The Department of Consumer and Business Services Division of Financial Regulation regulates commercial health insurers in Oregon. This Health Insurance in Oregon report provides an overview of how commercial health insurance is regulated in Oregon, how the market is changing, and how Oregon's major health insurers are performing financially. Specifically, you can find the following information:
Oregon's health insurance market review:
Oregon’s uninsured rate dropped for the fifth consecutive year in 2015, placing Oregon among the top tier of states with the highest percentage of residents with health care coverage. A record 3.71 million Oregonians have health insurance, according to the U.S. Census Bureau.
The uninsured rate for Oregon is 7 percent, down from 9.7 percent in 2014.
Oregon’s seven largest insurers lost $171.6 million in 2015, compared to a net loss of $46.7 million in 2014, and a gain in net income of $78 million in 2013. In 2015, profit margins ranged from a loss of 18 percent to a profit of 1.4 percent.
Oregon's Health CO-OP and Health Republic have both closed operations and members are now covered by other plans.
Oregon remains competitive in the individual market with nine insurers offering plans throughout the state. All counties in Oregon will have at least two carriers participating both on and off Oregon’s Health Insurance Marketplace and at least two carriers participating exclusively off the marketplace. Oregon also has 11 carriers in the small group market, three of which do not offer individual coverage and several others that write large group plans.