This proposed rule establishes the form, level of coverage and benefit design requirements for the standard bronze and silver health benefit plans. The requirements ensure that the bronze plan is actuarially equivalent to 60 percent of the full actuarial value of benefits included in Oregon's essential health benefits package adopted by the United States Secretary of Health and Human Services pursuant to 42 U.S.C. 18022(a).
The requirements ensure that the silver plan is actuarially equivalent to 70 percent of the full actuarial value of benefits included in Oregon's essential health benefits package adopted by the United States Secretary of Health and Human Services pursuant to 42 U.S.C. 18022(a) .
After January 1, 2014, as a condition to transacting insurance in Oregon a health insurer must offer a bronze and silver plan inside and outside the Oregon Health Insurance Exchange.