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Carriers resource center

Welcome to the carrier resource center. This page includes information on contracts, federal guidance, deadlines, and updates related to the Oregon Health Insurance Marketplace.

2020-2021 Carrier Request For Applications is Open

The Marketplace Carrier RFA has been reopened for the 2021 plan year. The RFA and accompanying application materials are below.  Responses are due Friday, May 29th, at 5:00pm.  Responses should be sent via e-mail to Katie Button at katie.m.button@oregon.gov.  Any questions about the RFA should also be directed to Katie Button via e-mail.

The following materials related to that RFA:

Contracts

2020 - Medical | Dental

2019 – Medical | Dental

2017 – Medical | Dental

2015 – Medical | Dental

2014 – Medical

Forms

SHOP Employer Renewal Form

Guidance

Unappointed agents and the agent registration process

If an insurer receives a Marketplace enrollment through HealthCare.gov submitted by an agent who is not appointed by the issuer, the issuer must issue the coverage, but may not pay commission to the agent. An unappointed agent who submits an application to an issuer violates both state and federal requirements. Issuers should notify the Division of Financial Regulation investigations unit in market regulation of the unappointed agent’s conduct. For information, contact Brian Fordham at the Division of Financial Regulation.

Issuers must verify that agents/brokers complete the HealthCare.gov registration process

Issuers must verify that any affiliated agents/brokers complete the HealthCare.gov registration process before helping consumers with enrollment in the issuer’s HealthCare.gov plans. Issuers should review the agent/broker registration completion list to ensure that affiliated agents/brokers have completed all requirements. This list includes all NPNs associated with individuals and entities that have successfully completed all requirements, as well as the date those requirements were met.

Links

Email Katie.M.Button@oregon.gov or Anthony.A.Behrens@oregon.gov with questions or to request more materials or resources. Be aware that the email, carriers.marketplace@oregon.gov, is no longer functional.

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