ORS 243.864: Duties; rules; contracts; personnel.

Edition: 2025 EditionEffective: 2026-01-01Last verified: 2026-09-07

(1) The Oregon Educators Benefit Board: (a) Shall adopt rules for the conduct of its business and for carrying out ORS 243.879; and (b) May adopt rules not inconsistent with ORS 243.860 to 243.886 to determine the terms and conditions of eligible employee participation in and coverage under benefit plans. (2) The board shall study all matters connected with the provision of adequate benefit plan coverage for eligible employees on the best basis possible with regard to the welfare of the employees and affordability for the districts and local governments. The board shall design benefits, prepare specifications, analyze carrier responses to advertisements for bids and award contracts. Contracts shall be signed by the chairperson on behalf of the board. (3) In carrying out its duties under subsections (1) and (2) of this section, the goal of the board is to provide high-quality health, dental and other benefit plans for eligible employees at a cost affordable to the districts and local governments, the employees and the taxpayers of Oregon. (4)(a) The board shall prepare specifications, invite bids and take actions necessary to award contracts for health and dental benefit plan coverage of eligible employees in accordance with the criteria set forth in ORS 243.866 (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 243.879. (c) The Public Contracting Code does not apply to contracts for benefit plans provided under ORS 243.860 to 243.886. The board may not exclude from competition to contract for a benefit plan an Oregon carrier solely because the carrier does not serve all counties in Oregon. (5) The board may retain consultants, brokers or other advisory personnel when necessary and 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. [2007 c.7 §3; 2011 c.418 §11; 2013 c.731 §17; 2017 c.746 §32; 2023 c.51 §2]

Official history and status

History: Note: See note under 243.860.

Administrative rules citing this section

OAR 111-001-0005: Uniform and Model Rules of Procedure — authority
OAR 111-002-0005: Powers and Duties of the Board — implements
OAR 111-002-0005: Powers and Duties of the Board — authority
OAR 111-005-0020: Definitions — implements
OAR 111-005-0020: Definitions — authority
OAR 111-005-0042: Intermediate Procurement Process — implements
OAR 111-005-0042: Intermediate Procurement Process — authority
OAR 111-005-0047: Renewal Process — implements
OAR 111-005-0047: Renewal Process — authority
OAR 111-005-0055: Responsible Proposer — implements
OAR 111-005-0055: Responsible Proposer — authority
OAR 111-005-0080: Contract Amendments — implements
OAR 111-005-0080: Contract Amendments — authority
OAR 111-010-0015: Definitions — implements
OAR 111-010-0015: Definitions — authority
OAR 111-015-0001: Eligible Individuals — implements
OAR 111-015-0001: Eligible Individuals — authority
OAR 111-020-0001: Initial Employee Group Phase-in — authority
OAR 111-020-0010: Entities Electing to Join OEBB — implements
OAR 111-020-0010: Entities Electing to Join OEBB — authority
OAR 111-030-0010: Medical, Pharmaceutical, Dental and Vision Plan Selection Criteria — implements
OAR 111-030-0010: Medical, Pharmaceutical, Dental and Vision Plan Selection Criteria — authority
OAR 111-030-0011: Bronze Medical Plan Offering — implements
OAR 111-030-0011: Bronze Medical Plan Offering — authority
OAR 111-030-0035: Optional Benefit Plans Selection Criteria — implements
OAR 111-030-0035: Optional Benefit Plans Selection Criteria — authority
OAR 111-030-0040: Long Term Care (LTC) Benefit Plan Selection Criteria — implements
OAR 111-030-0040: Long Term Care (LTC) Benefit Plan Selection Criteria — authority
OAR 111-030-0045: Employee Assistance Program (EAP) Plan Selection Criteria — implements
OAR 111-030-0045: Employee Assistance Program (EAP) Plan Selection Criteria — authority
OAR 111-030-0046: Development of Health Savings Accounts (HSA) — implements
OAR 111-030-0046: Development of Health Savings Accounts (HSA) — authority
OAR 111-030-0047: Development of Flexible Spending Accounts — authority
OAR 111-030-0050: Premium Rate Structure Selection Process and Limitations — authority
OAR 111-040-0001: Effective Dates — implements
OAR 111-040-0001: Effective Dates — authority
OAR 111-040-0005: Termination Dates — implements
OAR 111-040-0005: Termination Dates — authority
OAR 111-040-0011: Returning to Benefit Eligible Status — implements
OAR 111-040-0011: Returning to Benefit Eligible Status — authority
OAR 111-040-0015: Removing an Ineligible Individual from Benefit Plans — implements
OAR 111-040-0015: Removing an Ineligible Individual from Benefit Plans — authority
OAR 111-040-0020: Open Enrollment — implements
OAR 111-040-0020: Open Enrollment — authority
OAR 111-040-0025: Correcting Enrollment and Processing Errors — implements
OAR 111-040-0025: Correcting Enrollment and Processing Errors — authority
OAR 111-040-0030: Late Enrollment — implements
OAR 111-040-0030: Late Enrollment — authority
OAR 111-040-0040: Qualified Status Changes (QSCs) — implements
OAR 111-040-0040: Qualified Status Changes (QSCs) — authority
OAR 111-040-0050: Declination of Coverage — implements
OAR 111-040-0050: Declination of Coverage — authority
OAR 111-040-0055: Surcharges — implements
OAR 111-040-0055: Surcharges — authority
OAR 111-050-0001: Continuation of Group Medical and Dental Insurance Coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA) — implements
OAR 111-050-0001: Continuation of Group Medical and Dental Insurance Coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA) — authority
OAR 111-050-0010: Eligibility for Retiree Insurance Coverage — implements
OAR 111-050-0010: Eligibility for Retiree Insurance Coverage — authority
OAR 111-050-0015: Medical, Dental and Vision Termination Dates for Early Retirees — implements
OAR 111-050-0015: Medical, Dental and Vision Termination Dates for Early Retirees — authority
OAR 111-050-0016: Life and Accidental Death and Dismemberment Termination Dates for Early Retirees — implements
OAR 111-050-0016: Life and Accidental Death and Dismemberment Termination Dates for Early Retirees — authority
OAR 111-050-0020: Initial Enrollment — implements
OAR 111-050-0020: Initial Enrollment — authority
OAR 111-050-0025: Effective Dates — implements
OAR 111-050-0025: Effective Dates — authority
OAR 111-050-0030: Correcting Enrollment and Processing Errors — implements
OAR 111-050-0030: Correcting Enrollment and Processing Errors — authority
OAR 111-050-0035: Late Enrollment — implements
OAR 111-050-0035: Late Enrollment — authority
OAR 111-050-0045: Termination Dates — implements
OAR 111-050-0045: Termination Dates — authority
OAR 111-050-0050: Removing an Ineligible Individual from Benefit Plans — implements
OAR 111-050-0050: Removing an Ineligible Individual from Benefit Plans — authority
OAR 111-050-0060: Continuation of Coverage for Eligible Employees Covered under the Federal Family Medical Leave Act — implements
OAR 111-050-0060: Continuation of Coverage for Eligible Employees Covered under the Federal Family Medical Leave Act — authority
OAR 111-050-0065: Continuation of Coverage for Eligible Employees Covered under the Oregon Family Leave Act — implements
OAR 111-050-0065: Continuation of Coverage for Eligible Employees Covered under the Oregon Family Leave Act — authority
OAR 111-050-0070: Continuation of Coverage for Eligible Employees during an Approved Leave of Absence. — implements
OAR 111-050-0070: Continuation of Coverage for Eligible Employees during an Approved Leave of Absence. — authority
OAR 111-050-0075: Continuation of coverage for Eligible Employees on Active Military Service — implements
OAR 111-050-0075: Continuation of coverage for Eligible Employees on Active Military Service — authority
OAR 111-050-0080: Portability and Conversion of Coverage — implements
OAR 111-050-0080: Portability and Conversion of Coverage — authority
OAR 111-060-0001: Use of Social Security Numbers — authority
OAR 111-065-0001: Definitions — implements
OAR 111-065-0005: Untitled — implements
OAR 111-065-0010: OEBB Early Retiree Invoicing — implements
OAR 111-065-0015: Early Retiree Payment Methods and Due Dates — implements
OAR 111-065-0020: Early Retiree Overpayments — implements
OAR 111-065-0025: Early Retiree Underpayments — implements
OAR 111-065-0030: Termination — implements
OAR 111-065-0035: Appeals — implements
OAR 111-065-0040: Continuation of Coverage — implements
OAR 111-070-0075: Administration of SB 551 Program — implements
OAR 111-080-0001: Payment Methods and Dates — implements
OAR 111-080-0001: Payment Methods and Dates — authority
OAR 111-080-0005: Overpayments and Underpayments — implements
OAR 111-080-0005: Overpayments and Underpayments — authority
OAR 111-080-0030: Appeals and Administrative Reviews — implements
OAR 111-080-0030: Appeals and Administrative Reviews — authority
OAR 111-080-0040: Eligibility and Policy Term Violations — Definitions — implements
OAR 111-080-0040: Eligibility and Policy Term Violations — Definitions — authority
OAR 111-080-0045: Eligibility Violations — implements
OAR 111-080-0045: Eligibility Violations — authority
OAR 111-080-0050: Policy Term Violations — implements
OAR 111-080-0050: Policy Term Violations — authority
OAR 111-080-0055: Eligibility Verifications and Reviews — implements
OAR 111-080-0055: Eligibility Verifications and Reviews — authority
OAR 111-080-0060: Dependent Eligibility Verifications and Review Appeals — implements
OAR 111-080-0060: Dependent Eligibility Verifications and Review Appeals — authority
OAR 111-080-0065: Hospital Payments — implements
OAR 111-080-0070: Exempt Hospitals — implements
OAR 111-080-0070: Exempt Hospitals — authority

This rule cites

ORS 243.879 — resolved
ORS 243.860 — resolved
243.886 — resolved
ORS 243.866 — resolved

Cited by

Official source: https://www.oregonlegislature.gov/bills_laws/ors/ors243.html