Section 750.585 – Written provider agreement with providing attorney.
An organization shall not operate or offer a plan in this state unless the organization first enters into a written provider agreement with the providing attorney or attorneys. The following provisions apply to such an agreement: (1) A provider agreement shall not contain any provision that allows the providing attorney to seek payment from a […]
Section 750.595 – Membership agreement.
An organization must provide a membership agreement to each member of a group that is a party to a legal expense plan. Each membership agreement shall contain at least the following: (1) A listing and clear description of the legal services promised or for which expenses are to be reimbursed and a clear explanation of […]
Section 750.605 – Unfair, discriminatory or misleading provisions in agreements prohibited; record of transactions.
(1) No provider agreement or membership agreement may contain provisions that are unfair, discriminatory or misleading, that encourage misrepresentation or misunderstandings of the agreement, that might endanger the solvency of the plan or legal expense organization or that are contrary to law. (2) For the duration of each written membership and provider agreement and for […]
Section 750.615 – Deposit to reimburse members for unearned premiums required.
An organization shall deposit in an account that is maintained separately from operating funds an amount reasonably calculated to reimburse plan members for unearned premiums. The organization shall hold the amount in a fiduciary capacity. Records shall be kept of all deposits and receipts for a period of not less than six years. [1989 c.331 […]
Section 750.625 – Paying providing attorney contingent on claims experience prohibited.
Compensation paid to a providing attorney shall not be contingent on claims experience. This section does not prevent the compensation of a providing attorney from being based on membership fees collected or the number of claims paid or processed, nor does it prevent a providing attorney from sharing in a fund based on services performed. […]
Section 750.311 – Multiple employer welfare arrangements established in another state.
An association or group of employers may provide health benefits in this state through a multiple employer welfare arrangement established in another state if the association or group of employers first obtains a certificate of multiple employer welfare arrangement in this state. Such a multiple employer welfare arrangement is a foreign multiple employer welfare arrangement. […]
Section 750.339 – Liability of excess loss insurer.
An insurer who provides excess loss insurance under ORS 750.309 to a multiple employer welfare arrangement that is offering or providing health benefits in this state without a certificate of multiple employer welfare arrangement or to employers or employees participating in such a multiple employer welfare arrangement shall be liable for any unpaid claims of […]
Section 750.313 – Issuance or refusal of certificate of multiple employer welfare arrangement.
(1) The Director of the Department of Consumer and Business Services shall issue a certificate of multiple employer welfare arrangement to a multiple employer welfare arrangement by and through its board of trustees if, upon completion of the application for the certificate and upon investigation and review of all information acquired by the director, the […]
Section 750.340
[1973 c.97 §6; 1975 c.769 §9; 1989 c.331 §27; renumbered 750.705 in 1989]
Section 750.315 – Maintenance of reserves; actuarial opinion; rules.
(1) For purposes of carrying out a multiple employer welfare arrangement, a trust shall maintain adequate reserves. Reserves must be held in cash or obligations guaranteed by the United States or invested in a registered investment company and invested exclusively in cash or obligations guaranteed by the United States. Reserves must be calculated with proper […]