Agents resource center

Welcome to the agent resource center. Here you can find forms, newsletters, and other documents related to the Oregon Health Insurance Marketplace.

Resources 

• Partner Agent Program - OE PY2020
• Addendum 1 - Request for Grant Proposals (RFGP)
• Request for Grant Proposals (RFGP)
• Submission form
• Sample contract
• Proposer information and certification sheet
• Responsibility inquiry
• Checklist For Proposers
• Oregon procurement information network (ORPIN)



*Open enrollment totals for PY 2019 QHPs are available upon request. Please reach out to Frances if you would like this CMS data prior to submitting your proposal.

• 2020 medical plans
  Document includes the following:
• 2020 plans and counties
• 2020 plan comparison tool
  
• 2019-20 crosswalk
• 2019 medical plans
  Document includes the following:
• 2019 plans and counties
• 2019 plan comparison tool
  
• 2018-19 crosswalk
  
• Plan year 2019 county coverage table
  
• HealthCare.gov Enrollment Manual
• CMS Webinar Slides: Assisting Clients with Marketplace Eligibility Appeals
• 2020 certified SHOP medical and dental plans
• 2019 certified SHOP medical and dental plans
• 2018 certified SHOP medical and dental plans
• 2020 certified individual medical and dental plans
• 2019 certified individual medical and dental plans
• CMS agent resources
• Individual health plan comparison tool
• Health reform frequently asked questions
• Health Reform: Beyond the Basics materials
• Instructions on how to be listed on the Medicare Agent Locator Tool

Agent newsletters

2019

• Agent Update, Aug. 15, 2019
• Agent Update, May 29, 2019
• Agent Update, May 9, 2019
• Agent Update, May 1, 2019

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2018

• Agent Update, Dec. 17, 2018
• Agent Update, Dec. 15, 2018
• Agent Update, Nov. 15, 2018
• Agent Update, Nov. 8, 2018
• Agent Update, Nov. 7, 2018
• Agent Update, Nov. 1, 2018
• Agent Update, Oct. 26, 2018
• Agent Update, Oct. 23, 2018
• Agent Update, Oct. 15, 2018
• Agent Update, Aug. 22, 2018​​​
• Agent Update, May 8, 2018
• Agent Update, April 27, 2018
• Agent Update, Jan. 3, 2018

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Materials

FPL chart

• English/Spanish​ (double-sided)
  
• English with Tribal eligibility levels on reverse​ (double-sided)

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How to get health insurance in Oregon

• English
• Spanish​
• Russian
• Simplified Chinese
• Traditional Chinese
• Vietnamese
• Korean​

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Getting financial help

• English​
• Spanish
• Russian
• Simplified Chinese
• Traditional Chinese
• Vietnamese​
• Korean​

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Using your health insurance

• English​
• Spanish
• Russian
• Simplified Chinese
• Traditional Chinese
• Vietnamese
• Russian​

Still need health insurance

• English (2019)​
• Spanish​ (2019)​

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Small Business Health Options Program (SHOP)

The Small Business Health Options Program (SHOP) allows small businesses to offer qualified health plans (QHPs) to their employees and potentially claim tax credits. As Oregon currently does not have an automated SHOP, small employers may purchase certified SHOP qualified health plans directly from the carrier. Upon request, the marketplace will determine whether the small employer meets the requirements to participate in the SHOP program and potentially be eligible for the IRS small business tax credit. For information, see the documents below.

• SHOP Participation Request Form
• Oregon Health Insurance Marketplace SHOP process
• 2019 certified SHOP medical and dental plans
• 2018 certified SHOP medical and dental plans
• Qualifications for SHOP
• Employee Counting for SHOP
• Tax Credit Estimator
• 2019 SHOP Premium Calculator

Contact agents.marketplace@oregon.gov with questions or to request more materials or resources.

Join the mailing list.

COFA Premium Assistance Program

The Compact of Free Association (COFA) Premium Assistance Program provides free health insurance for low-income citizens of the Republic of Marshall Islands, the Federated State of Micronesia, and the Republic of Palau who live in Oregon under the compact. Please visit COFA for additional information on the program.

• COFA Guidelines for Agents and Assisters

Medicare trainings

The Senior Health Insurance Benefits Assistance (SHIBA) program has volunteer trainings that may benefit agents. Go to the in-person volunteer training page for information.