OAR 945-060-0000
Definitions

The following definitions apply to Division 50 of this Chapter for purposes of administering the COFA Program:

(1)

“COFA applicant” means an individual submitting a COFA application.

(2)

“COFA application” means the application for the COFA Premium Assistance Program established by Oregon Laws 2016, Chapter 94, Section 3.

(3)

“COFA participant,” “participant,” or “program participant” means a COFA applicant who has been accepted into the COFA Premium Assistance Program established by Oregon Laws 2016, Chapter 94, Section 3.

(4)

“Coverage provided by the plan” as used in Oregon Laws 2016, Chapter 94, Section 3(2), means, for purposes of a prescription drug, the maximum out-of-pocket costs for a generic form of the drug prescribed when a generic form is available.
(5) “Explanation of benefits” means a written statement from a participant’s qualified health plan issuer that lists medical services provided to the participant, benefits paid by the participant’s qualified health plan issuer, and out-of-pocket costs owed by the participant.

(6)

“Program” means the COFA Premium Assistance Program established by Oregon Laws 2016, Chapter 94, Section 3.

Source: Rule 945-060-0000 — Definitions, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=945-060-0000.

Last Updated

Jun. 8, 2021

Rule 945-060-0000’s source at or​.us