E-notifies sent by the Rates and Forms Section in the last 18 months.
Click on a title below for details.

2016

Correction on 2017 binder filing deadline extended - Date Correction

Please note corrected date for extension below:

We apologize for any confusion and duplication on this message.

2017 binder filing deadline extended:

The filing due date for the 2017 plan year binders has been extended until Friday, May 6th, 2016. This deadline applies to health benefit plans and exchange certified pediatric dental offered on-exchange or off-exchange. If changes occur based on CMS deadlines this timeline may be updated.

2017 Form, rate and binder filing timeline

This e-notify was distributed to the following groups:

  • Rates & Forms New Developments
  • ​​​

2017 binder filing deadline extended

The filing due date for the 2017 plan year binders has been extended until Friday, May 6th, 2017. This deadline applies to health benefit plans and exchange certified pediatric dental offered on-exchange or off-exchange. If changes occur based on CMS deadlines this timeline may be updated.

2017 Form, rate and binder filing timeline

This e-notify was distributed to the following groups:

  • Rates & Forms New Developments
​​​​

2017 Form filing guidance for Individual and Small Group Major Medical and Exchange Certified Dental products on and off the Oregon Health Insurance Marketplace (OHIM)

The Oregon Division of Financial Regulation (formerly the Insurance Division) has posted guidance to its website outlining current requirements for 2017 ACA medical and dental products. Included in the guidance are links to tools for use in creating these products.

Please visit the following webpage for more information:
Filing guidance for 2017 filing year

This e-notify was distributed to the following groups:

  • Rates & Forms New Developments
  • Product Standards

2017 Form, rate and binder filing timeline

The filing timeline for the 2017 plan year form, rate, and binders have been posted to our website on the Regulatory Guidance page. These deadlines apply to health benefit plans and exchange certified pediatric dental offered on-exchange or off-exchange. If changes occur based on CMS deadlines this timeline may be updated.

2017 Form, rate and binder filing timeline

​​​​​​

This e-notify was distributed to the following groups:

  • Rates & Forms New Developments
​​​

2015

Updated and New Product Standards

The Division is working on rulemaking to implement changes from our recent legislation, and NAIC adopted changes to the Product Coding Matrix for 2016. With these changes the division has started reviewing and making updates to our product standards. In some cases product standards were split from others because of one or both of the above changes. Please see the attached list of changes for Property and Casualty.

2015 PC Product Standards

Visit our website for all the details at: www.oregon.gov/DCBS/Insurance/insurers/rates-forms/filing/Pages/PC/pc.aspx

This e-notify was distributed to the following groups:

  • Rates & Forms New Developments
  • Product Standards
​​​

2016 Carrier Timeline Updated

On Monday July 27, 2015 the Oregon Insurance Division updated the filing the 2016 Carrier Timeline document 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: http://www.oregon.gov/DCBS/Insurance/insurers/rates-forms/Documents/training/2016-filing-timelines.pdf

This e-notify was distributed to the following groups:

  • Rates & Forms New Developments
​​

Health Benefit Plan - Individual and Small Group Filing FAQ: 2016 Plan Year – UPDATED

The division has posted a document for frequently asked questions specifically relating to Health Benefit Plans, Individual and Small Group Filings for the 2016 Plan Year.

http://www.oregon.gov/DCBS/insurance/insurers/rates-forms/Documents/FAQ%204-15.pdf

If there are questions, contacts are listed on the last page of the document.

This e-notify was distributed to the following groups:

  • Rates & Forms New Developments
​​​​​​

Health Benefit Plan Auto Re-Enrollment Guidance for 2016

This message applies only to Major Medical Health Benefit Plans. OID has received several inquiries about the availability of auto re-enrollment for the 2016 Plan Year and we wanted to address this now to allow your teams to plan accordingly.

Auto re-enrollment will be permitted both on and off Marketplace for plans that are identical or substantially similar to the plans they replace. This will be verified by the plan crosswalk template which will be reviewed by OID. Key areas of this review include the cost share, benefits, actuarial value, and network to determine if the plan is identical or substantially similar. Instructions regarding the plan crosswalk template have been provided to filers in a Note to Filer in your 2016 form filings.

For the 2016 Plan Year we are requiring carriers to provide a plan crosswalk template for all plans, on or off the Marketplace. This requirement is to facilitate OID review of modifications, discontinuances, and evaluating auto enrollment. Please indicate your companies intent on using automatic re-enrollment in your 2016 binder filings.

Please share this information with your teams as needed. If you have any questions please contact Tashia Sample Tashia.M.Sample@oregon.gov 503-947-7210, or Tim Hinkel Timothy.R.Hinkel@oregon.gov 503-947-7219.

This e-notify was distributed to the following groups:

  • Rates & Forms New Developments

2016 Filing Timeline for Individual and Small Group Health Benefit Plans has been updated

2016 Filing Timeline for Individual and Small Group Health Benefit Plans has been updated to include the SBC Link Due Date.

http://www.oregon.gov/DCBS/insurance/insurers/rates-forms/Documents/training/2016-filing-timelines.pdf

This e-notify was distributed to the following groups:

  • Rates & Forms New Developments

Health Benefit Plan - Individual and Small Group Filing FAQ: 2016 Plan Year

The division has posted a document for frequently asked questions specifically relating to Health Benefit Plans, Individual and Small Group Filings for the 2016 Plan Year.

http://www.oregon.gov/DCBS/insurance/insurers/rates-forms/Documents/FAQ%204-15.pdf

If there are questions, contacts are listed on the last page of the document.

This e-notify was distributed to the following groups:

  • Rates & Forms New Developments

TRIA2015

For Commercial Property and Casualty Insurers, Oregon committed to providing expedited review of TRIA2015 filings in January 2015. We believe the bulk of TRIA2015 filings have now been received. Therefore, we will no longer provide expedited review of terrorism filings, effective with filings received after April 15, 2015. Terrorism filings made after April 15 will be processed according to our normal review schedule – meaning in the order received.

If you have any questions regarding your submissions, please contact Jan Vitus at 503-947-7278, or via email at jan.vitus@oregon.gov

This e-notify was distributed to the following groups:

  • Property & Casualty insurance issues
​​​​​​

Revised Product Standards posted

The Division has recently posted revised product standards:

Please use these when submitting your 2016 binders

This e-notify was distributed to the following groups:

  • Product Standard updates
​​

2016 Health Benefit Plan Rate Review Process Information and Timeline

The Oregon Insurance Division has developed a document to provide an overview and outline of our current plan for processing the 2016 rate filings and our communications with carriers and the public. The process and timeline are subject to change as we receive and review filings. We will adjust our plans to meet emerging needs and issues.

This e-notify was distributed to the following groups:

  • Life and Health Insurance Issues
​​​​

Revised 2016 ACA Filing Timelines

CMS released revised timelines last week. We have adjusted our timelines in response. Please see the links below. Binder templates are currently available at with SERFF submission availability beginning in late March. CMS will begin making tools available in mid-March.

Timeline: http://www.oregon.gov/DCBS/insurance/insurers/rates-forms/Documents/training/2016-filing-timelines.pdf

Templates: http://www.cms.gov/cciio/programs-and-initiatives/health-insurance-marketplaces/qhp.html

This e-notify was distributed to the following groups:

  • Rates & Forms New Developments

Medicare Supplement Refund Calculation Report — Electronic Reporting Procedure

Insurers that offer Medicare Supplement policies are required under OAR 836-052-0145(2)(a) to submit a Medicare Supplement Refund Calculation Report by May 31 each year. The Division has historically collected these reports via hard copy.

We would like to transition this to an electronic submission process. In doing so we must establish some filing guidelines:

  • Reports will be submitted via email to dcbs.ratesforms@oregon.gov.
  • Secure emails requiring a password for us to access the email will not be accepted.
  • Reports should be in .pdf format. We cannot accept .zip files.
  • No one pdf should be over 3MB.
  • All .pdf's should be compressed for size.
  • Reports should be separated by type.
    • Individual and group must be separate.
    • Pre-Standard plans are separate from all others.
    • For 1990 and 2010 plans, separate by plan, but pool each 1990 plan with its corresponding 2010 plan:
      • Plan A
      • Plan B
      • Plan C
      • But pool F high deductible with regular F plan.
      • Also pool J high deductible with regular J plan.

Any questions can be directed to Elizabeth McMahon at 503-947-7001 or email:elizabeth.a.mcmahon@oregon.gov

This e-notify was distributed to the following groups:

  • Rates & Forms New Developments

Transitional Health Benefit Plans

Please see the attached information regarding transitional health benefit plans. This guidance includes the division’s decision regarding transitional plan offerings in the individual and small group markets. It also includes form and rate filing information related to these plans.

The division made these decisions after receiving stakeholder input and careful consideration of the current marketplace.

Please let me know if you have any questions.

Annette Courter Boyce
Manager
Product Regulation Section
annette.c.boyce@oregon.gov

This e-notify was distributed to the following groups:

  • Life and Health Insurance Issues
  • Rates & Forms New Developments

Updated product standards

Four Product Standards have been updated on our website.

  • 440-3136b - Standard Provisions for Small Employer Health Benefit Plan FORM filings
  • 440-3146 - Standard Provisions for Individual Health Benefit Plan FORM filings
  • 440-4872 - Standard Provisions for Individual and Small Group Health Benefit Plan Rate Filings
  • 440-4978 - Standard Provisions for Exchange Certified Pediatric Dental (ACA compliant) Forms

Please check out the current forms list for updates.

This e-notify was distributed to the following groups:

  • Rates & Forms Product Standard update
​​

Filing Timelines updated for 2016 Affordable Care Act files

The Division has updated the 2016 filing timeline for Individual and Small Group Major Medical and Pediatric Dental form, rate and binder filings.

This e-notify was distributed to the following groups:

  • Rates & Forms New Developments
​​

TRIA2015

To file forms for TRIA2015 in Oregon, please follow the below steps:

All Forms are Prior Approval. Please file forms by the line of business they belong to. If a form meets the definition of multi-line, it can be filed using CMP coding. The program name should state TRIA2015. Only TRIA2015 forms are to be sent in the Form Schedule tab - nothing else. Oregon will provide an expedited review for all TRIA2015 form filings. Please Do NOT use the NAIC expedited filing transmittal document. It is not necessary in SERFF for Oregon. The Insurance Division will issue a formal bulletin on this subject.

This e-notify was distributed to the following groups:

  • Property & Casualty insurance issues

Product Standards updated

Revised product standards have now been updated on our web site. The current forms list reflects which documents had changes by highlighting the edition date of each document in red.

This e-notify was distributed to the following groups:

  • Rates & Forms Product Standards update

2014

2016 Health benefit filing timelines

The 2016 health benefit form, binder, and rate filings timeline has now been posted to our website.

The Oregon Insurance Division doesn't anticipate any major changes to the timeline, however, we will respond accordingly to changes in federal due dates. The timeline anticipates a CMS deadline of July 20, 2015 for submission of revised plan data. The Oregon Insurance Division also assumes that the templates, out-of-pocket maximums, and AV calculator will be available by the end of March.

This e-notify was distributed to the following groups:

  • Rates & Forms New Developments
​​​​
​​​​
​​​​​​​​

Sign up for e-Notifications