Or. Admin. R. 111-030-0011 - Bronze Medical Plan Offering
(1) Effective October 1, 2015, a bronze
medical plan option or options will be available for entities to offer
employees who:
(a) Meet the definition of a
full-time employee under the Affordable Care Act (ACA);
(b) Are not employed in a benefit-eligible
position or eligible for benefits under a collective bargaining agreement; and
(c) Do not receive any form of
benefit contribution from the entity.
(2) The bronze medical plan option(s) will be
limited to;
(a) Employee only and employee
plus child(ren) coverage using the tiered rate structure; and
(b) Active employees as described in section
(1) and COBRA participants eligible due to loss of coverage as an active
employee, or dependent of an active employee, as described in section (1).
(3) The bronze medical
plan availability, enrollments and application of criteria set forth in
sections (1) and (2) are subject to ongoing monitoring and review by OEBB to
confirm compliance.
(4) Employees
eligible for coverage on the bronze medical plan option(s) may not be offered
or enroll in any of the following OEBB benefits as an eligible subscriber:
dental, vision, life, AD&D, disability, long term care or any other medical
plan offered through OEBB.
(5)
Employees eligible for coverage on the bronze medical plan option(s) may be
included in an entity's Employee Assistance Program (EAP) if available, and at
the entity's discretion.
(6) Use
of the bronze medical plan option or options for any other purpose or by any
unauthorized employee or employee group is prohibited and misuse of the options
will result in loss of access to the bronze medical plan option(s).
Notes
Stat. Auth.: ORS 243.860 - 243.886
Stats. Implemented: ORS 243.864(1)(a)
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