OAR Chapter 836

Division 053 Exhibits, appendixes, forms, attachments

836-053-0009

Exhibit 1: SB 91 Oregon Standard Plans

836-053-0012

Exhibit 1: Base benchmark health benefit plan

836-053-0013

Exhibit 1: Bronze plan cost-sharing matrix
Exhibit 2: Silver plan cost-sharing matrix

836-053-0015

Exhibit 1: Revised Counting Methodology for Determining Small or Large Group

836-053-0465

Exhibit 1

836-053-0471

Exhibit 1
Exhibit 2
Exhibit 3

836-053-0510

Oregon Standard Health Statement - Form 440-3087 Word | PDF Español

836-053-0615

Confidential Communication Requests Reporting Form

836-053-0863

State Continuation Notice Word | PDF

836-053-1205

Uniform Prior Authorization Prescription Request - Form 440-4992 Word | PDF

836-053-1510(2)

Primary Care Reporting Template​​​​​​

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Key links

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