Section 415.011 - Oregon Health Authority regulation of financial solvency of CCOs to align with regulation of domestic insurers; rules.

OR Rev Stat § 415.011 (2019) (N/A)
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(2) The authority shall adopt rules for regulating the financial solvency of coordinated care organizations that align with the following provisions of the Insurance Code regulating domestic insurers, to the extent the provisions regarding insurers are applicable to coordinated care organizations and are in accordance with ORS chapters 413 and 414:

(a) ORS 731.385;

(b) ORS 731.504;

(c) ORS 731.508;

(d) ORS 731.509 (1) to (10) and (12);

(e) ORS 731.574 (1) to (5);

(f) ORS 731.730;

(g) ORS 731.988;

(h) ORS 732.235;

(i) ORS 732.517 to 732.546, other than ORS 732.527, 732.531 and 732.541;

(j) ORS 732.548;

(k) ORS 732.549;

(L) ORS 732.551;

(m) ORS 732.552;

(n) ORS 732.553;

(o) ORS 732.554;

(p) ORS 732.556;

(q) ORS 732.558;

(r) ORS 732.564;

(s) ORS 732.566;

(t) ORS 732.567;

(u) ORS 732.568;

(v) ORS 732.569;

(w) ORS 732.574;

(x) ORS 732.576;

(y) ORS 732.578;

(z) ORS 732.592;

(aa) ORS 733.010 to 733.050;

(bb) ORS 733.140 to 733.170;

(cc) ORS 733.510 to 733.680;

(dd) ORS 733.695 to 733.780; and

(ee) ORS 734.014.

(3) Rules adopted by the authority in accordance with ORS 731.385 that establish minimum standards for risk-based capital may not require a coordinated care organization to take preventive or corrective measures to increase the coordinated care organization’s capital, surplus or reserves to achieve more than 200 percent of the minimum risk-based capital. [2019 c.478 §53]

Note: Section 54c, chapter 478, Oregon Laws 2019, provides:

Sec. 54c. (1) The Oregon Health Authority shall convene an advisory group consisting of one representative from each coordinated care organization that contracts with the authority. The advisory group shall recommend standards for reconciling the differences between the financial reporting required by the National Association of Insurance Commissioners and the financial reporting that the authority needs to regulate coordinated care organizations as required by state and federal law.

(2) No later than September 15, 2020, the authority shall submit a report of the advisory group’s recommendations to the interim committees of the Legislative Assembly related to health. The report must include:

(a) Recommendations for reducing redundant or duplicative reporting requirements; and

(b) Standard templates for any reporting required by the authority of financial information that is in addition to the financial information reported in the National Association of Insurance Commissioners’ financial reporting requirements. [2019 c.478 §54c]