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Current as of January 01, 2023 | Updated by Findlaw Staff
(1) There is created in the Oregon Health Authority the Oregon Medical Insurance Pool Board. The board shall establish the Oregon Medical Insurance Pool and otherwise carry out the responsibilities of the board under ORS 735.600 to 735.650 and sections 1, 2 and 4, chapter 698, Oregon Laws 2013.
(2)(a) The board shall consist of 12 individuals, 10 of whom shall be appointed by the Director of the Oregon Health Authority. The Director of the Department of Consumer and Business Services or the director's designee and the Director of the Oregon Health Authority or the director's designee shall be members of the board. The chair of the board shall be elected from among the members of the board. The board shall at all times, to the extent possible, include at least:
(A) One representative of a domestic insurance company licensed to transact health insurance;
(B) One representative of a domestic not-for-profit health care service contractor;
(C) One representative of a health maintenance organization;
(D) One representative of reinsurers; and
(E) Four members of the general public:
(i) Who are not associated with the medical profession, a hospital or an insurer; and
(ii) Two of whom represent businesses that purchase health insurance coverage that is subject to the assessments under section 2, chapter 698, Oregon Laws 2013.
(b) A majority of the voting members of the board constitutes a quorum for the transaction of business. An act by a majority of a quorum is an official act of the board.
(3) The Director of the Oregon Health Authority may fill any vacancy on the board by appointment.
(4) The board shall have the specific authority to:
(a) Enter into such contracts as are necessary or proper to carry out the provisions and purposes of ORS 735.600 to 735.650 including the authority to enter into contracts with similar pools of other states for the joint performance of common administrative functions, or with persons or other organizations for the performance of administrative functions;
(b) Recover any assessments for, on behalf of, or against insurers;
(c) Take such legal action as is necessary to avoid the payment of improper claims against the pool or the coverage provided by or through the pool;
(d) Appoint from among insurers appropriate actuarial and other committees as necessary to provide technical assistance in the operation of the pool and the Oregon Reinsurance Program, and for any other function within the authority of the board;
(e) Seek advances to effect the purposes of the pool and the program; and
(f) Establish rules, conditions and procedures for reinsuring risks under ORS 735.600 to 735.650 and the operation of and participation of issuers of reinsurance eligible health benefit plans in the program.
(5) Each member of the board is entitled to compensation and expenses as provided in ORS 292.495.
(6) The Director of the Oregon Health Authority shall adopt rules, as provided under ORS chapter 183, implementing policies recommended by the board for the purpose of carrying out ORS 735.600 to 735.650 and sections 1, 2 and 4, chapter 698, Oregon Laws 2013.
(7) In consultation with the board, the Director of the Oregon Health Authority shall employ such staff and consultants as may be necessary for the purpose of carrying out responsibilities under ORS 735.600 to 735.650 and sections 1, 2 and 4, chapter 698, Oregon Laws 2013.
Cite this article: FindLaw.com - Oregon Revised Statutes Insurance § 735.610 - last updated January 01, 2023 | https://codes.findlaw.com/or/title-56-insurance/or-rev-st-sect-735-610/
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