OAR 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.

Source: Rule 945-040-0020 — Eligibility for Enrollment in a Qualified Health Plan in the Individual Market, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=945-040-0020.

Last Updated

Jun. 8, 2021

Rule 945-040-0020’s source at or​.us