1. (1) Effective January 1, 2015, each health insurer or health care service contractor offering:

   1. (a) Qualified health plans through the Marketplace shall pay a monthly administrative charge equal to $9.66 times the number of members enrolled through the Marketplace in that month.
   2. (b) Stand alone dental plans through the Marketplace shall pay a monthly administrative charge equal to $0.97 times the number of members enrolled through the Marketplace in that month.

2. (2) Effective January 1, 2016, each health insurer or health care service contractor offering:

   1. (a) Qualified health plans through the Marketplace shall pay a monthly administrative charge equal to $9.66 times the number of members enrolled through the Marketplace in that month
   2. (b) Stand alone dental plans through the Marketplace shall pay a monthly administrative charge equal to $0.97 times the number of members enrolled through the Marketplace in that month.

3. (3) Effective January 1, 2017, each health insurer or health care service contractor offering:

   1. (a) Qualified health plans through the Marketplace shall pay a monthly administrative charge equal to $6.00 times the number of members enrolled through the Marketplace in that month.
   2. (b) Stand alone dental plans through the Marketplace shall pay a monthly administrative charge equal to $0.57 times the number of members enrolled through the Marketplace in that month.

4. (4) Effective January 1, 2018, each health insurer or health care service contractor offering:

   1. (a) Qualified health plans through the Marketplace shall pay a monthly administrative charge equal to $6.00 times the number of members enrolled through the Marketplace in that month.
   2. (b) Stand alone dental plans through the Marketplace shall pay a monthly administrative charge equal to $0.57 times the number of members enrolled through the Marketplace in that month.

5. (5) Effective January 1, 2020, each health insurer or health care service contractor offering:

   1. (a) Qualified health plans through the Marketplace shall pay a monthly administrative charge equal to $5.50 times the number of members enrolled through the Marketplace in that month.
   2. (b) Stand alone dental plans through the Marketplace shall pay a monthly administrative charge equal to $0.36 times the number of members enrolled through the Marketplace in that month.

6. (6) Effective January 1, 2021, each health insurer or health care service contractor offering:

   1. (a) Qualified health plans through the Marketplace shall pay a monthly administrative charge equal to $5.50 times the number of members enrolled through the Marketplace in that month.
   2. (b) Stand alone dental plans through the Marketplace shall pay a monthly administrative charge equal to $0.36 times the number of members enrolled through the Marketplace in that month.

7. (7) Effective January 1, 2022, each health insurer or health care service contractor offering:

   1. (a) Qualified health plans through the Marketplace shall pay a monthly administrative charge equal to $5.50 times the number of members enrolled through the Marketplace in that month.
   2. (b) Stand alone dental plans through the Marketplace shall pay a monthly administrative charge equal to $0.36 times the number of members enrolled through the Marketplace in that month.

8. (8) Effective January 1, 2023, each health insurer or health care service contractor offering:

   1. (a) Qualified health plans through the Marketplace shall pay a monthly administrative charge equal to $5.50 times the number of members enrolled through the Marketplace in that month.
   2. (b) Stand alone dental plans through the Marketplace shall pay a monthly administrative charge equal to $0.36 times the number of members enrolled through the Marketplace in that month.

9. (9) Effective January 1, 2024, each health insurer or health care service contractor offering:

   1. (a) Qualified health plans through the Marketplace shall pay a monthly administrative charge equal to $5.50 times the number of members enrolled through the Marketplace in that month.
   2. (b) Stand alone dental plans through the Marketplace shall pay a monthly administrative charge equal to $0.36 times the number of members enrolled through the Marketplace in that month.

10. (10) Effective January 1, 2025, each health insurer or health care service contractor offering:

    1. (a) Qualified health plans through the Marketplace shall pay a monthly administrative charge equal to $5.50 times the number of members enrolled through the Marketplace in that month.
    2. (b) Stand alone dental plans through the Marketplace shall pay a monthly administrative charge equal to $0.36 times the number of members enrolled through the Marketplace in that month.

11. (11) Effective January 1, 2026, each health insurer or health care service contractor offering:

    1. (a) Qualified health plans through the Marketplace shall pay a monthly administrative charge equal to $6.85 times the number of members enrolled through the Marketplace in that month.
    2. (b) Stand alone dental plans through the Marketplace shall pay a monthly administrative charge equal to $0.45 times the number of members enrolled through the Marketplace in that month.

Statutory/Other Authority

ORS 741.002

Statutes/Other Implemented

ORS 741.105

History

HMP 1-2025, amend filed 09/26/2025, effective 09/26/2025
HMP 1-2024, amend filed 06/03/2024, effective 06/03/2024
HMP 2-2023, amend filed 12/11/2023, effective 12/11/2023
HMP 1-2022, amend filed 08/17/2022, effective 08/17/2022
HMP 1-2021, amend filed 04/12/2021, effective 04/12/2021
HMP 2-2020, amend filed 04/09/2020, effective 04/09/2020
HMP 1-2019, amend filed 04/19/2019, effective 04/19/2019
HMP 1-2017, f. & cert. ef. 4-5-17
HMP 2-2016, f. & cert. ef. 4-12-16
OHIE 4-2015, f. & cert. ef. 11-6-15
OHIE 3-2015, f. & cert. ef. 10-15-15
Reverted to OHIE 2-2014, f. & cert. ef. 4-15-14
OHIE 1-2015(Temp), f. & cert. ef. 3-11-15 thru 9-4-15
OHIE 2-2014, f. & cert. ef. 4-15-14
OHIE 5-2013, f. & cert. ef. 8-19-13
OHIE 3-2013(Temp), f. & cert. ef. 5-28-13 thru 11-22-13
OHIE 1-2013, f. & cert. ef. 3-18-13