OAR 945-060-0040
COFA Premium Assistance Program Participant Appeal Rights

(1)

A COFA applicant or program participant may appeal an adverse decision by the department concerning the:

(a)

Disenrollment of the participant from the program;

(b)

Placement of a COFA applicant on a waiting list pursuant to OAR 945-060-0020 (Review and, Approval of COFA Premium Assistance Program Application by the Department; Waiting List)(4); or

(c)

Payment or reimbursement of qualified health plan premiums or payment or reimbursement of out-of-pocket costs.

(2)

To appeal a decision described in paragraph (1) of this rule, a COFA applicant or program participant must submit a request in writing for a contested case hearing that explains the matter being appealed and states the bases for appeal.

(3)

The request for appeal must be postmarked if mailed, or if not mailed, received by the department at the address specified in the notice of appeal, within ten business days of the date of the notice of the right to appeal.

(4)

A hearing conducted pursuant to this rule, shall be conducted as a contested case as defined in ORS 183.310 (Definitions for chapter).

Source: Rule 945-060-0040 — COFA Premium Assistance Program Participant Appeal Rights, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=945-060-0040.

Last Updated

Jun. 8, 2021

Rule 945-060-0040’s source at or​.us