Or. Admin. R. 945-040-0020 - Eligibility for Enrollment in a Qualified Health Plan in the Individual Market
(1) To qualify for enrollment in a qualified health plan in the individual market, an applicant must:
(a) Be a United States citizen or national, or a lawfully present non-citizen;
(b) Be a resident of Oregon; and
(c) Not be incarcerated. Incarceration pending the disposition of charges is not a disqualifying factor.
(2) To qualify for enrollment in a qualified health plan that is a catastrophic plan, in addition to meeting the requirements of (1), an applicant must either:
(a) Have not attained the age of 30 before the beginning of the plan year; or
(b) Have a certification showing that he or she is exempt from the requirement to maintain minimum essential coverage for the plan year for which he or she is applying by reason of:
(A) Lack of access to affordable coverage, in accordance with §5000A(e)(1) of the Internal Revenue Code; or
(B) Hardship, in accordance with §5000A(e)(5) of the Internal Revenue Code.
Stat. Auth.: ORS 741.002
Stats. Implemented: ORS 741.500
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