OAR 436-162-0400: Monitoring and Auditing Insurers

(1) The director may monitor and conduct periodic audits of proof of coverage reporting data to ensure compliance with ORS chapter 656 and these rules. If the director finds violations of the reporting requirements of these rules the director may issue civil penalties under OAR 436-162-0440 and ORS 656.745. (a) Proof of coverage must be reported timely. “Timely” means that an insurer reports data within the time allowed by these rules, including Appendix C, the Event Table. (b) Proof of coverage must be reported accurately. “Accurately” means that the reported coverage data accepted by the division conforms to the reporting requirements of these rules, including Appendices A, B, and C. (2) All records maintained or required to be maintained must be disclosed upon request by the director.