Rates and forms

Current E-notifications sent by the Rates and Forms Section are available below.
Click on a title below for details.

2018

Updated Product Standards

Items below were updated:

  • 440-4978 – Pediatric Dental Forms & Rates.
  • 440-5352 – Limited Wraparound or similar coverage – fixed reference.

You can find a list of Current Filing Forms here: http://dfr.oregon.gov/rates-forms/Documents/current-filing-forms.pdf

This e-notify was distributed to the following groups:
Rates & Forms New Developments
Product Standards updates

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A new product standards for limited-wraparound coverage have been posted.

The DRAFT timelines for 2019 Binders have been posted. Once timelines have been confirmed by CMS we will post updated documents.

This e-notify was distributed to the following groups:
Rates & Forms New Developments

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2017

2018 Quarterly Rate Filing Deadlines

The filing the 2018 Quarterly Rate Filing Deadlines document has been posted to our website. The timeline impacts only Individual and Small Group Health Benefit Plans and Certified Pediatric Dental Plans. Updates include adding deadlines for filing optional Small Group quarterly Rate filings and removing deadlines that have passed.

To view the latest version of the timeline visit:

Regulatory guidance related to health reform
http://dfr.oregon.gov/business/insurance-industry/health-ins-regulation/Pages/regulatory-guid.aspx

2018 Quarterly Rate Filing Deadlines
http://dfr.oregon.gov/rates-forms/Documents/enotify-documents/2018-rate-filing-timelines.pdf

This e-notify was distributed to the following groups:
Rates & Forms New Developments​​

Product Standards update

The Division has updated the following product standards:

  • 440-2441A Transmittal & Standards for Group Health Coverage to be issued to an Association, or Trust Group
    (Updated 8-9-2017)
  • 440-3894 Certificate of Compliance
    (Issued updated ID 8-2017 to amend 836-010-0011 with name change of Division)
  • 440-3172E Standard Provisions for Individual and Group Short Term Major Medical
    (Updated 9-18-17)

This e-notify was distributed to the following groups:
● Rates & Forms Product Standards Update​​​

Oregon has made changes to the Detailed Filing Instructions for a wrap-up, and the Trust Agreement templates.

This new information can be found under Division of Financial Regulation, Business, Insurance rates and forms, Filing requirements, Wrap-up filings. The link is http://dfr.oregon.gov/rates-forms/Pages/wrap-up-filings.aspx

Primarily the changes affect the Trust Agreement, and which Trust Agreement template should be used when the insurer prepares the red-lined version for our review.

First of all, the deposit arrangement referenced in Exhibit B is between the Oregon Department of Consumer and Business Services and the Custodian (US Bank). The Treasurer of the State of Oregon is not involved.

Secondly, the point at which the Trust Agreement must be reviewed and approved for legal sufficiency by the Oregon Attorney General, is now based upon the deposit fund amount rather than the project value. The deposit fund is calculated by taking the project value and dividing it by $100 million, then taking the result times $25,000. For example a project valued at $2 Billion divided by $100 Million = 20 X $25,000 = a deposit in the amount of $500,000.

If you have any questions or concerns please contact Jan Vitus at jan.vitus@oregon.gov or by phone at 503 947 7278.

Health Affordable Care Act Timelines for 2018 revised

To allow additional time for ACA rate filers the division has revised the 2018 timelines.

2018 Form, rate, and binder filing timeline

This e-notify was distributed to the following groups:
Rates & Forms New Developments

New Individual LTC reporting requirements under OAR 836-052-0637

Any Individual Long Term Care policies issued on or after January 1, 2016 are now required to file a certification or rate annually. Please use the TOI: LTC03I with filing type of rate.

If filing just a certification, you may fill out the first and tenth page of the product standards. Within your cover letter please advise if this is a certification filing. Please fill in the rate schedule tab with zeros and the number of policyholders. If there are multiple policies please include an exhibit with the number of policies per form number.

At least every third year the company must make a rate filing. If filing a rate please fill in the rate schedule tab with percentage of change and number or policyholders. If the filing is for a zero percentage please enter zeros and the number of policyholders. If there are multiple policies please include an exhibit with the number of policies per form number.

First set of reports are due by May 1, 2017. Please program your systems and plan accordingly for this annual report.

This e-notify was distributed to the following groups:
Rates & Forms New Developments

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Transitional Health Benefit Plans

In accordance with Oregon state laws and rules, all small group transitional health benefit plans must be discontinued no later than December 1, 2017.

The Division of Financial Regulation requires all carriers with small group transitional health benefit plans to follow existing discontinuation and modification procedures.

This e-notify was distributed to the following groups:
Rates & Forms New Developments

Health Affordable Care Act Timelines for 2018 revised

In response to the federal changes, the division has changed its 2018 ACA filing timelines.

2018 Form, rate, and binder filing timeline

This e-notify was distributed to the following groups:
Rates & Forms New Developments​

Health Affordable Care Act Timelines for 2018 revised

Oregon has elected to delay by one month the form filing due dates for individual and small group Affordable Care Act products. This change is being made to allow additional time to review and incorporate anticipated changes in state and federal law into the Affordable Care Act forms.

Please note: due dates for rate, binder and dental form filings are not being adjusted at this time.

2018 Form, rate, and binder filing timeline

This e-notify was distributed to the following groups:
Rates & Forms New Developments

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Wrap-up filing information and documents

The Oregon Division of Financial Regulation - Rates and Forms unit is excited to announce the launch of a new website location for everything wrap-up. The pertinent Oregon statutes, wrap-up filing instructions, two trust agreement templates, and a document on mini-wraps are all linked to the new site. As an additional resource, we are attaching a list of active wrap-ups which will be updated periodically.

Wrap-up filings

Please contact our wrap-up analyst, Jan Vitus, at 503 947 7278 or jan.vitus@oregon.gov if you have any questions, comments, or require more assistance than our new site provides.

This e-notify was distributed to the following groups:
● Rates & Forms New Developments​​

Product Standards update

Revised product standards have been posted to the Division website. The current forms list (http://dfr.oregon.gov/rates-forms/Documents/current-filing-forms.pdf) will identify which documents are new or revised in red. One form is new (Form 440-3172D) for Short Term Care. Additional revised documents will be added as they become available.

This e-notify was distributed to the following groups:
● Rates & Forms Product Standards Updates​​

The US Department of the Treasury has published guidance for stand-alone Cyber Security insurance and TRIA. The document is dated December 20, 2016 and can be viewed at https://federalregister.gov/d/2016-31244

Oregon expects all commercial insurers to comply with this federal guidance. Oregon product standards checklist 440-3610 contains the appropriate TOI and sub-TOI coding for filing a Cyber Security product.

Please contact Jan Vitus at 503-947-7278 or jan.vitus@oregon.gov if you have questions or need assistance.

This e-notify was distributed to the following groups:
Rates & Forms New Developments
Property & Casualty Insurance Issues

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