Laws and rules

OAR Chapter 836

Division 053 Exhibits, appendixes, forms, attachments

836-053-0009

Exhibit 1: SB 91 Oregon Standard Plans

836-053-0012

Exhibit 1: Base benchmark health benefit plan

Exhibit 2: Pediatric dental benefits

Exhibit 3: Pediatric vision benefits

836-053-0013

Exhibit 1: 2018 Bronze plan cost-sharing matrix
Exhibit 2: 2018 Silver plan cost-sharing matrix

836-053-0015

Exhibit A: Revised Counting Methodology for Determining Small or Large Group

836-053-0465

Exhibit 1

836-053-0471

Exhibit 1
Exhibit 2
Exhibit 3

836-053-0510

Oregon Standard Health Statement - Form 440-3087 
Word | PDF | Spanish

836-053-0610

Oregon Confidential Communication Request Form

836-053-0863

State Continuation Notice Word

836-053-1205

Uniform Prior Authorization Prescription Request - Form 440-4992

836-053-1510(2)

Primary Care Reporting Template
Primary Care Spending Reporting Template Guidelines

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