State issues emergency order for health insurance companies

Salem – The Oregon Department of Consumer and Business Services issued a new emergency order for health insurance companies during the COVID-19 outbreak.

The order requires health insurance companies to:

  • Provide at least a 60-day grace period to pay any past due premiums
  • Pay claims for any covered services during the first 30 days of the grace period
  • Extend all deadlines for reporting claims and other communications, and provide members with communication options that meet physical distancing standards

“It is encouraging to see the state’s health insurers step up to support both their customers and health care providers during this time,” said Andrew Stolfi, insurance commissioner and DCBS acting director. “Providing grace periods and paying claims will provide peace of mind for Oregonians and help health care providers get paid for these essential services when they need it the most.”

The order enables Oregonians to continue receiving health insurance coverage and have their claims paid. It also ensures health care providers receive payment for the services they are diligently providing their patients as the COVID-19 outbreak continues to disrupt everyone’s daily lives and the state’s ordinary course of business.

The order is in effect through June 3 and can be extended in 30-day increments during the course of the COVID-19 outbreak.

It is important to note, this order does not apply to self-insured plans. The state encourages self-insured plans to follow these same guidelines. These are plans in which an employer assumes the financial risk of providing health care benefits to its employees. Oregonians who have a self-insured plan should check with their employer about their coverage options.

If you have questions about your insurance coverage, contact your insurance provider. If you have questions about a health insurance company or agent or need to file a complaint, call the Division of Financial Regulation’s advocacy team at 888-877-4894 (toll-free) or visit dfr.oregon.gov.

1 Comment

  1. What good is health insurance when we can’t get any health care? The liar healthcare agencies are insisting that despite them explicitly telling us to NOT show up for ANY healthcare at all, that their “ghost town” hospitals and clinics are due to “fear of catching the virus.” That is a total lie! We’re avoiding healthcare for one specific reason: YOU TOLD US TO! You said all in-person visits were canceled forever. You told us all non-emergency procedures and tests would be canceled forever. We were explicitly instructed to not be a “burden” on the system so as to save resources for the “surge” which incidentally NEVER came here. You turned us away in droves and then wonder why the place is empty? Get real. Cease and desist any and all changes made to operations in 2020 and we’ll show back up. Force these restrictions on us, and we’ll just stay gone. Some of us, due to not getting diagnosis or treatment whatsoever, are now permanently gone. Open fully, without restrictions or face a forced closure by the irate citizenry who you’ve hurt and who’ve lost loved ones due to not having access to the basics of healthcare.

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