Or. Admin. Code § 836-053-0863 - Notifications
(1) For purposes of
the notice required by ORS
743.610(10), an
insurer must use the notice set forth on the website for the Division of
Financial Regulation of the Department of Consumer and Business Services at
dfr.oregon.gov. An insurer:
(a) May
incorporate the notice into another document provided that the notice remains
prominent.
(b) May modify the font
of the document but the font must be at least 12 point.
(c) May add headings, logos and other company
identifiers.
(d) Must modify the
notice to include the information as indicated in the brackets.
(2) An insurer may provide a
single notice under ORS
743.610(10) to
a covered person and a qualified beneficiary when:
(a) The notice is addressed to the covered
person or qualified beneficiary at the last known address of the covered person
or qualified beneficiary;
(b) The
covered person and qualified beneficiary are eligible for state continuation
coverage by virtue of the same qualifying event; and
(c) The covered person and qualified
beneficiary have the same last known mailing address.
(3) The requirement to provide written notice
under ORS 743.610(1) may
be triggered either by the notification of a qualifying event received from the
covered person or qualified beneficiary under ORS
743.610(5) or
notice of the qualifying event submitted to the insurer by the group
policyholder.
(4) An insurer that
requires a covered person or qualified beneficiary to complete a form to
request continuation of coverage must provide the form to the person. The form
may be provided by electronic means including via a specific website address.
However, if a covered person or qualified beneficiary asks an insurer to
provide the forms via mail, the insurer must do so within two business days of
the request. Notice pursuant to ORS
743.610(10) is
deemed provided upon receipt of any required forms when the forms are mailed by
the insurer.
(5) Notice under ORS
743.610(5)
provided to a group policyholder pursuant to the instruction of an insurer
constitutes notice to the insurer that meets the requirements of ORS
743.610(5).
Notes
Statutory/Other Authority: ORS 731.244 & ORS 743.610
Statutes/Other Implemented: ORS 743.610
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