72nd OREGON LEGISLATIVE ASSEMBLY--2003 Regular Session
 
NOTE:  Matter within  { +  braces and plus signs + } in an
amended section is new. Matter within  { -  braces and minus
signs - } is existing law to be omitted. New sections are within
 { +  braces and plus signs + } .
 
LC 532
 
                         House Bill 2160
 
Ordered printed by the Speaker pursuant to House Rule 12.00A (5).
  Presession filed (at the request of Governor Theodore R.
  Kulongoski for Insurance Pool Governing Board)
 
 
                             SUMMARY
 
The following summary is not prepared by the sponsors of the
measure and is not a part of the body thereof subject to
consideration by the Legislative Assembly. It is an editor's
brief statement of the essential features of the measure as
introduced.
 
  Allows Family Health Insurance Assistance Program to provide
subsidy to eligible individual for dental plan when employer
requires employee to enroll in both health benefit plan and
dental plan.
 
                        A BILL FOR AN ACT
Relating to Family Health Insurance Assistance Program; amending
  ORS 735.724.
Be It Enacted by the People of the State of Oregon:
  SECTION 1. ORS 735.724 is amended to read:
  735.724. (1) To enroll in the Family Health Insurance
Assistance Program established in ORS 735.720 to 735.740, an
applicant shall submit a written application to the Insurance
Pool Governing Board or to the third-party administrator
contracted by the board to administer the program pursuant to ORS
735.722 in the form and manner prescribed by the board. Except as
provided in ORS 735.728, if the applicant qualifies as an
eligible individual, the applicant shall either be enrolled in
the program or placed on a waiting list for enrollment.
  (2) After an eligible individual has enrolled in the program,
the individual shall remain eligible for enrollment for the
period of time established by the board.
  (3) After an eligible individual has enrolled in the program,
the board or third-party administrator shall issue subsidies in
an amount determined pursuant to ORS 735.726 to either the
eligible individual or to the health insurance carrier designated
by the eligible individual, subject to the following
restrictions:
  (a) Subsidies may not be issued to an adult unless all
children, if any, in the adult's family are covered under a
health benefit plan or Medicaid.
  (b) Subsidies may not be used to subsidize premiums on a health
benefit plan whose premiums are wholly paid by the eligible
individual's employer without contribution from the employee.
  (c) Such other restrictions as the board may adopt.
  (4) The board may issue subsidies to an eligible individual in
advance of a purchase of a health benefit plan.
  (5) To remain eligible for a subsidy, an eligible individual
must enroll in a group health benefit plan if a plan is available
to the eligible individual through the individual's employment
and the employer makes a monetary contribution toward the cost of
the plan, unless the board implements specific cost or benefit
structure criteria that make enrollment in an individual health
insurance plan more advantageous for the eligible individual.
   { +  (6) Notwithstanding ORS 735.720 (3)(b), if an eligible
individual is enrolled in a group health benefit plan available
to the eligible individual through the individual's employment
and the employer requires enrollment in both a health benefit
plan and a dental plan, the individual is eligible for a subsidy
for both the health benefit plan and the dental plan. + }
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