ORS 744.740: Responsibility of insurer using third party administrator.
Edition: 2025 EditionEffective: 2026-01-01Last verified: 2026-09-07
(1) An insurer who uses the services of a third party administrator is responsible for determining the benefits, premium rates, underwriting criteria and claims payment procedures applicable to the coverage and for securing any reinsurance. The rules pertaining to such matters must be provided in writing by the insurer to the third party administrator. (2) An insurer is solely responsible for providing competent administration of its programs. (3) When a third party administrator administers benefits for more than 100 certificate holders on behalf of an insurer, the insurer shall conduct a review of the operations of the third party administrator at least annually. [1991 c.812 §22] REINSURANCE INTERMEDIARIES
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Cited by
- ORS 744.700: Definitions for ORS 744.700 to 744.740.
- ORS 744.702: Third party administrator license; description of transacting business as third party administrator.
- ORS 744.704: Exemptions from license requirement; rules.
- ORS 744.720: Agreement between insurer and third party administrator.
- ORS 748.603: Relationship to other insurance laws.
- ORS 750.055: Other provisions applicable to health care service contractors; rules.
- ORS 750.317: Board of trustees.
- ORS 750.333: Applicable provisions of Insurance Code; rules.
Official source: https://www.oregonlegislature.gov/bills_laws/ors/ors744.html