§ 743B.345 — Premium for continuation of coverage under ORS 743B.344; termination of right to continuation

Oregon § 743B.345

• Jurisdiction: Oregon
• Vol.: 18
• Title 56: Insurance
• Ch. 743B: Health Benefit Plans: Individual and Group

Text

If a legally separated, divorced or surviving spouse elects continuation of coverage under ORS 743B.344 (1) to (6):
(1) The monthly premium for the continuation shall not be greater than the amount that would be charged if the legally separated, divorced or surviving spouse were a current certificate holder of the group plan plus the amount that the group policyholder would contribute toward the premium if the legally separated, divorced or surviving spouse were a certificate holder of the group plan, plus an additional amount not to exceed two percent of the certificate holder and group plan holder contributions, for the costs of administration.
(2) The first premium shall be paid by the legally separated, divorced or surviving spouse within 45 days of the date of the election.
(3) The right to continuation of coverage shall terminate upon the earliest of any of the following:
(a) The failure to pay premiums when due, including any grace period allowed by the policy;
(b) The date that the group policy is terminated as to all group members except that if a different group policy is made available to group members, the legally separated, divorced or surviving spouse shall be eligible for continuation of coverage as if the original policy had not been terminated;
(c) The date on which the legally separated, divorced or surviving spouse becomes insured under any other group health plan;
(d) The date on which the legally separated or divorced spouse remarries; or
(e) The date on which the legally separated, divorced or surviving spouse becomes eligible for federal Medicare coverage.

Legislative History

Formerly 743.602