Filing requirements​

Binders must be submitted via SERFF

Templates Tab needs to include:

All templates required whether on or off the Exchange. Current plan templates can be found at:, Templates and Materials​​

  1. Administrative Data Template 
  2. Plan and Benefits Template 
  3. Prescription Drug Template
  4. Network Template 
  5. Service Area Template 
  6. Essential Community Providers Template 
  7. Rate Data Template 
  8. Rating Business Rules Template 

Supporting Documentation Tab needs to include:

  1. Binder Cover letter
  2. Certificate of Compliance: Word,   PDF
  3. Product Standards: Word,   PDF
  4. Plan Relativities and Supporting Exhibits: Word,  PDF
  5. Summary of Benefits and Coverage (SBC)
  6. Essential Community Provider Supplemental Response Form
  7. Partial Service Area Justification
  8. Unique Plan Design Supporting Documentation and Justification
  9. EHB Substituted Benefit Justification
  10. Formulary - inadequate Category/Class Count Justification
  11. Limited Cost Sharing Plan Variation  (required if the issuer wants to receive advance payments)
  12. Part I - Unified Rate Review Template
  13. Part III - Actuarial Memorandum
  14. Program Attestations for SBE Issuers
  15. Plan ID Crosswalk Template
  16. Network Adequacy Template​

Note: Link source provided when possible.


FAQ for 2016​


Current filing forms

Helpful hints
Associations, Trusts and Discretionary Groups

Effective July 1, 2007, Oregon law changed the division's regulation of Associations, Trusts, and MEWAs. Refer to detailed filing requirements on the links below.