Regulatory Alerts2020-01-01 | Bulletin 2020-15Oregon Division of Financial Regulation Bulletin 2020-15: Guidance for Health Benefit Plan External Review Requests
The Oregon Division of Financial Regulation issued Bulletin 2020-15 to formalize operational guidance and clarify obligations for health insurers regarding the external review process for adverse benefit determinations. The document mandates strict adherence to statutory timelines for notifying the division, selecting Independent Review Organizations, and obtaining signed medical record waivers from enrollees. Insurers are required to implement compliant internal policies and procedures by October 1, 2020, with necessary policy form changes effective for plans issued or renewed on or after January 1, 2021.
Share