Recently adopted rules

​Rules affected: OAR 836-200-0600, 836-200-0605, 836-200-0610, 836-200-0615, 836-200-0625, 836-200-0630, 836-200-0635

Rule Summary:
Adopt temporary rules to administer the licensure of Pharmaceutical Sales Representatives.

Filed: Dec. 20, 2021

Effective: Dec. 20, 2021 through June 17, 2022

Documents:

• Temporary Administrative Order

​Rules affected: OAR 836-150-0040

Rule Summary:
Amending to increase the attachment point for 2022 to $92,000 but extend all other payment parameters from 2021 to cover claims made during the 2022 benefit year.

Filed: Dec. 15, 2021

Effective: Jan. 1, 2022

Documents:

• Permanent Administrative Order

​Rules affected: OAR 836-012-0000

Rule Summary:
Amends for the purpose of adopting Form RJ-1, Certificate of Reinsurer Domiciled in Reciprocal Jurisdiction, as referenced in Section 9 of the NAIC Credit for Reinsurance Model Regulation #786.

​Rules affected: OAR 836-012-0046

Rule Summary:
Amends in a manner consistent with June 2019 revisions to Section 8 of the NAIC Credit for Reinsurance Model Regulation #786.

​Rules affected: OAR 836-012-0048

Rule Summary:
: Adopts the provisions of Section 9 (i.e., the Covered Agreement provisions) of the National Association of Insurance Commissioners (NAIC) Credit for Reinsurance Model Regulation #786, relating to the allowance of credit for reinsurance for insurance ceded by domestic insurers to assuming insurers in reciprocal jurisdictions.

Filed: Dec. 15, 2021

Effective: Jan. 1, 2022

Documents:

• Permanent Administrative Order

​​Rules affected: OAR 836-053-1070

Rule Summary:
Amended to include prior authorization requests to reporting of grievances process.

​Rules affected: OAR 836-053-1080

Rule Summary:
Amended to include prior authorization requests to tracking grievances process.

​Rules affected: OAR 836-053-1200

Rule Summary:
Amended the definition of prior authorization to include a form of utilization review that requires a provider or an enrollee to request a determination by an insurer.

​Rules affected: OAR 836-053-1203

Rule Summary:
Amended the definition of prior authorization to include a form of utilization review that requires a provider or an enrollee to request a determination by an insurer.

Filed: Dec. 14, 2021

Effective: Jan. 1, 2022

Documents:

• Permanent Administrative Order

​​Rules affected: OAR 836-053-1340

Rule Summary:
Removes the state HIPAA waiver requirement for external review requests to prevent unnecessary procedural cancellations of external review requests of health insurers by their enrollees. Insurers are still required to follow federal HIPAA law requirements for release of confidential information to independent review organizations.

Filed: Dec. 14, 2021

Effective: Jan. 1, 2022

Documents:

• Permanent Administrative Order

​Rules affected: OAR 836-011-0000

Rule Summary:
Amends rule to state that the director’s decision to prescribe applicable statement blanks and instructions shall be posted on the department’s Division of Financial Regulation website.

​Rules affected: OAR 836-031-0605

Rule Summary:
Amends rule to state that the director’s decision to specify an effective date for amendments to the Valuation Manual shall be posted on the department’s Division of Financial Regulation website.

Filed: Dec. 13, 2021

Effective: Jan. 1, 2022

Documents:

• Permanent Administrative Order

​Rules affected: OAR 836-042-0045

Rule Summary:
Amended for revisions to become effective on or before June 18, 2021, is prescribed as the statistical plan for workers’ compensation and employers' liability insurance.

Filed: Dec. 7, 2021

Effective: Dec. 14, 2021

Documents:

• Permanent Administrative Order

​Rules affected: OAR 836-053-0013

Rule Summary:
Amended 2022 Standard Bronze and Silver Plans.

Filed: October 28, 2021

Effective: November 23, 2021

Documents:

• Permanent Administrative Order