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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 is currently accepting applications for plan years 2020 and 2021. The RFA and accompanying application materials are below. Applications are due by 5 p.m. on Monday, March 4, 2019 and should be sent via email to Katie Button at katie.m.button@oregon.gov. Any questions about the RFA should also be sent to katie.m.button@oregon.gov.

The following materials related to that RFA:

2016-2017 RFA

2014-2015 RFA

Contracts

2019 – Medical

2019 – Dental

2017 – Dental

2017 – Medical

2015 – Dental

2015 – Medical

2014 – 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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