OAR 836-052: Insurance Policies

75 rules in Division 052, Chapter 836 (Department of Consumer and Business Services, Insurance Regulation).

  1. OAR 836-052-0103: Purpose
  2. OAR 836-052-0107: Authority
  3. OAR 836-052-0114: Applicability and Scope
  4. OAR 836-052-0119: Definitions
  5. OAR 836-052-0124: Policy Definitions and Terms
  6. OAR 836-052-0129: Policy Provisions
  7. OAR 836-052-0132: Benefit Standards for 2010 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery with an Effective Date of Coverage on or After June 1, 2010
  8. OAR 836-052-0133: Benefit Standards for 1990 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery on or After July 1, 1992 and with an Effective Date of Coverage Prior to June 1, 2010
  9. OAR 836-052-0134: Minimum Benefit Standards for Policies or Certificates Issued for Delivery Prior to July 1, 1992
  10. OAR 836-052-0136: Standard Medicare Supplement Benefit Plans for 1990 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery on or After July 1, 1992 and with an Effective Date of Coverage Prior to June 1, 2010
  11. OAR 836-052-0138: Open Enrollment
  12. OAR 836-052-0139: Medicare Select Policies and Certificates
  13. OAR 836-052-0140: Standards for Claims Payment
  14. OAR 836-052-0141: Standard Medicare Supplement Benefit Plans for 2010 Standardized Medicare Supplement Benefit Plan Policies or Certificates with an Effective Date of Coverage on or After June 1, 2010
  15. OAR 836-052-0142: Guaranteed Issue for Eligible Persons
  16. OAR 836-052-0143: Annual Opportunity to Select Another Medicare Supplement Policy or Certificate
  17. OAR 836-052-0144: Standard Medicare Supplement Benefit Plans for 2020 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery to Individuals Newly Eligible for Medicare on or after January 1, 2020.
  18. OAR 836-052-0145: Loss Ratio Standards and Refund or Credit of Premium
  19. OAR 836-052-0151: Filing and Approval of Policies and Certificates and Premium Rates
  20. OAR 836-052-0156: Permitted Compensation Arrangements
  21. OAR 836-052-0160: Required Disclosure Provisions
  22. OAR 836-052-0165: Requirements for Application Forms, Replacement Coverage
  23. OAR 836-052-0170: Filing Requirements for Advertising
  24. OAR 836-052-0175: Standards for Marketing
  25. OAR 836-052-0180: Appropriateness of Recommended Purchase and Excessive Insurance
  26. OAR 836-052-0185: Reporting of Multiple Policies
  27. OAR 836-052-0190: Prohibition Against Preexisting Conditions, Waiting Periods, Elimination Periods and Probationary Periods in Replacement Policies and Certificates
  28. OAR 836-052-0192: Prohibition Against Use of Genetic Information and Requests for Genetic Testing
  29. OAR 836-052-0194: Separability
  30. OAR 836-052-0225: Durational Limits for Health Maintenance Organizations
  31. OAR 836-052-0230: Provider Services Limits for Insurers and Health Care Contractors
  32. OAR 836-052-0500: Statutory Authority; Applicability
  33. OAR 836-052-0508: Definitions
  34. OAR 836-052-0516: Policy Definitions
  35. OAR 836-052-0526: Policy Practices and Provisions
  36. OAR 836-052-0531: Long Term Care Insurance Partnership Program
  37. OAR 836-052-0546: Required Policy Provisions
  38. OAR 836-052-0556: Required Disclosure of Rating Practices to Consumers
  39. OAR 836-052-0566: Initial Rate Filing Requirements
  40. OAR 836-052-0576: Prohibition Against Post-Claims Underwriting, Applications
  41. OAR 836-052-0586: Minimum Standards for Home Health and Community Care Benefits in Long-Term Care Insurance Policies
  42. OAR 836-052-0596: Standards for Covered Services
  43. OAR 836-052-0606: Use and Definition of “Home” or Similar Wording
  44. OAR 836-052-0616: Requirement to Offer Inflation Protection
  45. OAR 836-052-0626: Requirements for Application Forms and Replacement Coverage
  46. OAR 836-052-0636: Reporting Requirements
  47. OAR 836-052-0637: Annual Rate Certification Requirements
  48. OAR 836-052-0639: Training for Insurance Producers
  49. OAR 836-052-0646: Benefits Provided Through Advancement of Life Insurance Proceeds
  50. OAR 836-052-0656: Reserve Standards
  51. OAR 836-052-0666: Loss Ratio
  52. OAR 836-052-0676: Premium Rate Schedule Increases
  53. OAR 836-052-0680: Premium Rate Schedule Increases for Policies Subject to Loss Ratio Limits Related to Original Filings
  54. OAR 836-052-0686: Filing Requirements for Out-of-State Group Policies
  55. OAR 836-052-0696: Filing Requirements for Advertising
  56. OAR 836-052-0706: Standards for Marketing
  57. OAR 836-052-0716: Disclosure Statement
  58. OAR 836-052-0726: Suitability
  59. OAR 836-052-0736: Prohibition Against Preexisting Conditions, Waiting Periods and Probationary Periods in Replacement Policies and Certificates
  60. OAR 836-052-0738: Availability of New Services or Providers
  61. OAR 836-052-0740: Right to Reduce Coverage and Lower Premiums
  62. OAR 836-052-0746: Nonforfeiture Benefit Requirement
  63. OAR 836-052-0756: Standards for Benefit Triggers
  64. OAR 836-052-0766: Additional Standards for Benefit Triggers for Qualified Long-Term Care Insurance Contracts
  65. OAR 836-052-0768: Appealing An Insurer’s Determination That The Benefit Trigger Is Not Met
  66. OAR 836-052-0770: Prompt Payment of Clean Claims
  67. OAR 836-052-0776: Standard Format Outline of Coverage
  68. OAR 836-052-0786: Requirement to Deliver Shopper’s Guide
  69. OAR 836-052-0790: Disclosure of Benefits Paid
  70. OAR 836-052-0800: Purpose; Applicability
  71. OAR 836-052-0810: Replacement Upon Termination
  72. OAR 836-052-0840: Termination of Coverage
  73. OAR 836-052-0850: Multiple Employer Trusts
  74. OAR 836-052-0860: Form of Notice to Group Policyholder
  75. OAR 836-052-1000: Prosthetic and Orthotic Devices