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Oregon Reinsurance Program

The Oregon state innovation waiver 2023 - 2027

In accordance with the United States Department of Health and Human Services and the United States Treasury Standard Terms and Conditions (STCs) for Oregon's Patient Protection and Affordable Care Act section1332 State Innovation Waiver.  The Oregon Reinsurance Program (ORP) established in 2017 by Oregon Law C.538 (2017/2019) intends to extend the ORP for plan years 2023-2027.  The current Law [HB2010, 2019] authorizes the Department of Consumer and Business Services to administer the ORP from March,13, 2019 through January 2, 2028. 

The Oregon Reinsurance Program (ORP) has been operating since January 1, 2018 and extends through December 31, 2022.  The ORP makes health care claims payments to insurers to help pay for high cost claims incurred for members who buy health care plans on the Individual Market from the Oregon Health Insurance Marketplace.  These reimbursement payments have lowered consumer premiums by a net 6.5 percent with the Waiver. The  U.S. Department of Health and Human Services and the U.S. Department of Treasury, allows for states to operate their health insurance Innovation Waivers for a five year term.  All states must reply every five years.

The ORP invites you to write a public comment to the Oregon Department of Consumer and Business Services, Insurance Commissioner Andrew Stolfi, about your opinion of the ORP to the U.S. Department of Health and Human Services and U.S. Treasury (The Departments).  All public comments will be sent to the 'Departments' for their consideration.  The comment period closes August 20, 2021.

PPACA 1332 State Innovation Waiver Public Forum and Waiver Extension Seminar (2023-2027)

The public Forum was held July 20, 2021 from 1:00 to 3:00pm

2021 PPACA 1332 State Innovation Waiver Public Forum presentation (Department of Consumer and Business Services presentation)

Guidance for Health Insurance Premium Assessment

Below you will find the latest guidance to stakeholders regarding HB 2391 premium assessments and the state reinsurance program:

2020 ORP Healthcare claims presentation

June 22, 2021 11:00 a.m. to Noon
Slide presentation

Microsoft Teams meeting
Join on your computer or mobile app
Click here to join the meeting
Or call in (audio only): +1 503-446-4951
Phone Conference ID: 358 985 062#

2020 Program claims submission seminar (June 4, 2021)

Forms and documents

Health Insurer Claims Reimbursement form(Excel file)

ORP Attestation template(rev. 6/30/19)

Insurer Annual Statutory Financial Statement Reporting Information

Regarding details of ORP for use on Schedule S (Health, Life) or Schedule F (P&C).

  1. NAIC Company Code: 00000
  2. Federal ID Number : 93-0952020
  3. Name of Company: “Oregon Department of Consumer and Business Services”

Health insurance enrollment data

The division collects several types of enrollment data from Oregon health insurance companies. You can find the most recent reports here:
Health insurance enrollment data

2020 Annual CMS Post Award Forum

When: October 22, 2020 - 10:00 to 11:00 a.m.
GoToMeeting:
https://global.gotomeeting.com/join/684262493
Dial In Number: 1 (224) 501-3412
Access Code: 684-262-493

Documents

Oregon Reinsurance Program 1332 State Innovation Waiver Public Forum(Department of Consumer and Business Services presentation)
Adopted rule: ID 38-2018: Implementing the Oregon Reinsurance Program

For inquiries

Joel Payton
Reinsurance Program Manager
503-302-4795
joel.j.payton@oregon.gov


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