ORS 243.125: Powers and duties of board; rules.
Edition: 2025 EditionEffective: 2026-01-01Last verified: 2026-09-07
(1) The Public Employees’ Benefit Board shall prescribe rules for the conduct of its business and for carrying out ORS 243.256. The board shall study all matters connected with the providing of adequate benefit plan coverage for eligible employees on the best basis possible with relation both to the welfare of the employees and to the state and local governments. The board shall design benefits, devise specifications, analyze carrier responses to advertisements for bids and decide on the award of contracts. Contracts shall be signed by the chairperson on behalf of the board. (2) In carrying out its duties under subsection (1) of this section, the goal of the board shall be to provide a high quality plan of health and other benefits for employees at a cost affordable to both the employer and the employees. (3) Subject to ORS chapter 183, the board may make rules not inconsistent with ORS 243.105 to 243.285 and 292.051 to determine the terms and conditions of eligible employee participation and coverage. (4)(a) The board shall prepare specifications, invite bids and do acts necessary to award contracts for health benefit plan and dental benefit plan coverage of eligible employees in accordance with the criteria set forth in ORS 243.135 (1). (b) Premium rates established by the board for a self-insured health benefit plan and premium rates negotiated by the board with a carrier that offers a health benefit plan to eligible employees must take into account any reduction in the cost of hospital services and supplies anticipated to result from the application of ORS 243.256. (5) The executive director of the board shall report to the Director of the Oregon Health Authority. (6) The board may retain consultants, brokers or other advisory personnel when necessary and, subject to the State Personnel Relations Law, shall employ such personnel as are required to perform the functions of the board. If the board contracts for actuarial or technical support to manage the functions of the board, the board shall solicit invitations to bid and the proposals must include all of the following: (a) An explanation of how the bidder has assisted other clients in creating incentives to improve the quality of care provided to enrollees; (b) An explanation of how the bidder will support the board’s efforts to maximize provider efficiencies and achieve more organized systems of care; and (c) A description of the bidder’s experience in assisting other clients in structuring contracts that use risk-based networks of providers and alternative provider reimbursement methodologies. [1971 c.527 §3; 1975 c.560 §1; 1975 c.667 §1a; 1983 c.640 §2; 1987 c.879 §9; 1997 c.222 §29; 2001 c.655 §5; 2011 c.418 §10; 2013 c.731 §3; 2017 c.746 §30; 2023 c.51 §1]
Administrative rules citing this section
- OAR 101-001-0000: Notice of Proposed Rule Changes — authority
- OAR 101-001-0005: Uniform and Model Rules of Procedure — authority
- OAR 101-001-0015: Disbursement of PEBB Fund Monies — authority
- OAR 101-002-0005: Powers and Duties of the Board — authority
- OAR 101-002-0010: Conduct of Meetings of the Board — authority
- OAR 101-005-0010: Renewal, Screening and Selection for Benefit, Vendor and Consultant Contracts — implements
- OAR 101-005-0010: Renewal, Screening and Selection for Benefit, Vendor and Consultant Contracts — authority
- OAR 101-005-0020: Policy — implements
- OAR 101-005-0020: Policy — authority
- OAR 101-005-0030: Definitions — implements
- OAR 101-005-0030: Definitions — authority
- OAR 101-005-0040: Procurement and Renewal Processes — authority
- OAR 101-005-0050: Mistakes — implements
- OAR 101-005-0050: Mistakes — authority
- OAR 101-005-0070: Contract Amendments — authority
- OAR 101-005-0075: Pre-Proposal Conference — authority
- OAR 101-005-0080: RFP Protest; Request for Change; Request for Clarification — authority
- OAR 101-005-0090: Addenda to an RFP — authority
- OAR 101-005-0100: Extension of Time for Acceptance of Proposal — authority
- OAR 101-005-0105: Submission of Proposals; Format; Timing — implements
- OAR 101-005-0105: Submission of Proposals; Format; Timing — authority
- OAR 101-005-0110: Evaluation of Proposals — authority
- OAR 101-005-0120: Rejection of a Proposal — authority
- OAR 101-005-0130: Responsible Proposer — authority
- OAR 101-005-0140: Protest of Contractor Selection, Contract Award — authority
- OAR 101-010-0005: Definitions — implements
- OAR 101-010-0005: Definitions — authority
- OAR 101-015-0005: Eligible Individuals — implements
- OAR 101-015-0011: Dependent Child — implements
- OAR 101-015-0026: Domestic Partnership — implements
- OAR 101-015-0030: Eligibility and Policy Term Violations - Definitions — authority
- OAR 101-015-0035: Eligibility Violations — authority
- OAR 101-015-0040: Policy Term Violations — authority
- OAR 101-015-0045: Eligibility Verifications and Reviews — implements
- OAR 101-015-0050: Dependent Eligibility Verification and Review Appeals — authority
- OAR 101-020-0015: Opting Out of Medical Insurance Coverage — implements
- OAR 101-020-0015: Opting Out of Medical Insurance Coverage — authority
- OAR 101-020-0018: Declining Benefits — authority
- OAR 101-020-0052: Surcharges — implements
- OAR 101-020-0052: Surcharges — authority
- OAR 101-020-0059: Commuter Accounts (Fringe Benefits) — implements
- OAR 101-020-0059: Commuter Accounts (Fringe Benefits) — authority
- OAR 101-020-0065: Health Flexible Spending Arrangement — implements
- OAR 101-020-0065: Health Flexible Spending Arrangement — authority
- OAR 101-050-0005: PEBB Retiree Health Plan Eligibility — authority
- OAR 101-050-0010: Retiree Plan Enrollment and Termination — implements
- OAR 101-050-0010: Retiree Plan Enrollment and Termination — authority
- OAR 101-050-0015: Retiree Returning to Work for a PEBB Participating Organization in a Benefit Eligible Status — implements
- OAR 101-050-0015: Retiree Returning to Work for a PEBB Participating Organization in a Benefit Eligible Status — authority
- OAR 101-050-0020: Retiree Survivor Medical and Dental Insurance Coverage — authority
- OAR 101-060-0005: Definitions — implements
- OAR 101-060-0005: Definitions — authority
- OAR 101-060-0010: Eligibility for Medical and Dental Insurance Coverage — implements
- OAR 101-060-0010: Eligibility for Medical and Dental Insurance Coverage — authority
- OAR 101-060-0015: Insurance Provision — implements
- OAR 101-060-0015: Insurance Provision — authority
- OAR 101-065-0001: Administration of SB 551 Program — implements
- OAR 101-070-0001: Definitions — implements
- OAR 101-070-0001: Definitions — authority
- OAR 101-070-0005: Participation Requirements — implements
- OAR 101-080-0010: Hospital Payments — authority
- OAR 101-080-0020: Exempt Hospitals — authority
This rule cites
- ORS 243.256 — resolved
- ORS chapter 183 — target_record_not_published
- ORS 243.105 — resolved
- 243.285 — resolved
- 292.051 — resolved
- ORS 243.135 — resolved
Cited by
Official source: https://www.oregonlegislature.gov/bills_laws/ors/ors243.html