From: Oregon Department of Consumer and Business Services To: MORTER Michael H * DCBS; PETERSON Mark * DCBS; CRONEN Elizabeth M * DCBS; ISENHART Ellie M * DCBS; [email protected]; THIAS Stacey * DCBS; WALLACE Micheil G * DCBS; [email protected]; [email protected] Subject: Courtesy Copy: Agent Newsletter Date: Thursday, August 31, 2017 3:21:12 PM
This is a courtesy copy of an email bulletin sent by Micheil Wallace.
This bulletin was sent to the following groups of people:
Subscribers of Oregon Health Insurance Marketplace Agents (2042 recipients)
Oregon Health Insurance Marketplace
Agent Newsletter New Oregon Health Insurance Marketplace Administrator appointed We are very pleased to announce the appointment of Chiqui Flowers as the permanent Administrator of the Oregon Health Insurance Marketplace.
Chiqui has been with the Health Insurance Marketplace (both at Cover Oregon and here at DCBS) for over four years, working as a project coordinator and manager, managing the COFA Premium Assistance Program, and as acting administrator. Prior to that she worked for four years doing marketing and events at Medical Teams International, and has a further background in communications. She has degrees in Biology and Business Administration from the University of the Philippines, and a further degree in Communications from Marylhurst.
DCBS director on rotation as acting director of the Oregon Health Authority
Governor Brown has asked DCBS Director Patrick Allen to become the Acting Director of the Oregon Health Authority beginning September 1. During Pat’s rotation, Deputy Director Jean Straight will fill the role of acting DCBS director. Jean has demonstrated significant leadership during her several years at DCBS and, previously, the Oregon Youth Authority, and the Secretary of State’s office.
Special enrollment period verification updates
As you know, new regulations require HealthCare.gov customers seeking Special Enrollment Periods to submit documents confirming their SEP eligibility before they can enroll and start using their Marketplace coverage. A new CMS webinar found here provides very useful details on this process, as well as information on the latest categories of SEPs subject to verification.
As of August 23, 2017, pre-enrollment verification has started for the following SEP types:
Marriage
Gaining or becoming a dependent through adoption, placement for adoption, placement in foster care, or a child support or other court order Medicaid/CHIP denial
Note: HealthCare.gov does not forward enrollment details to the insurance carrier for the plan chosen until the verification documents have been received, reviewed, and approved. HealthCare.gov is calling consumers 15 days prior to the document submission deadline as a warning. Consumers will need to be aware that the deadlines are strict and to submit documents timely to ensure a smooth enrollment.
New Regulatory Guidance for Small Group Health Plan purchases
New regulatory guidance on common law employee requirements for group health plan purchases may cause some small employers to lose eligibility to purchase or renew a group health plan.
Recently, the Division of Financial Regulation (DFR) requested advice from the Department of Justice (DOJ) regarding common law employee requirements for group health plan purchases. This request was in response to concerns raised with DFR that insurers could apply the standard differently.
DOJ’s advice concluded that under both the federal Employee Retirement Income Security Act (ERISA) and the Small Business Health Options Program (SHOP), if an employer purchases a plan with the intent to obtain coverage for the employee under the plan, the plan must have at least one common law employee enrolled as a participant. A participant is considered a common law employee if the employer has the authority to direct and control the manner in which the services are performed by the individual. DFR is bound to follow and apply this advice to insurance participants in the small group market.
More information on this new regulatory guidance can be found here.
Agent/Broker CMS & HealthCare.gov Help Desk information
Agent/Broker Partner Line (Individual Marketplace): 855-788-6275
Hours of operation: Monday-Sunday, 24 hours/day
Types of inquiries handled:
Password resets for consumer HealthCare.gov accounts Special enrollment periods not available on application Eligibility and enrollment issues related to the Individual Marketplace
Agent/Broker Email Help Desk: [email protected]
Hours of operation: Monday-Friday, 8:00AM - 6:00PM ET
Types of inquiries handled:
Policy questions Identity proofing/Experian Issues requiring manual verification Agent/Broker registration completion list issues
Marketplace Service Desk (Phone & Email): 855-267-1515 / [email protected]
Hours of operation: Monday-Friday, 8:00AM - 8:00PM ET
October-November: Saturday-Sunday, 10:00AM - 3:00PM ET
Types of inquiries handled: From: WALLACE Micheil G * DCBS To: VANGRUNSVEN Angela M * DCBS Subject: FW: Courtesy Copy: Agent Newsletter Date: Monday, July 03, 2017 1:29:58 PM
Hi Angela,
We are needing to the get this newsletter included on the website under Agent Resources > Agent newsletters. Medicaid/CHIP denial
Thanks, Note: HealthCare.gov does not forward enrollment details to the insurance carrier for the plan chosen until the verification documents have been received, reviewed, and approved. Micheil HealthCare.gov is calling consumers 15 days prior to the document submission deadline as a warning. Consumers will need to be aware that the deadlines are strict and to submit Micheil Wallacedocuments timely to ensure a smooth enrollment. Agent and Small Business Liaison Oregon HealthNew Insurance Regulatory Marketplace Guidance for Small Group Health Plan purchases 503-315-9112 855-268-3767 New regulatory guidance on common law employee requirements for group health plan [email protected] may cause some small employers to lose eligibility to purchase or renew a group health plan. Like us on facebook at: https://www.facebook.com/ORMarketplace Recently, the Division of Financial Regulation (DFR) requested advice from the Department of Justice (DOJ) regarding common law employee requirements for group health plan purchases. This request was in response to concerns raised with DFR that insurers could apply the standard differently. From: Oregon Department of Consumer and Business Services [mailto:[email protected]] From: Oregon Department of Consumer and Business Services Sent: Thursday, JuneFrom: 29, 2017 3:11Oregon PM Department of Consumer and Business Services To: PETERSON Mark * DCBS; MORTER Michael H * DCBS; [email protected]; THIAS Stacey * DCBS; From: DOJ’sOregonOregonTo: Department adviceDepartment concluded of of Consumer MORTERConsumer that Michaeland and Businessunder Business H * DCBS bothServices Services; GARCIA the federal Victor A Employee* DCBS; [email protected] Retirement Income; THIAS Security Stacey * DCBS; To: WALLACE Micheil G * DCBS; [email protected] Michael H * DCBS;; WALLACE [email protected]; Micheil G * DCBS; [email protected] THIAS Stacey *; ISENHARTDCBS; Ellie M * DCBS To: MORTERPETERSON Michael Mark H* *DCBS [email protected]; ;MORTERGARCIA VictorMichael A H* DCBS* DCBS;;[email protected]; [email protected] Mark * DCBS;; RUSSELLTHIAS; THIAS Stacey Ashley Stacey * DCBSJ * DCBS; ;; WALLACE Micheil G * DCBS [email protected];ActSubject: (ERISA) and ISENHART theCourtesy Small EllieCopy: Business MAgent * DCBS; Newsletter Health [email protected]; Options Program (SHOP), if PETERSONan employer Mark * DCBS; [email protected]@govdelivery.comSubject: Courtesy; PETERSON; WALLACE Copy: Agent Mark Micheil Newsletter * DCBS G * DCBS; RUSSELL; [email protected] Ashley J * DCBS; WALLACE; ISENHARTMicheil G * Ellie DCBS M * DCBS CRONEN Elizabeth M * DCBS Subject: purchasesCourtesyCourtesyDate: Copy: Copy: a Agent planAgent Newsletter withNewsletterFriday,Thursday, the November intent January 04,to 05, obtain2016 2017 9:54:44 3:50:14 coverage AM PM for the employee under the plan, the plan Date:Subject: CourtesymustFriday,Thursday, Copy: haveNovember January Agent at least 04, 05,Newsletter 2016 2017one 9:54:44 3:50:14common AM PM law employee enrolled as a participant. 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HWallace. * DCBS; [email protected] DFR is bound to follow; THIAS and Stacey * DCBS; To: applyThisPETERSON this bulletin Markadvice * DCBS waswas [email protected] ;insurance MORTER sentsent to to Michael the theparticipants following Hfollowing * DCBS; ;[email protected] thegroups groups small Micheil of groupof people:G *people: DCBS market.; THIAS; [email protected] Stacey * DCBS; ; ISENHART Ellie M * DCBS This bulletin [email protected]:help sent in 2017,to the are followingCourtesy encouraged; WALLACE Copy: groups Agent toMicheil apply Newsletter ofG * people: forDCBS assistance; [email protected] through the Marketplace; ISENHART Ellie in M 2018. * DCBS They ThisFrom: bulletin waswas sentsentOregon to to the Departmentthe following following of Consumer groups groups and Businessof of people: people: Services Subject: CourtesyDate: Copy: Agent NewsletterThursday, January 05, 2017 3:50:14 PM To: SubscribersmightWALLACE be surprised Micheilofof OregonOregon G *by DCBS what HealthHealth; MORTER they Insurance InsurancequalifyMichael H for. * DCBSMarketplace, MarketplaceIn 2017,; ISENHART Oregonians Ellie Oregon Agents M * DCBS who Health. (2013; PETERSON received Insurancerecipients) Mark help * DCBS with Marketplace; the Administrative Date: MoreThursday, information January 05, on 2017 this 3:50:14 new PMregulatory guidance can be found here SubscribersSubscribers ofofof OregonOregonOregonRules,[email protected] HealthoforHealthHealth theirOregon Insurancehealth InsuranceInsurance Health insurance; THIASMarketplace, InsuranceMarketplaceMarketplace Stacey paid * on DCBSMarketplace averageOregon Agents;[email protected] $147Health (2013(2061 Agents, a month. Insurancerecipients)recipients) (2109; [email protected] recipients)Marketplace Administrative; CRONEN Elizabeth M * DCBS Rules, or OregonAgent/BrokerThis Health is aInsurance courtesy CMS & Marketplace HealthCare.govcopy of an emailAgents, Help bulletin Desk (2109 information recipients) sent by Micheil Wallace. ThisSubject: is a courtesy copyCourtesy of Copy:an email Agent Newsletter bulletin sent by Micheil Wallace. Date: In theTuesday, small May group 23, 2017 market, 4:38:38 the PM division has issued final decisions for nine companies with Agent/BrokerThisaverage bulletin rate Partner increases was sent Line ranging to (Individual the fromfollowing 3.3 Marketplace) percent groups to 10.1 : of855-788-6275 people: percent. Under the final decisions, This bulletin wasSilver sent Standardto the following Plan premiums groups for ofa 40-year-old people: in Portland would range from $293 to $421 a This is Oregona courtesyHours of copyoperation: of an Monday-Sunday, emailHealth bulletin 24 sent hours/day byInsurance Micheil Wallace. Subscribersmonth. 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ForMore morefor eachcontact/resource information carrierhttp://www.oregonhealthcare.gov/cofa-pap-committee. can on the beinformation foundCOFA at program www.oregonhealthrates.org.is available and, here pleas. e visit Statewidehtml premium. comparison http://healthcare.oregon.gov/Documents/2017-exiting-carriers.xlsxto go,Thursday, we have alreadyJune 29, topped and final the decisions 147,109 totalwill be enrollments released Thursday,during open July enrollment 20. last year. http://www.oregonhealthcare.gov/cofa-pap-committee.html. tables for agesOpen 21, Enrollment 40, and 60 Update will be posted online in August. Open Enrollment Update Oregon Health Insurance Marketplace Strong enrollment numbers continue through the first eight weeks of open enrollment; based statestateseal seal OregonOregonOregon Health Health HealthInsurance Insurance Insurance Marketplace Marketplace Marketplace Strong enrollmentstate seal onnumbers data from continue CMS,Oregon througha total Healthof 1-855-268-3767the 148,978 first Insurance eight Oregonians weeks Marketplace of haveopen enrolledenrollment; thus based far. With almost a month state seal Oregon Health Insurance Marketplace on data from CMS,to a go, total we of1-855-268-3767 have 148,9781-855-268-3767 already1-855-268-3767 Oregonians topped the have 147,109 enrolled total thus enrollments far. With almostduring aopen month enrollment last year. 1-855-268-3767 to go, we have already topped the 147,109 [email protected] enrollments during open enrollment last year.
[email protected] [email protected]@oregon.gov
SUBSCRIBER SERVICES: SUBSCRIBER SERVICES:Manage Preferences | Delete Profile | Help Manage Preferences | Delete Profile | Help SUBSCRIBER SERVICES: ManageSUBSCRIBERPreferences SERVICES: | Delete Profile | Help Manage Preferences This| Delete email Profile was |sentHelp to [email protected] using GovDelivery, on behalf of: Oregon Department of Consumer and Business This email was sent to [email protected] · 350 Winter Street usi NEng GovDelivery,· Salem, OR 97309-0on behalf405 of: · Oregon 503-378-4100 Department of Consumer and Business
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