, Cancellation, and Termination
836‑020‑0235
Testimonials or Endorsements by Third Parties
836‑020‑0240
Use of Statistics
836‑020‑0245
Identification of Plan or Number of Policies
836‑020‑0250
Disparaging Comparisons and Statements
836‑020‑0255
Licensed Jurisdictions and Status of Insurer
836‑020‑0260
Identity of Insurer and Policy
836‑020‑0265
Group or Quasi-Group Implication
836‑020‑0270
Introductory, Initial, or Special Offers
836‑020‑0275
Statements About an Insurer
836‑020‑0280
Enforcement Procedures
836‑020‑0285
Prior Approval
836‑020‑0290
Severability
836‑020‑0295
Effective Date
836‑020‑0300
Statutory Authority
836‑020‑0305
Disclosure
836‑020‑0770
Authority, Purpose and Effective Date of OAR 836-020-0770
to 836-020-0806
836‑020‑0775
Definitions
836‑020‑0780
Use of Model COB Contract Provision
836‑020‑0785
Rules for Coordination of Benefits
836‑020‑0791
Procedure to be Followed by Secondary Plan to Calculate Benefits and Pay a Claim
836‑020‑0796
Notice to Covered Persons
836‑020‑0801
Miscellaneous Provisions
836‑020‑0806
Effective Date for Existing Contracts
Last Updated

Jun. 8, 2021

Rule 836-020-0210’s source at or​.us