OAR 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.
Source:
Rule 945-030-0030 — Administrative Charge on Insurers and Health Care Service Contractors, https://secure.sos.state.or.us/oard/view.action?ruleNumber=945-030-0030.