omip

Regence would have to deduct the cost of reconciling the books for its last-minute request to be paid for claims as old as 2010 to get money from a federal high-risk account that dissolves at the end of the year.

The high-risk pool is charged with operating a state reinsurance program that is intended to spread the risk and soften the blow to insurance companies that have consumers with high medical claims. The $46 per person assessment annually to health insurance policies will be used to reimburse insurers for former OMIP consumers who run up bills of more than $30,000.

April 4, 2013 — The House Health Committee has unanimously passed major reinsurance legislation, designed to offset the spike in premium rates next year when insurers are required to accept thousands of sick people who had previously been denied coverage because of pre-existing conditions such as cancer and heart disease.

February 16, 2012— Health insurers in Oregon may no longer be able to lower the assessments they pay into the high risk pool. Up until now, insurers have been offered a 10 percent reduction if they could show, on average, that they denied coverage less than 20 percent of the time over the previous three years.