Oregon Revised Statutes Chapter 743 § 743.524 — meets the requirements described in ORS 731.098 (2); and
Oregon Revised Statutes Chapter 743 ·
Oregon Code § 743.524·Enacted ·Last updated March 01, 2026
Statute Text
meets the requirements described in ORS 731.098 (2); and
(b) Is a
statewide nonprofit organization representing the interests of individuals
licensed under ORS chapter 696.
(2) A carrier may
offer a health benefit plan to a guaranteed association if the plan provides
health benefits covering 500 or more members or dependents of members of the
association.
(3) When a
carrier offers coverage to a guaranteed association under subsection (2) of
this section, the carrier shall offer coverage to all members of the
association and all dependents of the members of the association without regard
to the actual or expected health status of any member or any dependent of a
member of the association.
(4) A carrier
offering a health benefit plan under subsection (2) of this section shall
establish premium rates as follows:
(a) For the
initial 12-month period of coverage, the carrier shall submit to the director a
certified statement that the premium rates charged to the guaranteed
association are actuarially sound. The statement must be signed by an actuary
certifying the accuracy of the rating methodology as established by the
American Academy of Actuaries.
(b) For any
subsequent 12-month period of coverage, according to a rating methodology as
established by the American Academy of Actuaries.
(5) A member of a
guaranteed association may apply for coverage offered by a carrier under
subsection (2) of this section only:
(a) If the member
has been an active member of the association for no less than 30 days;
(b) During an
annual open enrollment period offered by the association; and
(c) After meeting
any additional eligibility requirements agreed upon by the association and the
carrier.
(6)
Notwithstanding subsection (5) of this section, if a member or a dependent of a
member of a guaranteed association terminates coverage under the health benefit
plan, the member or dependent shall be excluded from coverage for 12 months
from the date of termination of coverage. The member may enroll for coverage of
the member or the dependent during an annual open enrollment period following
the expiration of the exclusion period. [Formerly 743.757]
Note:
Definitions for 743.535 may be
found in 743B.005.
(Blanket Health
Insurance)
Plain English Explanation
This Oregon statute addresses meets the requirements described in ORS 731.098 (2); and. AI-powered analysis coming soon.
Key Points
01Part of Oregon statutory law
02Referenced as Oregon Code § 743.524
03Subject to legislative amendments
04Consult a licensed attorney for application to specific cases
Frequently Asked Questions
This section of Oregon law addresses meets the requirements described in ORS 731.098 (2); and. Read the full statute text above for details.
This page reflects the current text as of our last update. Always verify with the official Oregon legislature website for the most current version.
The formal citation is Oregon Code § 743.524. Use this format in legal documents and court filings.
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