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E-notify history

Current E-notifications sent by the Rates and Forms Section are available below.

Click on a title below for details.

2019

Updated Product Standards

The Division has updated the following product standards:

  • 440-2452M – Medicare Supplement Product standards Plans sold on or after June 1, 2010 and Plans Sold on or after January 1, 2020.

This e-notify was distributed to the following groups:
● Product Standards updates

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2020 Quarterly Rate Filing Deadlines

To: All Issuers selling small group health benefit plans
Re: 2020 quarterly rate filing deadlines
Date:May 28, 2019

The timeline below outlines quarterly rate filing deadlines for small group health benefit plans.

2019-2020

Aug 21

Oct 31

Nov 1

Dec 31

Feb 28, 2020

DFR Filing Deadlines

CMS binder lock

Small Group quarterly rate filing 4/1/2020 effective dates

Optional filing

Open Enrollment begins

Small Group quarterly rate filing 7/1/2020 effective dates

Optional filing

Small Group quarterly rate filing 10/1/2020 effective dates

Optional filing

If you have any questions regarding this information, please contact Tashia Sizemore at Tashia.Sizemore@oregon.gov.

To view the latest version of the timeline visit:

Regulatory guidance related to health reform
http://dfr.oregon.gov/business/reg/health/Pages/regulatory-guidance.aspx

2020 Quarterly Rate Filing Deadlines
http://dfr.oregon.gov/healthrates/Documents/2020-rate-filing-timelines.pdf

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Updated Product Standards

The Division has updated the following product standards:

  • 440-4953 – We’re updating the Medical Binder Filings product standards for 2020 to comply with the maximum out of pocket (MOOP) listed in the 2020 Notice of Benefit and Payment Parameters. If the existing product standards have already been completed we are not requiring submission of these new standards. Just be aware of the updated MOOP of $8150 and published filing dates for the 2020 plan year.
  • 440-4980 – Minor changes to coincide with 2020 plan year.
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Updated/New Product Standards

Items below were updated or are new:

  • 440-3637 – Changes to Business Operations - minor edits, updating new bulletin.
  • 440-3172FNEW form - Standard Provisions for Group or Individual Event Base Policies for Hospital Confinement Indemnity and Health Indemnity Other than Hospital

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:
Product Standards updates​​

Date: January 9, 2019
To: All issuers selling health benefit and pediatric dental plans

Based on the Center for Medicaid and Medicare Services’ (CMS) deadline for final plan data submission for 2019 plans, the Division of Financial Regulation (DFR) has prepared the following draft timeline for submission of 2020 form, rate, and binder filings. The filing deadlines apply to health benefit plans and exchange certified pediatric dental offered on-exchange and off-exchange. Dental products that will not be exchange certified are not required to follow this timeline.

DFR is providing these preliminary deadlines for planning purposes but issuers are advised that we are still awaiting final federal due dates for 2020 plans. We will respond and adjust to changes in federal due dates as necessary.

Visit our Health Filing Requirements page for more information:
https://dfr.oregon.gov/rates-forms/health/Pages/health.aspx

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

2018

To: All Issuers selling small group health benefit plans
Re: 2019 quarterly rate filing deadlines
Date:October 10, 2018

The timeline below outlines quarterly rate filing deadlines for small group health benefit plans.

2018-2019

Oct 31

Nov 1

Dec 31

Feb 28, 2019

DFR Filing Deadlines

Small Group quarterly rate filing 4/1/2019 effective dates

Optional filing

Open Enrollment begins

Small Group quarterly rate filing 7/1/2019 effective dates

Optional filing

Small Group quarterly rate filing 10/1/2019 effective dates

Optional filing

If you have any questions regarding this information, please contact Tashia Sizemore at Tashia.Sizemore@oregon.gov.

To view the latest version of the timeline visit:

Regulatory guidance related to health reform
http://dfr.oregon.gov/business/reg/health/Pages/regulatory-guidance.aspx

2019 Quarterly Rate Filing Deadlines
http://dfr.oregon.gov/rates-forms/Documents/enotify-documents/2019-rate-filing-timelines.pdf

2019 Affordable Care Act medical plan form and binder product standards for Individual and Small Group Major Medical filings.

The Oregon Division of Financial Regulation has posted revised product standards intended to update Oregon’s guidance for the 2019 plan year. Revisions include an update to the bronze standard plan that removes the HSA requirement, an update to preventive services made necessary by HB 3391(2017), and a modification to the silver standard plan described in Exhibit 2 of OAR 836-053-0013. Rulemaking is not yet finalized on these items but we do not anticipate additional changes to the current drafts.

This e-notify was sent to the following groups:

  • Product Standards updates
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Special Notice: Motor Vehicle (Automobile) Insurance Exclusions

TO: All Insurers writing Motor Vehicle Insurance
FROM: The Oregon Department of Consumer & Business Services Division of Financial Regulation
SUBJECT: Motor Vehicle (Automobile) Insurance Exclusions

The Division of Financial Regulation Product Regulation unit wants to remind insurers writing personal and commercial motor vehicle insurance that Oregon laws do not allow exclusions for criminal or illegal acts in a motor vehicle policy used to meet the financial responsibility requirements for Bodily Injury Liability (BI), Property Damage Liability (PD), Automobile Personal Injury Protection (APIP), or Uninsured Motorists/Underinsured Motorists coverage (UM/UIM).

Oregon Revised Statute (ORS) 742.450 and ORS 742.454 outline the required contents and list the allowable exclusions for any automobile policy being used to provide mandatory coverage for BI and PD Liability. ORS 742.530 lists allowable exclusions for APIP. There are no allowable exclusions in the UM/UIM sections of the Oregon Insurance Code.

This e-notify was sent to the following groups:

  • New Developments
  • Property and Casualty Insurance Issues
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Updated Product Standards

Items below were updated:

  • 440-4978 – Standard Provisions for Exchange Certified Pediatric Dental Forms (ACA Compliant/ Group and Individual) (Updated 3-20-18)

Updated to correct discrepancies between the current version of the Oregon Health Plan Children’s Health Insurance Plan and OAR 836-053-0012(2)(f).

This e-notify was distributed to the following groups:

  • Product Standards updates
  • ​​​
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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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