Or. Admin. Code § 836-053-0910

Current through Register Vol. 63, No. 11, November 1, 2024

Section 836-053-0910 - Rate Filing

(1) A carrier must file with the director of the Department of Consumer and Business Services the appropriate checklists and certification statements as established in OAR 836-010-0011.

(2) A carrier may not:

(a) Offer a small group or individual health benefit plan until the director has determined that the filed geographic average rate meets the applicable statutory requirements.

(b) Modify an approved geographic average rate unless the director has determined that the modification meets the applicable statutory requirements.

(3) Rate filings for small group and individual health benefit plans must be submitted to the director in one of the following electronic formats:

(a) The National Association of Insurance Commissioners' System for Electronic Rate and Form Filings (SERFF) format; or

(b) PDF format for a filing that is less than three megabytes. For the purpose of this subsection, each filing requirement, such as an exhibit, an actuarial memorandum or a certificate of compliance, must be in a separate PDF format that is less than three megabytes. These filings may be submitted by electronic mail with documents attached in PDF format, or the filings may be submitted on a compact disc with documents attached in PDF format. If submitting by electronic mail, the combined size of the electronic mail plus attached documents being transmitted must be less than four megabytes.

(4) The director must post the contents of rate filings described in section (3) of this rule and rate filing summaries described in OAR 836-053-0473 for public inspection on the website for the Division of Financial Regulation of the Department of Consumer and Business Services at dfr.oregon.gov.

Or. Admin. Code § 836-053-0910

ID 13-1996(Temp), f. & cert. ef. 9-23-96; ID 2-1997, f. & cert. ef. 3-28-97; ID 5-1998, f. & cert. ef. 3-9-98, Renumbered from 836-053-0185; ID 13-2007(Temp), f. & cert. ef. 12-21-07 thru 5-10-08; Reverted to ID 5-1998, f. & cert. ef. 3-9-98, Renumbered from 836-053-0185; ID 8-2008, f. & cert. ef. 6-18-08; ID 5-2010, f. & cert. ef. 2-16-10; ID 12-2013, f. 12-31-13, cert. ef. 1-1-14; ID 18-2023, minor correction filed 06/23/2023, effective 6/23/2023

Statutory/Other Authority: ORS 731.244, ORS 743.019 & ORS 743.020

Statutes/Other Implemented: ORS 743.019, ORS 743.020 & 743.730 - 743.773