ORS § 731.258 — OR Code / Title 56 / Chapter 731 / Section 731.258
731.258 Enforcement of orders and decisions by Attorney General
Status: in_force

(1) The Attorney General upon request of the Director of the Department of Consumer and Business Services may proceed in the courts of this state or any reciprocal state to enforce an order or decision in any court proceeding or in any administrative proceeding before the director.

(2) As used in this section:

(a) “Reciprocal state” means any state the laws of which contain procedures substantially similar to those specified in this section for the enforcement of decrees or orders in equity issued by courts located in other states, against any insurer incorporated or authorized to do business in such state.

(b) “Foreign decree” means any decree or order in equity of a court located in a reciprocal state, including a court of the United States located therein, against any insurer incorporated or authorized to do business in this state.

(c) “Qualified party” means a state regulatory agency acting in its capacity to enforce the insurance laws of its state.

(3) The Director of the Department of Consumer and Business Services of this state shall determine which states qualify as reciprocal states and shall maintain at all times an up-to-date list of such states.

(4) A copy of any foreign decree authenticated in accordance with the statutes of this state may be filed in the office of the clerk of any circuit court of this state. The clerk, upon verifying with the director that the decree or order qualifies as a foreign decree shall treat the foreign decree in the same manner as a judgment of a circuit court of this state. A foreign decree so filed has the same effect and shall be deemed as a judgment of a circuit court of this state, and is subject to the same procedures, defenses and proceedings for reopening, vacating, or staying as a judgment of a circuit court of this state and may be enforced or satisfied in like manner.

(5) Intentionally left blank —Ed.

(a) At the time of the filing of the foreign decree, the Attorney General shall make and file with the clerk of the court an affidavit setting forth the name and last-known post-office address of the defendant.

(b) Promptly upon the filing of the foreign decree and the affidavit, the clerk shall mail notice of the filing of the foreign decree to the defendant at the address given and to the director of this state and shall make a note of the mailing in the register of the court. In addition, the Attorney General may mail a notice of the filing of the foreign decree to the defendant and to the director of this state and may file proof of mailing with the clerk. Lack of mailing notice of filing by the clerk shall not affect the enforcement proceedings if proof of mailing by the Attorney General has been filed.

(c) No execution or other process for enforcement of a foreign decree filed under subsection (4) of this section shall issue until 30 days after the date the decree is filed.

(6) Intentionally left blank —Ed.

(a) If the defendant shows the circuit court that an appeal from the foreign decree is pending or will be taken, or that a stay of execution has been granted, the court shall stay enforcement of the foreign decree until the appeal is concluded, the time for appeal expires, or the stay of execution expires or is vacated, upon proof that the defendant has furnished the security for the satisfaction of the decree required by the state in which it was rendered.

(b) If the defendant shows the circuit court any ground upon which enforcement of a judgment of any circuit court of this state would be stayed, the court shall stay enforcement of the foreign decree for an appropriate period, upon requiring the same security for satisfaction of the decree which is required in this state for a judgment. [1969 c.336 §5; 2003 c.576 §219]

Source: Section 731.258 — Enforcement of orders and decisions by Attorney General; filing, enforcement and effect of foreign decrees , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 743a.190 — OR Code / Title 56 / Chapter 743a / Section 743a.190
743A.190 Children with pervasive developmental disorder
Status: in_force

(1) A health benefit plan, as defined in ORS 743B.005 (Definitions) , must cover for a child enrolled in the plan who is under 18 years of age and who has been diagnosed with a pervasive developmental disorder all medical services, including rehabilitation services, that are medically necessary and are otherwise covered under the plan.

(2) The coverage required under subsection (1) of this section, including rehabilitation services, may be made subject to other provisions of the health benefit plan that apply to covered services, including but not limited to:

(a) Deductibles, copayments or coinsurance;

(b) Prior authorization or utilization review requirements; or

(c) Treatment limitations regarding the number of visits or the duration of treatment.

(3) As used in this section:

(a) “Medically necessary” means in accordance with the definition of medical necessity that is specified in the policy, certificate or contract for the health benefit plan and that applies uniformly to all covered services under the health benefit plan.

(b) “Pervasive developmental disorder” means a neurological condition that includes autism spectrum disorder, developmental delay, developmental disability or mental retardation.

(c) “Rehabilitation services” means physical therapy, occupational therapy or speech therapy services to restore or improve function.

(4) The provisions of ORS 743A.001 (Automatic repeal of certain statutes on individual and group health insurance) do not apply to this section.

(5) The definition of “pervasive developmental disorder” is not intended to apply to coverage required under ORS 743A.168 (Behavioral health treatment) or section 2, chapter 771, Oregon Laws 2013. [2007 c.872 §2; 2013 c.771 §7]

Note: The amendments to 743A.190 (Children with pervasive developmental disorder) by section 20, chapter 771, Oregon Laws 2013, become operative January 2, 2030. See section 24, chapter 771, Oregon Laws 2013, as amended by section 6, chapter 674, Oregon Laws 2015, and section 2, chapter 650, Oregon Laws 2021. The text that is operative on and after January 2, 2030, is set forth for the user’s convenience.

743A.190 (Children with pervasive developmental disorder) . (1) A health benefit plan, as defined in ORS 743B.005 (Definitions) , must cover for a child enrolled in the plan who is under 18 years of age and who has been diagnosed with a pervasive developmental disorder all medical services, including rehabilitation services, that are medically necessary and are otherwise covered under the plan.

(2) The coverage required under subsection (1) of this section, including rehabilitation services, may be made subject to other provisions of the health benefit plan that apply to covered services, including but not limited to:

(a) Deductibles, copayments or coinsurance;

(b) Prior authorization or utilization review requirements; or

(c) Treatment limitations regarding the number of visits or the duration of treatment.

(3) As used in this section:

(a) “Medically necessary” means in accordance with the definition of medical necessity that is specified in the policy, certificate or contract for the health benefit plan and that applies uniformly to all covered services under the health benefit plan.

(b) “Pervasive developmental disorder” means a neurological condition that includes autism spectrum disorder, developmental delay, developmental disability or mental retardation.

(c) “Rehabilitation services” means physical therapy, occupational therapy or speech therapy services to restore or improve function.

(4) The provisions of ORS 743A.001 (Automatic repeal of certain statutes on individual and group health insurance) do not apply to this section.

(5) The definition of “pervasive developmental disorder” is not intended to apply to coverage required under ORS 743A.168 (Behavioral health treatment) .

Note: 743A.190 (Children with pervasive developmental disorder) was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743A or any series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 743A.190 — Children with pervasive developmental disorder , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743A.­html (accessed May 26, 2025).
ORS § 744.336 — OR Code / Title 56 / Chapter 744 / Section 744.336
744.336 Notification by licensee of material change affecting qualification for license
Status: in_force

A licensee shall immediately notify the Director of the Department of Consumer and Business Services of any material change in ownership or control or in any other matter affecting the qualification of the licensee for the license in this state. [1995 c.342 §9]

Source: Section 744.336 — Notification by licensee of material change affecting qualification for license , https://www.­oregonlegislature.­gov/bills_laws/ors/ors744.­html (accessed May 26, 2025).
ORS § 743a.252 — OR Code / Title 56 / Chapter 743a / Section 743a.252
743A.252 Child abuse assessments
Status: in_force

(1) As used in this section:

(a) “Child abuse assessment” has the meaning given that term in ORS 418.782 (Definitions for ORS 418.746 to 418.796) .

(b) “Children’s advocacy center” has the meaning given that term in ORS 418.782 (Definitions for ORS 418.746 to 418.796) .

(c) “Forensic interview” has the meaning given that term in ORS 418.782 (Definitions for ORS 418.746 to 418.796) .

(d) “Health benefit plan” has the meaning given that term in ORS 743B.005 (Definitions) .

(2) A health benefit plan shall provide payment to or reimburse a children’s advocacy center for the services provided by the center:

(a) In conducting a child abuse assessment of a child enrolled in the plan; and

(b) That are related to the child abuse assessment including, but not limited to:

(A) A forensic interview; and

(B) Mental health treatment.

(3) The payment or reimbursement made in accordance with this section must be proportionate to the scope and intensity of the services provided by the children’s advocacy center.

(4) This section is exempt from ORS 743A.001 (Automatic repeal of certain statutes on individual and group health insurance) . [2015 c.100 §4; 2019 c.141 §28]

Note: 743A.252 (Child abuse assessments) was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743A or any series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 743A.252 — Child abuse assessments , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743A.­html (accessed May 26, 2025).
ORS § 731.834 — OR Code / Title 56 / Chapter 731 / Section 731.834
731.834 Insurance producer’s collection of taxes on wet marine and transportation insurance
Status: in_force

(1) An insurance producer that places wet marine and transportation insurance with a nonadmitted insurer shall collect taxes on the insurance in addition to the gross amount of premiums the insurance producer and other intermediaries charge. If an insurance producer collects taxes under this subsection, the insurance producer shall return directly to the policyholder the taxes that the state credited to the licensee on any portion of the premium that is unearned at the termination of the insurance. The insurance producer may not absorb the taxes or rebate any part of the taxes for any reason.

(2) Each producer of nonadmitted wet marine and transportation insurance shall file with the Director of the Department of Consumer and Business Services, in accordance with the director’s prescription, a verified report of any Oregon home state risk nonadmitted wet marine and transportation insurance the producer transacted during the previous 90 days and shall accompany the report with payment of the tax due on each transaction. The report need not show transacted insurance that the producer filed in an earlier report. The report must show:

(a) Gross amount of premiums or return premium; and

(b) The amount of the tax.

(3) The director may require insurance producers to file the report described in subsection (2) of this section on a form the director specifies or on a form that the Surplus Line Association of Oregon prescribes. If the director specifies that a producer must file the report on a Surplus Line Association of Oregon form, the association shall file the report with the director. The director may also permit electronic filing and may exempt a licensee from the requirement to file for good cause shown.

(4) Notwithstanding subsection (2) of this section, if an insurance producer’s license is terminated or not renewed for any reason, the taxes described in this section are due on the 30th day after the termination or nonrenewal.

(5) The director by rule may establish requirements for filing reports on nonadmitted wet marine and transportation insurance transacted outside this state on Oregon home state risks for the purpose of collecting taxes on insurance that covers Oregon home state risks that is placed outside this state.

(6) The director may collect taxes on 100 percent of the gross amount of premiums on Oregon home state risks for the purposes of carrying out the Nonadmitted and Reinsurance Reform Act of 2010 (P.L. 111-203, Title V, Subtitle B). If the director enters into a compact or otherwise establishes procedures with other states under ORS 735.418 (Director authorized to enter into interstate compact for premium tax allocation) , the director by rule shall establish procedures to facilitate reporting, collecting, paying, allocating and disbursing premium taxes on Oregon home state risks that also include risks that are allocable to other states.

(7) If an insurance producer does not pay within the prescribed time a tax the producer must collect under this section, the director may bring an action against the insurance producer to recover the amount of the unpaid tax. [2019 c.493 §8]

Source: Section 731.834 — Insurance producer’s collection of taxes on wet marine and transportation insurance; report to director; rules , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 743.107 — OR Code / Title 56 / Chapter 743 / Section 743.107
743.107 When director may authorize lower standards
Status: in_force

The Director of the Department of Consumer and Business Services may authorize a lower score than the Flesch reading ease test score required by ORS 743.106 (Reading ease standards for life and health insurance policies) when, in the director’s sole discretion, the director finds that a lower required score:

(1) Will provide a more accurate reflection of the readability of a policy form;

(2) Is warranted by the nature of a particular policy form or type or class of policy forms; or

(3) Is caused by certain policy language drafted to conform to the requirements of any state law, regulation or agency interpretation. [Formerly 743.368]

Source: Section 743.107 — When director may authorize lower standards , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743.­html (accessed May 26, 2025).
ORS § 742.276 — OR Code / Title 56 / Chapter 742 / Section 742.276
742.276 Estimates of cost to rebuild or replace covered property
Status: in_force

An insurer shall provide to an insured every other year at the time the insurer offers to renew a policy of homeowner insurance, as defined in ORS 746.600 (Definitions for ORS 746.600 to 746.690) , an opportunity to obtain a new estimate of the cost necessary to rebuild or replace the covered property if the insured provides information necessary for the estimate. [2021 c.262 §4]

Source: Section 742.276 — Estimates of cost to rebuild or replace covered property , https://www.­oregonlegislature.­gov/bills_laws/ors/ors742.­html (accessed May 26, 2025).
ORS § 748.136 — OR Code / Title 56 / Chapter 748 / Section 748.136
748.136 Officers, governors, directors
Status: in_force

(1) The officers and members of the supreme governing body or any subordinate body of a society shall not be personally liable for any benefits provided by a society.

(2) Any person may be indemnified and reimbursed by any society for expenses reasonably incurred by, and liabilities imposed upon, the person in connection with or arising out of any action, suit or proceeding, whether civil, criminal, administrative or investigative, or threat of any action, suit or proceeding, in which the person may be involved by reason of the fact that the person is or was a director, officer, employee or agent of the society or of any firm, corporation or organization which the person served in any capacity at the request of the society. Except as provided in subsection (3) of this section, a person shall not be indemnified or reimbursed:

(a) In relation to any matter in such action, suit or proceeding as to which the person shall finally be adjudged guilty of breach of a duty as a director, officer, employee or agent of the society; or

(b) In relation to any matter in such action, suit or proceeding, or threat of such action, suit or proceeding, which has been made the subject of a compromise settlement.

(3) A person described in subsection (2) of this section may be indemnified if:

(a) The person acted in good faith for a purpose the person reasonably believed to be in or not opposed to the best interests of the society; and

(b) In a criminal action or proceeding, the person had no reasonable cause to believe that the conduct of the person was unlawful.

(4) The determination whether the conduct of the person met the standard required in order to justify indemnification and reimbursement in relation to any matter described in subsection (2) of this section may be made only by the supreme governing body or board of directors by a majority vote of a quorum consisting of persons who were not parties to the action, suit or proceeding, or by a court of competent jurisdiction. The termination of any action, suit or proceeding by judgment, order, settlement, conviction or upon a plea of no contest, as to the person shall not in itself create a conclusive presumption that the person did not meet the standard of conduct required in order to justify indemnification and reimbursement. The right of indemnification and reimbursement described in this section shall not be exclusive of other rights to which the person may be entitled as a matter of law and shall inure to the benefit of the person’s heirs, executors and administrators.

(5) A society shall have power to purchase and maintain insurance on behalf of any person who is or was a director, officer, employee or agent of the society, or who is or was serving at the request of the society as a director, officer, employee or agent of any other firm, corporation or organization against any liability asserted against the person and incurred by the person in any such capacity or arising out of the person’s status as such, whether or not the society would have the power to indemnify the person against liability under this section. [1987 c.490 §10]

Source: Section 748.136 — Officers, governors, directors; exemption from liability; indemnification; insurance , https://www.­oregonlegislature.­gov/bills_laws/ors/ors748.­html (accessed May 26, 2025).
ORS § 743b.321 — OR Code / Title 56 / Chapter 743b / Section 743b.321
743B.321 Applicability of ORS 743B.320
Status: in_force

ORS 743B.320 (Minimum grace period) applies to multiple employer trusts when an employer ceases to participate therein. [Formerly 743.562]

Source: Section 743B.321 — Applicability of ORS 743B.320 , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743B.­html (accessed May 26, 2025).
ORS § 743a.192 — OR Code / Title 56 / Chapter 743a / Section 743a.192
743A.192 Clinical trials
Status: in_force

(1) A health benefit plan, as defined in ORS 743B.005 (Definitions) :

(a) Shall provide coverage for the routine costs of the care of patients enrolled in and participating in approved clinical trials;

(b) May not exclude, limit or impose additional conditions on the coverage of the routine costs for items and services furnished in connection with participation in an approved clinical trial; and

(c) May not include provisions that discriminate against an individual on the basis of the individual’s participation in an approved clinical trial.

(2) As used in this section, “routine costs”:

(a) Means all medically necessary conventional care, items or services consistent with the coverage provided by the health benefit plan if typically provided to a patient who is not enrolled in a clinical trial.

(b) Does not include:

(A) The drug, device or service being tested in the approved clinical trial unless the drug, device or service would be covered for that indication by the health benefit plan if provided outside of an approved clinical trial;

(B) Items or services required solely for the provision of the drug device or service being tested in the clinical trial;

(C) Items or services required solely for the clinically appropriate monitoring of the drug, device or service being tested in the clinical trial;

(D) Items or services that are provided solely to satisfy data collection and analysis needs and that are not used in the direct clinical management of the patient;

(E) Items or services customarily provided by a clinical trial sponsor free of charge to any participant in the clinical trial; or

(F) Items or services that are not covered by the health benefit plan if provided outside of the clinical trial.

(3) As used in this section, “approved clinical trial” means a clinical trial that is:

(a) Funded by the National Institutes of Health, the Centers for Disease Control and Prevention, the Agency for Healthcare Research and Quality, the Centers for Medicare and Medicaid Services, the United States Department of Defense or the United States Department of Veterans Affairs;

(b) Supported by a center or cooperative group that is funded by the National Institutes of Health, the Centers for Disease Control and Prevention, the Agency for Healthcare Research and Quality, the Centers for Medicare and Medicaid Services, the United States Department of Defense or the United States Department of Veterans Affairs;

(c) Conducted as an investigational new drug application, an investigational device exemption or a biologics license application subject to approval by the United States Food and Drug Administration; or

(d) Exempt by federal law from the requirement to submit an investigational new drug application to the United States Food and Drug Administration.

(4) The coverage required by this section may be subject to provisions of the health benefit plan that apply to other benefits within the same category, including but not limited to copayments, deductibles and coinsurance.

(5) An insurer that provides coverage required by this section is not, based upon that coverage, liable for any adverse effects of the approved clinical trial.

(6) This section is exempt from ORS 743A.001 (Automatic repeal of certain statutes on individual and group health insurance) . [2009 c.274 §2; 2013 c.681 §34]

Source: Section 743A.192 — Clinical trials , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743A.­html (accessed May 26, 2025).
ORS § 734.800 — OR Code / Title 56 / Chapter 734 / Section 734.800
734.800 Oregon Life and Health Insurance Guaranty Association
Status: in_force

(1) There is created a nonprofit legal entity to be known as the Oregon Life and Health Insurance Guaranty Association. All member insurers shall be and remain members of the association as a condition of their authority to transact insurance in this state. The association shall perform its functions under the plan of operation established and approved under ORS 734.820 (Plan of operation) , and shall exercise its powers through a board of directors established under ORS 734.805 (Association board of directors) . For purposes of administration and assessment, the association shall maintain three accounts:

(a) The health insurance account, composed of the following subaccounts:

(A) The disability insurance subaccount;

(B) The long term care insurance subaccount; and

(C) The major medical and all other health insurance subaccount;

(b) The life insurance account; and

(c) The annuity account.

(2) The association shall come under the immediate supervision of the Director of the Department of Consumer and Business Services and shall be subject to the applicable provisions of the insurance laws of this state. [1975 c.251 §7; 2011 c.142 §3]

Source: Section 734.800 — Oregon Life and Health Insurance Guaranty Association; required members; required accounts , https://www.­oregonlegislature.­gov/bills_laws/ors/ors734.­html (accessed May 26, 2025).
ORS § 734.140 — OR Code / Title 56 / Chapter 734 / Section 734.140
734.140 Injunctions
Status: in_force

(1) Upon application by the Director of the Department of Consumer and Business Services for an order to show cause under ORS 734.130 (Commencement of delinquency proceeding) , or at any time thereafter, the court may, without notice, issue an injunction restraining the insurer, its officers, directors, stockholders, members, subscribers, agents, employees and all other persons from the transaction of its business or the waste or disposition of its property until the further order of the court.

(2) The court may, at any time during a proceeding under this chapter, issue such other injunctions or orders to prevent any of the following activities:

(a) The transaction of further business.

(b) The transfer of property.

(c) Interference with the receiver or with a delinquency proceeding.

(d) Waste of the assets of an insurer.

(e) Dissipation and transfer of bank accounts.

(f) The institution or further prosecution of any actions or proceedings.

(g) The obtaining of preferences, judgments, attachments, garnishments or liens against the insurer, its assets or its policyholders.

(h) The levying of execution against the insurer, its assets or its policyholders.

(i) The making of any sale or deed for nonpayment of taxes or assessments that would lessen the value of the assets of the insurer.

(j) The withholding from the receiver of books, accounts, documents or other records relating to the business of the insurer.

(k) Any other threatened or contemplated action that might lessen the value of the assets of the insurer or prejudice the rights of policyholders, creditors or shareholders, or the administration of any delinquency proceeding.

(3) Notwithstanding any other provision of law, no bond shall be required of the director as a prerequisite for the issuance of any injunction or restraining order pursuant to this section. [1967 c.359 §268; 1993 c.447 §92]

Source: Section 734.140 — Injunctions , https://www.­oregonlegislature.­gov/bills_laws/ors/ors734.­html (accessed May 26, 2025).
ORS § 732.556 — OR Code / Title 56 / Chapter 732 / Section 732.556
732.556 Requirement that certain persons provide information to insurers
Status: in_force

Any person within an insurance holding company system subject to registration shall provide complete and accurate information to an insurer when such information is necessary to enable the insurer to comply with the registration requirements of ORS 732.517 (Purpose of ORS 732.517 to 732.546) to 732.596 (Request by insurance holding company system for determination or acknowledgement of group-wide supervisor) . [1993 c.447 §41]

Source: Section 732.556 — Requirement that certain persons provide information to insurers , https://www.­oregonlegislature.­gov/bills_laws/ors/ors732.­html (accessed May 26, 2025).
ORS § 743.015 — OR Code / Title 56 / Chapter 743 / Section 743.015
743.015 Filing and approval of credit life and credit health insurance forms
Status: in_force

(1) All credit life and credit health insurance policies subject to ORS 743.371 (Definitions for credit life and credit health insurance provisions) to 743.380 (Claim report and payment) , and all certificates of insurance, notices of proposed insurance, applications for insurance, indorsements and riders used in connection with such kinds of policies, delivered or issued for delivery in this state and the schedules of premium rates pertaining thereto shall be filed with the Director of the Department of Consumer and Business Services. Such forms are subject to approval, disapproval or withdrawal of approval by the director as provided in ORS 742.003 (Filing and approval of policy forms) , 742.005 (Grounds for disapproval of policy forms) and 742.007 (Director’s withdrawal of approval) .

(2) An insurer may revise the schedules of premium rates from time to time and shall file the revised schedules with the director. An insurer may not issue any credit life or credit health insurance policy for which the premium rate exceeds that determined by the schedules of the insurer as then on file with the director.

(3) If a group policy of credit life or credit health insurance has been or is delivered in another state, the insurer shall file only the group certificate, the individual application and the notice of proposed insurance delivered or issued for delivery in this state as specified in ORS 743.377 (Credit life and credit health insurance policy or group certificate) (2) and (4). The director shall approve the group certificate, the individual application and the notice of proposed insurance if the forms conform with the requirements specified in ORS 743.377 (Credit life and credit health insurance policy or group certificate) (2) and (4) and the schedules of premium rates applicable to the insurance evidenced by the certificate or notice are not in excess of the insurer’s schedules of premium rates filed with the director. [Formerly 739.595; 1969 c.336 §12; 1971 c.231 §20; 2005 c.185 §3]

Source: Section 743.015 — Filing and approval of credit life and credit health insurance forms; filing of rates , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743.­html (accessed May 26, 2025).
ORS § 743.658 — OR Code / Title 56 / Chapter 743 / Section 743.658
743.658 Notice of lapse or termination
Status: in_force

(1) Intentionally left blank —Ed.

(a) An insurer may not issue an individual long term care insurance policy until the insurer receives from an applicant for the policy:

(A) A written designation of the full name and residential address of at least one person, in addition to the applicant, to whom the insurer can send notice of a lapse or termination of the policy because of a failure to pay a premium; or

(B) A written waiver that the applicant has signed and dated and in which the applicant elects not to designate another person to whom an insurer can send the notice described in subparagraph (A) of this paragraph. The waiver must read substantially as follows:

I understand that I have a right to designate at least one other person other than myself to receive notice of lapse or termination of this insurance policy for failing to pay a premium. I understand that the insurer will not send a notice until 30 days after a premium is due and remains unpaid. I elect NOT to designate a person other than myself to receive this notice.

(b) At least once every two years an insurer shall notify a policy owner of the policy owner’s right to change the person the policy owner designates to receive the notice described in paragraph (a)(A) of this subsection.

(c) An applicant’s designation of another person to receive the notice described in paragraph (a)(A) of this subsection does not constitute the other person’s acceptance of a liability for services an insurer provides to an insured under an individual long term care insurance policy.

(d) If a policy owner pays premiums for an individual long term care insurance policy by means of a payroll deduction or a deduction from a pension payment, the requirement to obtain a designation from the policy owner as provided in paragraph (a)(A) of this subsection does not apply until 60 days after the policy owner stops paying premiums through a payroll deduction or a deduction from a pension payment.

(2) In addition to the requirement specified in subsection (1) of this section, an individual long term care insurance policy must provide for reinstating coverage after a lapse if the insurer receives proof that the policy owner was cognitively impaired or had a loss of functional capacity before the expiration of any grace period for premium payments that is set forth in the policy. An insured may request reinstatement under this subsection within five months after the insurance policy lapsed and the insurer may require the insured to pay all past due premiums. For purposes of this subsection, the standard for determining cognitive impairment or a loss of functional capacity may not be more stringent than any criteria set forth in the insurance policy for determining cognitive impairment or a loss of functional capacity for the purposes of showing eligibility for benefits.

(3) A notice that an individual life insurance policy, individual long term care insurance policy or individual disability income policy has lapsed because of a failure to pay a premium is effective only if the insurer:

(a) Sends a written notice at least 30 days before the date of the lapse;

(b) Accompanies the notice with an explanation of the reason for the lapse; and

(c) Sends the notice:

(A) By first class mail, postage prepaid, to the last-known address of the policy owner and designee, if any; or

(B) To the last-known electronic mail address for the policy owner and designee, if any, that is in the insurer’s records, provided that the policy owner and designee consent to receive notices related to the policy owner’s insurance policy electronically.

(4) This section does not apply to an individual life insurance policy, an individual long term care insurance policy or an individual disability income policy that requires a premium payment each month or at more frequent intervals.

(5) The Director of the Department of Consumer and Business Services may adopt rules to implement the requirements of this section. [2015 c.91 §2]

Note: 743.658 (Notice of lapse or termination) was added to and made a part of ORS chapter 743 by legislative action but was not added to any smaller series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 743.658 — Notice of lapse or termination; rules , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743.­html (accessed May 26, 2025).
ORS § 733.050 — OR Code / Title 56 / Chapter 733 / Section 733.050
733.050 Increase of inadequate reserves
Status: in_force

If the Director of the Department of Consumer and Business Services determines that an insurer’s reserves, however calculated or estimated, are inadequate, the director shall require the insurer to maintain reserves in such additional amount as is needed to make them adequate. [1967 c.359 §212]

Source: Section 733.050 — Increase of inadequate reserves , https://www.­oregonlegislature.­gov/bills_laws/ors/ors733.­html (accessed May 26, 2025).
ORS § 743.284 — OR Code / Title 56 / Chapter 743 / Section 743.284
743.284 Computation of benefits
Status: in_force

(1) Any paid-up annuity benefit available under an annuity policy shall be such that its present value on the date annuity payments are to commence is at least equal to the minimum nonforfeiture amount on that date. The present value shall be computed using the mortality table, if any, and the interest rate specified in the policy for determining the minimum paid-up annuity benefits guaranteed in the policy.

(2) For annuity policies that provide cash surrender benefits, the cash surrender benefits available prior to maturity shall not be less than the present value as of the date of surrender of the portion of the policy maturity value of the paid-up annuity benefit that would be provided under the policy at maturity arising from considerations paid prior to the time of cash surrender, reduced by appropriate amounts reflecting any previous withdrawals from or partial surrenders of the policy. The present value shall be calculated using an interest rate not more than one percent higher than the interest rate specified in the policy for accumulating the net considerations to determine maturity value, shall be decreased by the amount of any indebtedness to the insurer on the policy, including interest due and accrued, and shall be increased by any existing additional amounts credited by the insurer to the policy. In no event shall the cash surrender benefit be less than the minimum nonforfeiture amount on the date of surrender. The death benefit under an annuity policy that provides cash surrender benefits shall be at least equal to the cash surrender benefit.

(3) For annuity policies that do not provide cash surrender benefits, the present value of the paid-up annuity benefit available as a nonforfeiture option at any time prior to maturity may not be less than the present value of the portion of the maturity value of the paid-up annuity benefits provided under the policy arising from considerations paid before the policy is surrendered in exchange for, or changed to, a deferred paid-up annuity. The present value shall be calculated for the period prior to the maturity date on the basis of the interest rate specified in the policy for accumulating the net considerations to determine the value, and shall be increased by any additional amounts credited by the insurer to the policy. For annuity policies that do not provide any death benefits before annuity payments start, present values shall be calculated on the basis of such interest rate and the mortality table specified in the policy for determining the maturity value of paid-up annuity benefit. In no event, however, shall the present value of a paid-up annuity benefit be less than the minimum nonforfeiture amount at that time. [1977 c.320 §5; 2003 c.370 §5]

Source: Section 743.284 — Computation of benefits , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743.­html (accessed May 26, 2025).
ORS § 746.280 — OR Code / Title 56 / Chapter 746 / Section 746.280
746.280 Designation of particular motor vehicle repair shop by insurer prohibited
Status: in_force

(1) An insurer may not require that a particular person make the repairs to the insured’s motor vehicle as a condition for recovery by the insured under a motor vehicle liability insurance policy.

(2) Prior to providing a recommendation that a particular person make repairs to the insured’s motor vehicle, the person adjusting the claim on behalf of the insurer shall inform the insured of the rights conferred by subsection (1) of this section by communicating in a statement substantially similar to the following:

OREGON LAW PROHIBITS US FROM REQUIRING YOU TO GET REPAIRS TO YOUR VEHICLE AT A PARTICULAR MOTOR VEHICLE REPAIR SHOP. YOU HAVE THE RIGHT TO SELECT THE MOTOR VEHICLE REPAIR SHOP OF YOUR CHOICE.

(3) If an insured elects to have the motor vehicle repaired at a motor vehicle repair shop other than a shop recommended by the insurer, the insurer may not limit the cost of repairs necessary to return the motor vehicle to a preloss condition relative to safety, function and appearance other than as stated in the policy or as otherwise allowed by law.

(4) If an insured accepts the insurer’s recommendation, the insurer shall provide, electronically or in printed form, a statement to the insured within three business days after the date of acceptance in substantially the following form:

WE HAVE RECOMMENDED A MOTOR VEHICLE REPAIR SHOP. IF YOU AGREE TO USE OUR RECOMMENDED REPAIR SHOP, YOUR VEHICLE WILL RECEIVE REPAIRS RETURNING IT TO A PRELOSS CONDITION RELATIVE TO SAFETY, FUNCTION AND APPEARANCE AT NO ADDITIONAL COST TO YOU OTHER THAN AS STATED IN THE INSURANCE POLICY OR AS OTHERWISE ALLOWED BY LAW.

[1977 c.785 §2; 2007 c.506 §1]

Note: See note under 746.275 (Definitions for ORS 746.275 to 746.300) .

Source: Section 746.280 — Designation of particular motor vehicle repair shop by insurer prohibited; notice; limitation of costs , https://www.­oregonlegislature.­gov/bills_laws/ors/ors746.­html (accessed May 26, 2025).
ORS § 742.460 — OR Code / Title 56 / Chapter 742 / Section 742.460
742.460 Insurer’s right to provide for reimbursement and proration
Status: in_force

Any motor vehicle liability insurance policy may provide that the insured shall reimburse the insurer for any payment the insurer would not have been obligated to make under the terms of the policy except for the provisions of ORS 742.450 (Contents of motor vehicle liability policy) to 742.464 (Excess coverage permitted) , 806.080 (Insurance) and 806.270 (Certificate of insurance) and it may further provide for the prorating of the insurance thereunder with other valid and collectible insurance. [Formerly 486.561 and then 743.782; 1995 c.79 §363]

Source: Section 742.460 — Insurer’s right to provide for reimbursement and proration , https://www.­oregonlegislature.­gov/bills_laws/ors/ors742.­html (accessed May 26, 2025).
ORS § 733.322 — OR Code / Title 56 / Chapter 733 / Section 733.322
733.322 Calculation of reserves for plans for which minimum reserves cannot be determined under ORS 733.312, 733.314 or 733.320
Status: in_force

(1) For any plan of life insurance that provides for future premium determination, the amounts of which are to be determined by the insurer based on then estimates of future experience, or in the case of any plan of life insurance or annuity that is of such a nature that the minimum reserves cannot be determined by the methods described in ORS 733.312 (Amount of required reserves for life insurance policies) , 733.314 (Amount of required reserves for certain annuity and pure endowment contracts) and 733.320 (Minimum required reserve for certain policies) , the reserves held under any such plan must:

(a) Be appropriate in relation to the benefits and the pattern of premiums for that plan; and

(b) Be computed by a method that is consistent with the principles of ORS 733.300 (Short title) to 733.340 (Exemptions) and sections 14 to 17, chapter 547, Oregon Laws 2015, as determined by rules adopted by the Director of the Department of Consumer and Business Services.

(2) Any policy, contract or certificate providing life insurance under a plan referred to in subsection (1) of this section must be reviewed and specifically approved by the director before it can be marketed, issued, delivered or used in this state. [1991 c.401 §28]

Source: Section 733.322 — Calculation of reserves for plans for which minimum reserves cannot be determined under ORS 733.312, 733.314 or 733.320; rules , https://www.­oregonlegislature.­gov/bills_laws/ors/ors733.­html (accessed May 26, 2025).
ORS § 731.642 — OR Code / Title 56 / Chapter 731 / Section 731.642
731.642 Contracts for security deposits
Status: in_force

The Director of the Department of Consumer and Business Services, in performing duties under ORS 731.604 (Acceptance of deposits of insurers) to 731.652 (Proofs for release of deposit to insurers) and after consultation with the State Treasurer, may enter into contracts with banks qualified to act as trust companies and as depositories of state funds to hold and service securities deposited by insurers with the Department of Consumer and Business Services. The insurers whose securities are held and serviced by the banks shall pay for the cost of such contracts. [1969 c.143 §2; 1999 c.196 §7; 2001 c.104 §288]

Source: Section 731.642 — Contracts for security deposits , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 746.213 — OR Code / Title 56 / Chapter 746 / Section 746.213
746.213 Definitions for ORS 746.213 to 746.219
Status: in_force

As used in ORS 746.213 (Definitions for ORS 746.213 to 746.219) to 746.219 (Investigatory powers) :

(1) “Affiliate” means any company that controls, is controlled by or is under common control with another company.

(2) “Customer” means an individual who purchases, applies to purchase or is solicited to purchase insurance products primarily for personal, family or household purposes.

(3) “Depository institution” means a financial institution as that term is defined in ORS 706.008 (Additional definitions for Bank Act) . [2003 c.363 §2]

Note: 746.213 (Definitions for ORS 746.213 to 746.219) to 746.219 (Investigatory powers) were added to and made a part of the Insurance Code by legislative action but were not added to ORS chapter 746 or any series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 746.213 — Definitions for ORS 746.213 to 746.219 , https://www.­oregonlegislature.­gov/bills_laws/ors/ors746.­html (accessed May 26, 2025).
ORS § 742.036 — OR Code / Title 56 / Chapter 742 / Section 742.036
742.036 Assessment policies, special contents
Status: in_force

Every policy issued on the assessment plan, and the form of any application for such a policy to be signed by the applicant, shall have conspicuously printed near the top of the face thereof in boldfaced type of a size not smaller than used for any caption in the policy or application, as applicable, the words “The policyholder is subject to assessment by the company” or such other words as the Director of the Department of Consumer and Business Services may require. [Formerly 743.066]

Source: Section 742.036 — Assessment policies, special contents , https://www.­oregonlegislature.­gov/bills_laws/ors/ors742.­html (accessed May 26, 2025).
ORS § 731.438 — OR Code / Title 56 / Chapter 731 / Section 731.438
731.438 Title plant requirement for title insurers
Status: in_force

(1) A title insurer, in order to receive and maintain a certificate of authority, shall own and maintain at all times a title plant covering a period of at least the immediately preceding 50 years except years before 1960 and consisting of a general index, adequate maps and currently posted tract or geographic indexes for all the lands in the county in which title insurance policies or other title services are to be issued or provided. Either directly or through its insurance producer, a title insurer also shall own and maintain for each additional county in which it shall be authorized to transact a title insurance business a comparable title plant or obtain from a person having a comparable title plant for such additional county or counties title insurance showing the status of the title.

(2) The means by which tract or geographic indexes may be currently posted for purposes of subsection (1) of this section include but are not limited to maintenance of the information on ledger sheets, separate cards or sheets of film, whether bound in books or contained in envelopes or storage files, or maintenance of the information on punch cards, computer tape, disc or similar machine compatible form. All title services by a title insurer must be provided in this state. The information upon which the title services are based must be maintained and must be capable of reproduction in this state at all times.

(3) Every title insurance transaction by a title insurer or insurance producer involving the status of title of an Oregon title risk shall be based on one or more title plants which:

(a) Cover the location of the risk;

(b) Meet the requirements of this section; and

(c) Are owned and maintained by one or more title insurers or insurance producers as provided in subsections (4), (5) and (6) of this section.

(4) For any county with a population of 500,000 or more, or any county with a population of 200,000 or more that is contiguous to a county with a population of 500,000 or more, ownership and maintenance of a title plant shall be as provided in this subsection:

(a) The title plant referred to in subsection (1) of this section may be owned and maintained on an exclusive basis or on a joint basis as provided in paragraph (b) of this subsection.

(b) A title plant is owned and maintained on a joint basis under this subsection if two or more persons own and maintain a portion of the title plant as joint venturers, partners, shareholders or participants in another form of joint, several or common property ownership recognized under the laws of this state. If ownership of a title plant is held by fewer than four title insurers or insurance producers, each share of ownership shall be at least 25 percent. If ownership of a title plant is held by four or more insurers or insurance producers, all shares shall be equal.

(5) A title insurer authorized to transact title insurance in this state and every insurance producer of such an authorized title insurer shall own and maintain a title plant.

(6) In any county not described in subsection (4) of this section, a title insurer or its insurance producers transacting title insurance business shall solely own a title plant for that county in conformance with subsections (1) and (2) of this section and shall maintain a title plant for that county on an exclusive basis or a joint basis in conformance with subsections (1) and (2) of this section. A title plant for a county is maintained on a joint basis under this subsection if a title insurer or insurance producer obtains current posting information for its tract or geographic indexes from one or more other title insurers or insurance producers or from a provider that is wholly owned in equal shares by the title insurers or insurance producers utilizing the provider’s services. [Formerly 748.084; 1983 c.322 §1; 1999 c.183 §1; 2003 c.364 §71]

Source: Section 731.438 — Title plant requirement for title insurers; posting of indexes; plant ownership and maintenance , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 731.114 — OR Code / Title 56 / Chapter 731 / Section 731.114
731.114 “Limited benefit coverage.”
Status: in_force

“Limited benefit coverage” means:

(1) Health insurance that provides:

(a) Coverage for accident only, specific disease or condition only, credit or disability income;

(b) Dental only coverage; or

(c) Vision only coverage; and

(2) Independent, noncoordinated, hospital-only indemnity insurance or other fixed indemnity insurance. [2016 c.11 §2]

Note: 731.114 (“Limited benefit coverage.”) was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 731 or any series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 731.114 — “Limited benefit coverage.” , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 733.334 — OR Code / Title 56 / Chapter 733 / Section 733.334
733.334 Data submission in accordance with valuation manual
Status: in_force

An insurer shall submit mortality, morbidity, policyholder behavior or expense experience and other data to the appropriate entity as prescribed in the valuation manual. As used in this section, “policyholder behavior” means any action that a policyholder, a contract holder or any other person with the right to elect options, such as a certificate holder, may take under a policy or contract that is subject to ORS 733.300 (Short title) to 733.340 (Exemptions) and sections 14 to 17, chapter 547, Oregon Laws 2015, including but not limited to lapse, withdrawal, transfer, deposit, premium payment, loan, annuitization or benefit elections that the policy or contract prescribes but excluding events of mortality or morbidity that result in benefits the essential aspects of which the terms of the policy or contract prescribe. [2015 c.547 §18]

Source: Section 733.334 — Data submission in accordance with valuation manual , https://www.­oregonlegislature.­gov/bills_laws/ors/ors733.­html (accessed May 26, 2025).
ORS § 732.662 — OR Code / Title 56 / Chapter 732 / Section 732.662
732.662 Own risk and solvency summary report
Status: in_force

(1) At the request of the Director of the Department of Consumer and Business Services, and not more than once each year, an insurer shall submit to the director an own risk and solvency assessment summary report, or any combination of reports that together contain the information described in the Own Risk and Solvency Assessment Guidance Manual, for the insurer or the insurance group of which the insurer is a member. If the insurer is a member of an insurance group and the director is the lead state director for the insurance group, the insurer shall submit the own risk and solvency assessment summary report or combination of reports without waiting for a request from the director.

(2) The insurer’s or insurance group’s chief risk officer, or another executive who has responsibility for overseeing the insurer’s or insurance group’s enterprise risk management process, shall attest in a signed statement in the own risk and solvency assessment summary report that to the best of the officer’s or executive’s belief and knowledge the insurer applies the enterprise risk management process described in the insurer’s own risk and solvency assessment summary report and that a copy of the report has been provided to the insurer’s board of directors or an appropriate committee of the board of directors.

(3) An insurer may comply with subsection (1) of this section by providing the most recent and substantially similar report that the insurer or another member of an insurance group of which the insurer is a member provided to the director of another state or to a supervisor or regulator of a foreign jurisdiction, if the report provides information that is comparable to the information described in the Own Risk and Solvency Assessment Guidance Manual. An insurer that submits a report that is written in a language other than English must accompany the report with a translation of the report into the English language.

(4) An insurer that must submit a report under this section shall submit the report in accordance with a schedule the director establishes, unless the director for good cause shown extends the time for submitting the report. [2015 c.547 §6]

Note: See note under 732.650 (Definitions) .

Source: Section 732.662 — Own risk and solvency summary report; attestation , https://www.­oregonlegislature.­gov/bills_laws/ors/ors732.­html (accessed May 26, 2025).
ORS § 743.342 — OR Code / Title 56 / Chapter 743 / Section 743.342
743.342 Statement furnished to insured under credit life insurance policy
Status: in_force

A group credit life insurance policy shall contain a provision that the insurer will furnish to the policyholder for delivery to each debtor insured under the policy a form which will contain a statement that the life of the debtor is insured under the policy and that any death benefit paid thereunder by reason of death shall be applied to reduce or extinguish the indebtedness. [1967 c.359 §425]

Source: Section 743.342 — Statement furnished to insured under credit life insurance policy , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743.­html (accessed May 26, 2025).
ORS § 744.728 — OR Code / Title 56 / Chapter 744 / Section 744.728
744.728 Advertising
Status: in_force

A third party administrator may use only such advertising pertaining to the business underwritten by an insurer that the insurer has approved in advance of its use. [1991 c.812 §16]

Source: Section 744.728 — Advertising , https://www.­oregonlegislature.­gov/bills_laws/ors/ors744.­html (accessed May 26, 2025).
ORS § 733.328 — OR Code / Title 56 / Chapter 733 / Section 733.328
733.328 Annual valuation of reserve liabilities
Status: in_force

(1) The Director of the Department of Consumer and Business Services each year shall value, or cause to be valued, the reserve liabilities for all outstanding accident and health contracts, annuity and pure endowment contracts, deposit-type contracts and life insurance contracts that every insurer issues on or after the operative date of the valuation manual.

(2) In lieu of valuing or causing a valuation of the reserves required of any foreign or alien insurer, the director may accept any valuation that the insurance supervisory official of any state or other jurisdiction makes or causes to be made if the valuation complies with the minimum standard under the Standard Valuation Law.

(3) The provisions set forth in sections 15 to 17, chapter 547, Oregon Laws 2015, apply to all policies and contracts that insurers issue on or after the operative date of the valuation manual. [2015 c.547 §12]

Source: Section 733.328 — Annual valuation of reserve liabilities , https://www.­oregonlegislature.­gov/bills_laws/ors/ors733.­html (accessed May 26, 2025).
ORS § 732.567 — OR Code / Title 56 / Chapter 732 / Section 732.567
732.567 Presumption of control
Status: in_force

The Director of the Department of Consumer and Business Services shall presume that a person controls another person if the person, directly or indirectly, owns, controls, holds with the power to vote, or holds proxies representing, 10 percent or more of the voting securities of the other person. A person may rebut this presumption with a showing in the manner provided under ORS 732.568 (Disclaimer of affiliation) that control does not exist in fact. The director may determine, after giving persons that have an interest in the director’s determination notice and opportunity to be heard and after making specific findings of fact to support the determination, that control exists in fact, notwithstanding the absence of a presumption that control exists in fact. [2013 c.370 §12]

Source: Section 732.567 — Presumption of control; rebuttal; hearing , https://www.­oregonlegislature.­gov/bills_laws/ors/ors732.­html (accessed May 26, 2025).
ORS § 744.712 — OR Code / Title 56 / Chapter 744 / Section 744.712
744.712 Expiration and renewal of license
Status: in_force

(1) A license of a third party administrator expires on its expiration date unless it is renewed on or before its expiration date.

(2) Unless the Director of the Department of Consumer and Business Services designates another date, a license expires on the last day of the month in which the second anniversary of the initial issuance date of the license occurs, and on the second anniversary following each renewal.

(3) The director by rule may establish requirements for renewing licenses of third party administrators. [1991 c.812 §8]

Source: Section 744.712 — Expiration and renewal of license; rules for renewal , https://www.­oregonlegislature.­gov/bills_laws/ors/ors744.­html (accessed May 26, 2025).
ORS § 746.330 — OR Code / Title 56 / Chapter 746 / Section 746.330
746.330 Judgment by default after service of process under ORS 746.320
Status: in_force

Until the expiration of 30 days from the date of filing an affidavit of compliance under ORS 746.320 (Service of process equivalent to personal service on unauthorized foreign or alien insurer) , no plaintiff or complainant shall be entitled to a judgment by default in any action in which service of process is made in the manner provided in such section. [Formerly 736.254]

Source: Section 746.330 — Judgment by default after service of process under ORS 746.320 , https://www.­oregonlegislature.­gov/bills_laws/ors/ors746.­html (accessed May 26, 2025).
ORS § 732.225 — OR Code / Title 56 / Chapter 732 / Section 732.225
732.225 Impairment of required capitalization prohibited
Status: in_force

No domestic insurer shall reduce its combined capital and surplus by partial distribution of its assets, by payment in the form of a dividend to stockholders or otherwise, below:

(1) Its required capitalization; or

(2) A greater amount which the Director of the Department of Consumer and Business Services, by rule or by order after hearing upon the motion of the director or the petition of any interested person, finds necessary to avoid injury or prejudice to the interest of policyholders or creditors. [1967 c.359 §168]

Source: Section 732.225 — Impairment of required capitalization prohibited; rules , https://www.­oregonlegislature.­gov/bills_laws/ors/ors732.­html (accessed May 26, 2025).
ORS § 750.715 — OR Code / Title 56 / Chapter 750 / Section 750.715
750.715 Rules
Status: in_force

The Director of the Department of Consumer and Business Services may make rules in order to carry out ORS 750.505 (Definitions for ORS 750.505 to 750.715) to 750.715 (Rules) . [1989 c.331 §21]

Source: Section 750.715 — Rules , https://www.­oregonlegislature.­gov/bills_laws/ors/ors750.­html (accessed May 26, 2025).
ORS § 737.215 — OR Code / Title 56 / Chapter 737 / Section 737.215
737.215 Effect of noncompliance with rating regulation
Status: in_force

If the Director of the Department of Consumer and Business Services has reason to believe that noncompliance by an insurer with the requirements and standards of this chapter to be willful, or if within the period prescribed by the director in the notice required by ORS 737.336 (Disapproval of filings by director) , the insurer, rating or advisory organization does not make such changes as may be necessary to correct the noncompliance specified by the director or establish to the satisfaction of the director that such specified noncompliance does not exist, then the director may hold a hearing in connection therewith, provided that within a reasonable period of time which shall be not less than 10 days before the date of such hearing, the director shall mail written notice to the insurer, rating or advisory organization involved specifying the matters to be considered at such hearing. [1969 c.690 §8]

Source: Section 737.215 — Effect of noncompliance with rating regulation , https://www.­oregonlegislature.­gov/bills_laws/ors/ors737.­html (accessed May 26, 2025).
ORS § 732.628 — OR Code / Title 56 / Chapter 732 / Section 732.628
732.628 Limitations on ownership of shares in companies resulting from conversion, reorganization or restructuring
Status: in_force

(1) For a period of three years following the effective date of a conversion, reorganization or restructuring, unless authorized by the Director of the Department of Consumer and Business Services, the directors, officers and employees of the converted stock insurer, any stock holding company, any mutual holding company or any subsidiary of a stock holding company or mutual holding company collectively shall not own, whether directly or indirectly, more than 25 percent of all outstanding shares issued by the converted stock insurer, any stock holding company or any subsidiary of a stock holding company or mutual holding company.

(2) Except as otherwise provided in ORS 732.600 (Definitions for ORS 732.600 to 732.630) to 732.630 (Dissenters’ rights) , neither a person nor a group of persons acting in concert may acquire, through public offering, exchange or subscription rights or otherwise, more than five percent of the shares of capital stock of the converted stock insurer, any stock holding company or any subsidiary of a stock holding company or mutual holding company for a period of five years from the effective date of the conversion, reorganization or restructuring except with the approval of the director.

(3) If the plan so provides and not otherwise, directors and officers of the converting mutual insurer, the converted stock insurer, any stock holding company or any subsidiary of a stock holding company or mutual holding company may, within the six-month period following the effective date of the conversion, reorganization or restructuring, purchase or acquire shares of capital stock or other securities of an issuer offered pursuant to the plan. [1997 c.771 §14]

Source: Section 732.628 — Limitations on ownership of shares in companies resulting from conversion, reorganization or restructuring , https://www.­oregonlegislature.­gov/bills_laws/ors/ors732.­html (accessed May 26, 2025).
ORS § 731.365 — OR Code / Title 56 / Chapter 731 / Section 731.365
731.365 Effect of transfer of domicile by domestic or foreign insurer
Status: in_force

(1) The certificate of authority, insurance producer appointments and licenses, rates and other items allowed by the Director of the Department of Consumer and Business Services pursuant to the discretion of the director that are in existence at the time an authorized insurer transfers its domicile to this or any other state as provided in ORS 731.363 (Authorized foreign insurer becoming domestic insurer) or 731.367 (Transfer of domicile by unincorporated authorized foreign insurer) or by merger, consolidation or any other lawful method shall continue in full force and effect upon the transfer if the insurer remains authorized to transact insurance in this state.

(2) All outstanding policies of a transferring insurer shall remain in full force and effect and need not be indorsed as to the new name of the insurer or its new location unless so ordered by the director. A transferring insurer shall file new policy forms with the director on or before the effective date of the transfer but may use existing policy forms with appropriate indorsements if allowed by the director, according to any conditions established by the director.

(3) Each transferring insurer shall notify the director of the details of the proposed transfer and shall file promptly any resulting amendments to corporate or other organizational documents filed or required to be filed with the director.

(4) This section applies to a domestic insurer that transfers its domicile to another state and to an authorized foreign insurer that transfers its domicile either to this state or to another state. [1995 c.639 §11; 1997 c.771 §25; 2003 c.364 §68]

Source: Section 731.365 — Effect of transfer of domicile by domestic or foreign insurer; notice to director by transferring insurer , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 732.115 — OR Code / Title 56 / Chapter 732 / Section 732.115
732.115 Approval of articles, documents and bond, letter of credit or deposit
Status: in_force

(1) If the Director of the Department of Consumer and Business Services finds that the articles of incorporation and the bond, letter of credit or securities filed with the director conform to law and the sureties on any bond are acceptable, the director shall, when all fees established by the director have been paid:

(a) Indorse on each of such duplicate originals of the articles the word “filed,” and the month, day and year of the filing thereof.

(b) File one of such duplicate originals in the director’s office.

(c) Issue a certificate of incorporation to which the director shall affix the other duplicate original.

(d) Return to the incorporators or their representative the certificate of incorporation with the duplicate original.

(2) Upon the issuance of the certificate of incorporation, the insurer’s corporate existence shall begin and the insurer shall have all authority and power, subject to the limitations prescribed in the Insurance Code, as may be necessary and proper to complete its organization, obtain its initial capital and otherwise complete the requirements to qualify for a certificate of authority to transact the class or classes of insurance proposed in its articles of incorporation. In the case of an insurer without capital stock, the authority and power shall include the solicitation of applications for insurance and receipt in advance of premium payments for any insurance for which the proposed form of application, policies, literature and advertisements pertaining thereto have been filed with and approved by the director. An insurer shall not otherwise transact any business or incur any indebtedness until its certificate of authority to transact insurance has been granted.

(3) The issuance of the certificate of incorporation shall be conclusive evidence that all conditions precedent required to be performed by the incorporators have been complied with and that the insurer has been incorporated under the laws of this state, except as against this state in a proceeding to cancel or revoke the certification of incorporation or any certificate of authority to transact insurance or for involuntary dissolution of the insurer. [1967 c.359 §157; 1989 c.413 §8; 1991 c.331 §128]

Source: Section 732.115 — Approval of articles, documents and bond, letter of credit or deposit; certificate of incorporation , https://www.­oregonlegislature.­gov/bills_laws/ors/ors732.­html (accessed May 26, 2025).
ORS § 743.435 — OR Code / Title 56 / Chapter 743 / Section 743.435
743.435 Payment of claims
Status: in_force

(1) A health insurance policy shall contain a provision as follows: “PAYMENT OF CLAIMS: Indemnity for loss of life will be payable in accordance with the beneficiary designation and the provisions respecting such payment which may be prescribed herein and effective at the time of payment. If no such designation or provision is then effective, such indemnity shall be payable to the estate of the insured. Any other accrued indemnities unpaid at the insured’s death may, at the option of the insurer, be paid either to such beneficiary or to such estate. All other indemnities will be payable to the insured.”

(2) The following provisions, or either of them, may be included with the provision set forth in subsection (1) of this section at the option of the insurer:

(a) “If any indemnity of this policy shall be payable to the estate of the insured, or to an insured or beneficiary who is a minor or otherwise not competent to give a valid release, the insurer may pay such indemnity, up to an amount not exceeding $___ (insert an amount which shall not exceed $1,000), to any relative by blood or connection by marriage of the insured or beneficiary who is deemed by the insurer to be equitably entitled thereto. Any payment made by the insurer in good faith pursuant to this provision shall fully discharge the insurer to the extent of such payment.”

(b) “Subject to any written direction of the insured in the application or otherwise all or a portion of any indemnities provided by this policy on account of hospital, nursing, medical or surgical services may, at the insurer’s option and unless the insured requests otherwise in writing not later than the time of filing proofs of such loss, be paid directly to the hospital or person rendering such services; but it is not required that the service be rendered by a particular hospital or person.” [1967 c.359 §437]

Source: Section 743.435 — Payment of claims , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743.­html (accessed May 26, 2025).
ORS § 732.584 — OR Code / Title 56 / Chapter 732 / Section 732.584
732.584 Examinations
Status: in_force

(1) Intentionally left blank —Ed.

(a) In addition to other powers that the Director of the Department of Consumer and Business Services has under the Insurance Code to examine and investigate insurers, the director may also order any insurer registered under ORS 732.517 (Purpose of ORS 732.517 to 732.546) to 732.596 (Request by insurance holding company system for determination or acknowledgement of group-wide supervisor) to produce books, records, accounts, papers, documents and computer and other recordings the insurer or the insurer’s affiliates have that are necessary for the director to ascertain the insurer’s financial condition or to determine the insurer’s compliance with the Insurance Code. If the insurer fails to comply with the director’s order, the director may examine the affiliates to obtain the information the director requires.

(b) In examining the insurer’s financial condition, the director may determine the extent to which the person that controls the insurer, the insurance holding company system or an entity within the insurance holding company system may cause enterprise risk to the insurer.

(c) In determining compliance with the Insurance Code, the director may order an insurer that is registered under ORS 732.517 (Purpose of ORS 732.517 to 732.546) to 732.596 (Request by insurance holding company system for determination or acknowledgement of group-wide supervisor) to produce information the insurer does not possess but to which the insurer might have access by reason of a contractual relationship or a statutory obligation or by other means. If the insurer cannot obtain the information the director requires, the insurer shall provide the director with a detailed explanation of the reason the insurer cannot obtain the information and shall identify the person that possesses the information. If the director finds that the insurer’s explanation is without merit, the director may impose a civil penalty on the insurer under ORS 731.988 (Civil penalties) or may suspend or revoke the insurer’s certificate of authority.

(2) ORS 731.302 (Appointment of examiners) (2) applies to an examination the director conducts under subsection (1) of this section, and an insurer shall otherwise pay the costs of an examination of the insurer under this section as provided in ORS 731.316 (Expenses of examination of insurer) . [1993 c.447 §51; 2013 c.370 §29]

Source: Section 732.584 — Examinations; penalty; costs , https://www.­oregonlegislature.­gov/bills_laws/ors/ors732.­html (accessed May 26, 2025).
ORS § 746.233 — OR Code / Title 56 / Chapter 746 / Section 746.233
746.233 Unfair claim settlement practices with respect to prior authorizations of health care items or services
Status: in_force

(1) As used in this section, “prior authorization” has the meaning given that term in ORS 743B.001 (Definitions) .

(2) An insurer offering a policy or certificate of health insurance may not, in making a determination on a health care provider or enrollee’s request for prior authorization of a health care item or service, perform any of the following unfair claim settlement practices:

(a) Misrepresent facts of policy provisions;

(b) Fail to acknowledge and act upon communications relating to the request;

(c) Fail to adopt and implement reasonable standards for the prompt investigations of prior authorization requests;

(d) Make a determination without conducting a reasonable investigation based on all available information;

(e) Fail to act promptly, equitably and in good faith to approve the request for prior authorization that is medically necessary and covered under the terms of the policy;

(f) Require a provider or enrollee to submit substantially identical information more than one time in the course of making the determination; or

(g) If the request for prior authorization is denied, fail to promptly provide a complete and thorough explanation of the terms of the policy or certificate that the insurer relied upon and the factual or legal basis for the denial.

(3) An insurer may not engage in a pattern or practice of refusing, without just cause, to approve requests for prior authorization of items or services covered under its policies and certificates as demonstrated by:

(a) A substantial increase in the number of consumer complaints against the insurer received by the Department of Consumer and Business Services regarding denials of prior authorization;

(b) A substantial number of lawsuits filed by:

(A) A provider against the insurer or an insured based on the failure to approve a request for prior authorization for an item or service furnished by the provider; or

(B) A provider or enrollee against the insurer based on the failure to approve a prior authorization request for an item or service; or

(c) Other evidence that the department deems relevant.

(4) The department may adopt rules necessary to carry out the provisions of this section. [2019 c.284 §2]

Note: 746.233 (Unfair claim settlement practices with respect to prior authorizations of health care items or services) was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 746 or any series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 746.233 — Unfair claim settlement practices with respect to prior authorizations of health care items or services , https://www.­oregonlegislature.­gov/bills_laws/ors/ors746.­html (accessed May 26, 2025).
ORS § 742.236 — OR Code / Title 56 / Chapter 742 / Section 742.236
742.236 Abandonment
Status: in_force

A fire insurance policy shall contain a provision as follows: “There can be no abandonment to this company of any property.” [Formerly 743.654]

Source: Section 742.236 — Abandonment , https://www.­oregonlegislature.­gov/bills_laws/ors/ors742.­html (accessed May 26, 2025).
ORS § 752.015 — OR Code / Title 56 / Chapter 752 / Section 752.015
752.015 Determination of need for professional liability fund
Status: in_force

(1) If the Director of the Department of Consumer and Business Services finds, after hearings, that qualified members of any profession are unable to obtain insurance for damages arising out of professional negligence or that such professional liability insurance is not available at a reasonable cost to such members, the director may determine that a professional liability fund is necessary. Any such fund shall be separate and distinct from the General Fund, and interest earned by the fund shall be credited to the fund.

(2) The director may not make a determination to implement a professional liability fund if:

(a) The lack of availability of insurance is due to legitimate insurance underwriting considerations, including past claims experience, licensing noncompliance or inadequate risk management; and

(b) Actuarial studies show that private insurers are adequately setting rates for professional liability coverage, that a professional liability fund would not ultimately provide insureds lower premiums and that there is not an adequate number of potential insureds to fund a professional liability fund.

(3) The director may contract for actuarial studies in order to make the determinations required by this section. [1987 c.774 §89; 1989 c.966 §68]

Source: Section 752.015 — Determination of need for professional liability fund , https://www.­oregonlegislature.­gov/bills_laws/ors/ors752.­html (accessed May 26, 2025).
ORS § 732.546 — OR Code / Title 56 / Chapter 732 / Section 732.546
732.546 Severability
Status: in_force

If any provision of ORS 732.517 (Purpose of ORS 732.517 to 732.546) to 732.546 (Severability) or the application thereof to any person or circumstance is held invalid, such invalidity shall not affect other provisions or applications of ORS 732.517 (Purpose of ORS 732.517 to 732.546) to 732.546 (Severability) which can be given effect without the invalid provision or application, and to this end the provisions of ORS 732.517 (Purpose of ORS 732.517 to 732.546) to 732.546 (Severability) are declared to be severable. [Formerly 732.595]

Source: Section 732.546 — Severability , https://www.­oregonlegislature.­gov/bills_laws/ors/ors732.­html (accessed May 26, 2025).
ORS § 735.065 — OR Code / Title 56 / Chapter 735 / Section 735.065
735.065 Required association functions
Status: in_force

(1) The Oregon FAIR Plan Association shall:

(a) Have authority on behalf of its members to arrange for the issuance of property insurance policies by service insurers and to reinsure any of those policies in whole or in part and to cede such reinsurance, subject to the plan.

(b) Assess member insurers the amounts necessary to pay the expenses incurred by the association in meeting its obligations and exercising its duties and powers under ORS 735.005 (Definitions for ORS 735.005 to 735.145) to 735.145 (Immunity from legal action in carrying out duties) .

(2) Except as provided in subsection (3)(a) and (b) of this section, the assessment of each member insurer for a particular calendar year shall be in the proportion that the net direct written premiums of the member insurer for the second preceding calendar year bears to the net direct written premiums of all member insurers for the second preceding calendar year. Each member insurer shall be notified of an assessment not later than the 30th day before the day it is due. If the funds of the association do not provide in any one year an amount sufficient to pay the expenses of the association, the funds available shall be prorated among the expenses and the unpaid portion shall be paid as soon thereafter as funds become available. If an assessment would cause a member insurer’s financial statement to reflect an amount of surplus less than the minimum amount required for a certificate of authority by any jurisdiction in which the member insured is authorized to transact insurance, the association may, in whole or in part, exempt the member insurer from payment of the assessment or defer payments.

(3) Intentionally left blank —Ed.

(a) The maximum assessment of a member insurer for any calendar year shall be two percent of the insurer’s net direct written premiums for the second preceding calendar year.

(b) The minimum assessment of a member insurer for any calendar year shall be $50.

(4) Reimburse inspection bureaus, service insurers and employees of the association for expenses incurred in the inspection or insuring of property on behalf of the association, and pay all other expenses the association incurs in carrying out the provisions of ORS 735.005 (Definitions for ORS 735.005 to 735.145) to 735.145 (Immunity from legal action in carrying out duties) .

(5) Undertake a continuing public education program in cooperation with member insurers and insurance producers to assure that the plan receives adequate attention.

(6) Undertake a continuing education program to advise the public of the steps which may be taken to make property more insurable against crime, personal liability and the perils named in ORS 735.005 (Definitions for ORS 735.005 to 735.145) (3). [1971 c.321 §8; 1979 c.818 §3; 2003 c.364 §89]

Source: Section 735.065 — Required association functions; assessments , https://www.­oregonlegislature.­gov/bills_laws/ors/ors735.­html (accessed May 26, 2025).
ORS § 743.790 — OR Code / Title 56 / Chapter 743 / Section 743.790
743.790 Rules for prescription drug identification cards
Status: in_force

The Director of the Department of Consumer and Business Services may adopt rules to implement ORS 743.788 (Prescription drug identification card) and may consider any relevant standards developed by a standards development organization accredited by the American National Standards Institute that represents organizations interested in electronic standardization with the pharmacy services sector of the health care industry and the requirements of the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191. [2001 c.549 §4]

Source: Section 743.790 — Rules for prescription drug identification cards , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743.­html (accessed May 26, 2025).
ORS § 744.638 — OR Code / Title 56 / Chapter 744 / Section 744.638
744.638 Licensee’s place of business
Status: in_force

(1) Intentionally left blank —Ed.

(a) A licensee that is a resident shall maintain a principal place of business in this state in which the licensee engages in business as an insurance consultant. The principal place of business may be the licensee’s residence, but the principal place of business must be accessible to the public.

(b) If a licensee that is not a resident has a place of business in this state in which the licensee transacts insurance, the place of business is the licensee’s principal place of business in this state.

(2) A licensee shall keep at the licensee’s place of business all of the usual and customary records for the business in which the licensee engages and must make the records available to the Director of the Department of Consumer and Business Services for inspection during business hours. The licensee shall keep the records of each business transaction for three years after the conclusion of the transaction. [2019 c.151 §15]

Source: Section 744.638 — Licensee’s place of business , https://www.­oregonlegislature.­gov/bills_laws/ors/ors744.­html (accessed May 26, 2025).
ORS § 746.686 — OR Code / Title 56 / Chapter 746 / Section 746.686
746.686 Use of prior claim or inquiry in determination to issue or renew homeowner insurance policy
Status: in_force

(1) When a consumer applies for a homeowner insurance policy, an insurer may not use:

(a) A prior claim of the consumer or a claim relating to the property to be insured, when the date of loss of the claim is more than five years preceding the date of application, to determine whether to issue the policy or to determine rates or other terms and conditions of the policy. This paragraph does not apply when the insurer uses claim experience of the consumer or of the property to provide a discount to the consumer.

(b) The first claim that the consumer made on a homeowner insurance policy within the five-year period immediately preceding the date of application to determine whether to issue the policy.

(c) A prior claim relating to the property to be insured that occurred prior to purchase of the property by the consumer, when the consumer demonstrates to the insurer’s satisfaction that the risk associated with damage resulting from the accident or occurrence that gave rise to the prior claim has been mitigated, to determine whether to issue the policy or to determine rates or other terms and conditions of the policy. For purposes of this paragraph, a risk is mitigated if the consumer has fully restored the damaged property and has repaired, replaced, restored or eliminated the condition, system or use of the property that was the underlying cause of the loss.

(2) When renewing a homeowner insurance policy, an insurer may not use:

(a) A prior claim of the consumer or a claim relating to the property to be insured, when the date of loss of the claim is more than five years before the upcoming renewal date, to determine whether to renew the policy or to determine rates or other terms and conditions of the policy. This paragraph does not apply when the insurer uses claim experience of the consumer or of the property to provide a discount to the consumer at renewal.

(b) The first claim of the consumer made within the five-year period immediately preceding the upcoming renewal date to determine whether to renew the policy.

(3) An insurer or insurance producer may not use an inquiry made by any means by the consumer to the insurer or to an insurance producer regarding the terms, conditions or coverage of an insurance policy, including an inquiry about an actual loss or claim filing process, to determine whether to issue or renew a policy or to determine rates or other terms and conditions of a policy if the consumer is not making a claim as part of the inquiry. An insurer or insurance producer may verify whether the consumer is making a claim as part of the inquiry. If the consumer affirms that the inquiry is not a claim, the insurer or insurance producer may rely on the affirmation to rebut a later assertion to the contrary. This subsection does not apply to an inquiry by a consumer relating to the possibility of a third party claim against the consumer. The Director of the Department of Consumer and Business Services may adopt rules establishing procedures to implement this subsection.

(4) This section does not prohibit an insurer from taking any underwriting or rating action that is:

(a) Based on the known condition or use of the property;

(b) Based on fraudulent acts of the consumer; or

(c) Otherwise allowed by law. [2005 c.489 §4]

Source: Section 746.686 — Use of prior claim or inquiry in determination to issue or renew homeowner insurance policy; rules , https://www.­oregonlegislature.­gov/bills_laws/ors/ors746.­html (accessed May 26, 2025).
ORS § 734.067 — OR Code / Title 56 / Chapter 734 / Section 734.067
734.067 Review of court order
Status: in_force

(1) An insurer against whom an order under ORS 734.059 (Request for court order) is directed may petition the court for a hearing and review of the order.

(2) Not later than the 15th day after the court receives a petition under subsection (1) of this section, the court shall hold the hearing and review the order. [1989 c.425 §12]

Source: Section 734.067 — Review of court order , https://www.­oregonlegislature.­gov/bills_laws/ors/ors734.­html (accessed May 26, 2025).
ORS § 744.101 — OR Code / Title 56 / Chapter 744 / Section 744.101
744.101 Definitions
Status: in_force

As used in ORS 744.101 (Definitions) to 744.107 (Violations) :

(1) “Business entity” has the meaning given that term in ORS 731.116 (“Person.”) .

(2) “Limited travel insurance producer” means:

(a) A managing general agent licensed under ORS 744.300 (License and indorsement) to 744.316 (Authority of director if managing general agent violates provisions of ORS 744.300 to 744.316) ; or

(b) An insurance producer licensed under ORS 744.052 (Definitions for ORS 744.052 to 744.089) to 744.089 (Report of administrative action taken against insurance producer) to negotiate, sell or solicit travel insurance.

(3) “Negotiate” has the meaning given that term in ORS 731.104 (“Insurance producer.”) .

(4) “Offer and disseminate travel insurance” means:

(a) To provide general information regarding the travel insurance, including a description of coverage and price;

(b) To disseminate and process applications for travel insurance coverage; or

(c) To collect premiums on behalf of a limited travel insurance producer.

(5) “Sell” has the meaning given that term in ORS 731.104 (“Insurance producer.”) .

(6) “Solicit” has the meaning given that term in ORS 731.104 (“Insurance producer.”) .

(7) Intentionally left blank —Ed.

(a) “Travel insurance” means insurance coverage for personal risks incidental to planned travel, including:

(A) Interruption or cancellation of a trip or event;

(B) Loss of baggage or personal effects;

(C) Damages to accommodations or rental vehicles; or

(D) Sickness, accident, disability or death occurring during travel.

(b) “Travel insurance” does not include medical plans providing comprehensive medical protection for travelers with trips lasting six months or longer.

(8) “Travel retailer” means a business entity that makes travel arrangements for or provides other travel services to customers. [2015 c.675 §2]

Source: Section 744.101 — Definitions , https://www.­oregonlegislature.­gov/bills_laws/ors/ors744.­html (accessed May 26, 2025).
ORS § 731.162 — OR Code / Title 56 / Chapter 731 / Section 731.162
731.162 “Health insurance.”
Status: in_force

“Health insurance” means insurance of humans against bodily injury, disablement or death by accident or accidental means, or the expense thereof, or against disablement or expense resulting from sickness or childbirth, or against expense incurred in prevention of sickness, in dental care or optometrical service, and every insurance appertaining thereto, including insurance against the risk of economic loss assumed under a less than fully insured employee health benefit plan. “Health insurance” does not include workers’ compensation coverages. [1967 c.359 §35; 1993 c.649 §6]

Source: Section 731.162 — “Health insurance.” , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 746.219 — OR Code / Title 56 / Chapter 746 / Section 746.219
746.219 Investigatory powers
Status: in_force

(1) The Director of the Department of Consumer and Business Services may examine and investigate the insurance activities of any person that the director believes may be in violation of ORS 746.213 (Definitions for ORS 746.213 to 746.219) , 746.215 (Regulation of depository institutions with regard to insurance sales or solicitations) or 746.217 (Disclosures to customers) . Upon request and reasonable notice, a person shall make its insurance books and records available to the director and the director’s staff for inspection. An affected person may submit to the director a complaint or material pertinent to the enforcement of ORS 746.213 (Definitions for ORS 746.213 to 746.219) , 746.215 (Regulation of depository institutions with regard to insurance sales or solicitations) and 746.217 (Disclosures to customers) .

(2) Nothing in ORS 746.213 (Definitions for ORS 746.213 to 746.219) , 746.215 (Regulation of depository institutions with regard to insurance sales or solicitations) or 746.217 (Disclosures to customers) prevents a depository institution or an affiliate of a depository institution that lends money or extends credit or other lender or seller from placing insurance on real or personal property in the event the customer, borrower, mortgagor or purchaser fails to provide insurance required under the terms of the loan or credit document.

(3) ORS 746.213 (Definitions for ORS 746.213 to 746.219) , 746.215 (Regulation of depository institutions with regard to insurance sales or solicitations) and 746.217 (Disclosures to customers) do not apply to credit-related insurance. [2003 c.363 §5]

Note: See note under 746.213 (Definitions for ORS 746.213 to 746.219) .

Source: Section 746.219 — Investigatory powers , https://www.­oregonlegislature.­gov/bills_laws/ors/ors746.­html (accessed May 26, 2025).
ORS § 743b.462 — OR Code / Title 56 / Chapter 743b / Section 743b.462
743B.462 Direct payments to providers
Status: in_force

(1) As used in this section:

(a) “Health benefit plan” has the meaning given that term in ORS 743B.005 (Definitions) .

(b) “Provider” means a person licensed, certified or otherwise authorized or permitted by laws of this state to administer medical or mental health services, including substance use disorder services, in the ordinary course of business or practice of a profession.

(2) Except as provided in ORS 743.543 (Payment of benefits under blanket health insurance policies) and 743.550 (Student health insurance) , a provider that bills an insurer for covered services provided to an individual who is insured under a health benefit plan or a Medicare supplement insurance policy issued by the insurer shall be reimbursed by the insurer by a direct payment issued to the provider. [2015 c.588 §2]

Note: 743B.462 (Direct payments to providers) was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743B or any series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 743B.462 — Direct payments to providers , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743B.­html (accessed May 26, 2025).
ORS § 731.652 — OR Code / Title 56 / Chapter 731 / Section 731.652
731.652 Proofs for release of deposit to insurers
Status: in_force

(1) Before releasing any deposit or portion thereof to the insurer, as provided in ORS 731.648 (Duration and release of deposit) , the Director of the Department of Consumer and Business Services shall require the insurer to file with the director a written statement in such form and with such verification as the director deems advisable setting forth the facts upon which it bases its entitlement to such release.

(2) If release of the deposit is claimed by the insurer upon the ground that all its liabilities, as to which the deposit was held, have been assumed by another insurer authorized to transact insurance in this state, the insurer shall file with the director a copy of the contract or agreement of such reinsurance duly attested under the oath of an officer of each of the insurers that are parties thereto.

(3) If release of the deposit is claimed by a domestic insurer upon the ground that all its liabilities, as to which the deposit was held, have been terminated other than by reinsurance, the director shall make an examination of the affairs of the insurer for determination of the actuality of such termination.

(4) Upon being satisfied by such statement and reinsurance contract, or examination of the insurer if required under subsection (3) of this section, or by such other examination of the affairs of the insurer as the director deems advisable to make, that the insurer is entitled to the release of its deposit or portion thereof as provided in ORS 731.648 (Duration and release of deposit) , the director shall release the deposit or excess portion thereof to the insurer or its authorized representative.

(5) If the director willfully fails faithfully to keep, deposit, account for or surrender any such assets or securities deposited through the director in the manner as authorized or required under the Insurance Code, the director shall be liable therefor upon the director’s official bond, and suit may be brought upon the bond by any person injured by such failure. The director shall not, however, have any liability as to any assets or securities of an insurer released by the director in good faith pursuant to the authority vested in the director under the Insurance Code. [1967 c.359 §124; 1999 c.196 §9]

Source: Section 731.652 — Proofs for release of deposit to insurers; director’s responsibility , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 743b.126 — OR Code / Title 56 / Chapter 743b / Section 743b.126
743B.126 Carrier marketing of individual health benefit plans
Status: in_force

(1) Each carrier shall actively market all individual health benefit plans sold by the carrier that are not grandfathered health plans.

(2) Except as provided in subsection (3) of this section, no carrier or insurance producer shall, directly or indirectly, discourage an individual from filing an application for coverage because of the health status, claims experience, occupation or geographic location of the individual.

(3) Subsection (2) of this section does not apply with respect to information provided by a carrier to an individual regarding the established geographic service area or a restricted network provision of a carrier.

(4) Rejection by a carrier of an application for coverage shall be in writing and shall state the reason or reasons for the rejection.

(5) The Director of the Department of Consumer and Business Services may establish by rule additional standards to provide for the fair marketing and broad availability of individual health benefit plans.

(6) A carrier that elects to discontinue offering all of its individual health benefit plans under ORS 743B.125 (Individual health benefit plans) (5)(c) or to discontinue both offering and renewing all such plans is prohibited from offering and renewing health benefit plans in the individual market in this state for a period of five years from the date of notice to the director pursuant to ORS 743B.125 (Individual health benefit plans) (5)(c) or, if such notice is not provided, from the date on which the director provides notice to the carrier that the director has determined that the carrier has effectively discontinued offering individual health benefit plans in this state. This subsection does not apply with respect to a health benefit plan discontinued in a specified service area by a carrier that covers services provided only by a particular organization of health care providers or only by health care providers who are under contract with the carrier.

(7) The Department of Consumer and Business Services may, in accordance with ORS 743B.129 (Shortening period of exclusion following discontinued offering) , shorten the period of prohibition described in subsection (6) of this section if necessary to ensure, in all geographic areas of this state, that:

(a) A competitive health insurance market exists;

(b) Consumers have a reasonable number of health insurance options available to them; and

(c) Consumers who purchase insurance are protected. [Formerly 743.769; 2017 c.206 §6; 2019 c.285 §8]

Source: Section 743B.126 — Carrier marketing of individual health benefit plans; rules; duties of carrier regarding applications; effect of discontinuing offer of plans , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743B.­html (accessed May 26, 2025).
ORS § 744.086 — OR Code / Title 56 / Chapter 744 / Section 744.086
744.086 Applicability of Insurance Code to insurance producers transacting title insurance
Status: in_force

The Legislative Assembly finds that it is in the interest of the insurance-buying public that insurance producers authorized to transact title insurance be subject to the Insurance Code. It is declared to be the intent of the Legislative Assembly that the Insurance Code shall apply to such insurance producer only to the extent necessary for the regulation of title insurance ratemaking and unfair trade practices. [Formerly 744.240; 2003 c.364 §24]

Source: Section 744.086 — Applicability of Insurance Code to insurance producers transacting title insurance , https://www.­oregonlegislature.­gov/bills_laws/ors/ors744.­html (accessed May 26, 2025).
ORS § 743.378 — OR Code / Title 56 / Chapter 743 / Section 743.378
743.378 Charges and refunds to debtor
Status: in_force

(1) Each individual policy or group certificate of credit life or credit health insurance, or both, shall provide that in the event of termination of the insurance prior to the scheduled maturity date of the indebtedness, any refund of an amount paid by the debtor for insurance shall be paid or credited promptly to the person entitled thereto. However, the Director of the Department of Consumer and Business Services shall prescribe a minimum refund and no refund which would be less than such minimum need be made. The formula to be used in computing such refund shall be filed with and approved by the director.

(2) If a creditor requires a debtor to make any payment for credit life insurance or credit health insurance and an individual policy or group certificate of insurance is not issued, the creditor shall immediately give written notice to such debtor and shall promptly make an appropriate credit to the account.

(3) The amount charged to a debtor for credit life insurance and for credit health insurance shall not exceed the respective premiums charged by the insurer, as computed at the time the charge to the debtor is determined. [Formerly 739.600 and then 743.582]

Source: Section 743.378 — Charges and refunds to debtor , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743.­html (accessed May 26, 2025).
ORS § 731.280 — OR Code / Title 56 / Chapter 731 / Section 731.280
731.280 Publications authorized
Status: in_force

The Director of the Department of Consumer and Business Services shall publish:

(1) Pamphlet or booklet copies of the insurance laws of this state;

(2) The director’s annual report;

(3) Such copies of results of investigations or examinations of insurers for public distribution as the director considers to be in the public interest;

(4) Such compilations as the director considers advisable from time to time of the general orders of the director then in force; and

(5) Such other material as the director may compile and consider relevant and suitable for the effective administration of the Insurance Code. [1967 c.359 §63]

Source: Section 731.280 — Publications authorized , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 733.680 — OR Code / Title 56 / Chapter 733 / Section 733.680
733.680 Acquisition and retention of personal property generally
Status: in_force

(1) An insurer may acquire and retain personal property received as a dividend, gift or devise, or pursuant to a lawful plan of merger, consolidation or reorganization or bona fide agreement of bulk reinsurance, or in satisfaction or liquidation of an obligation, or in exchange or part payment for real or personal property previously owned or to protect or enhance such property.

(2) An insurer may make purchases or loan sums necessary to protect, preserve or enhance investment property, real or personal, which it is otherwise authorized to acquire or hold.

(3) The Director of the Department of Consumer and Business Services shall allow as assets in any determination of the financial condition of the insurer only such property or investments acquired or retained under this section as are consistent with the customary operations of an insurer. [Formerly 738.315]

Source: Section 733.680 — Acquisition and retention of personal property generally; purchases or loans for protection of investment property , https://www.­oregonlegislature.­gov/bills_laws/ors/ors733.­html (accessed May 26, 2025).
ORS § 733.690 — OR Code / Title 56 / Chapter 733 / Section 733.690
733.690 Investment of funds in title plant
Status: in_force

Funds of a title insurer may be invested in its title plant. [1967 c.359 §247]

Source: Section 733.690 — Investment of funds in title plant , https://www.­oregonlegislature.­gov/bills_laws/ors/ors733.­html (accessed May 26, 2025).
ORS § 744.992 — OR Code / Title 56 / Chapter 744 / Section 744.992
744.992 Civil penalties
Status: in_force

(1) A person who violates any provision of ORS 744.318 (Definitions for ORS 744.318 to 744.384) to 744.384 (Rules) , 744.991 (Criminal penalties) and 744.992 (Civil penalties) is subject to civil penalties under ORS 731.988 (Civil penalties) and cease and desist orders under ORS 731.252 (Cease and desist orders) .

(2) If a person violates any provision of ORS 744.318 (Definitions for ORS 744.318 to 744.384) to 744.384 (Rules) , 744.991 (Criminal penalties) and 744.992 (Civil penalties) , the Director of the Department of Consumer and Business Services may seek an injunction in a court of competent jurisdiction and may apply for temporary and permanent orders that the director determines are necessary to restrain the person from committing the violation.

(3) A person damaged by the acts of a person in violation of any provision of ORS 744.318 (Definitions for ORS 744.318 to 744.384) to 744.384 (Rules) , 744.991 (Criminal penalties) and 744.992 (Civil penalties) may bring a civil action against the person committing the violation in a court of competent jurisdiction. Nothing in this subsection shall be construed to alter the provisions of ORS 743.168 (Incontestability) or 743.171 (Incontestability and limitation of liability after reinstatement) relating to the period of incontestability of a policy of life insurance.

(4) A violation of any provision of ORS 744.318 (Definitions for ORS 744.318 to 744.384) to 744.384 (Rules) , 744.991 (Criminal penalties) and 744.992 (Civil penalties) attendant to the execution of a life settlement purchase agreement renders the life settlement purchase agreement voidable and subject to rescission by the life settlement purchaser, upon return of the policy received to the life settlement provider. Suit for rescission may be brought in a court of competent jurisdiction or where the alleged violator resides or has a principal place of business or where the alleged violation occurred.

(5) Except for an act under ORS 744.369 (Unlawful life settlement contract actions) (8) to (16), the enforcement provisions and penalties of this section do not apply to an owner. [2009 c.711 §18]

Source: Section 744.992 — Civil penalties; civil actions; rescission of life settlement contracts , https://www.­oregonlegislature.­gov/bills_laws/ors/ors744.­html (accessed May 26, 2025).
ORS § 734.600 — OR Code / Title 56 / Chapter 734 / Section 734.600
734.600 Contents of plan of operation
Status: in_force

A plan of operation shall:

(1) Establish procedures for the submission, processing and payment of claims against the Oregon Insurance Guaranty Association.

(2) Establish procedures for record keeping, payment of expenses and administration of all other financial affairs of the association.

(3) Establish times and places for meetings of the board.

(4) Establish procedures for selection of the board of directors and for approval of that selection by the Director of the Department of Consumer and Business Services.

(5) Establish a procedure for appeal by a member insurer to the director of final actions or decisions of the association.

(6) Establish such other procedures as may be necessary or proper to carry out the duties and powers of the association. [1971 c.616 §11]

Source: Section 734.600 — Contents of plan of operation , https://www.­oregonlegislature.­gov/bills_laws/ors/ors734.­html (accessed May 26, 2025).
ORS § 731.761 — OR Code / Title 56 / Chapter 731 / Section 731.761
731.761 Privileged information
Status: in_force

(1) Except as provided in ORS 731.760 (Definitions for ORS 731.760 to 731.770) to 731.770 (Other privileges or limitations pertaining to audit document) , an insurance compliance self-evaluative audit document is privileged information and is not discoverable, or admissible as evidence, in any civil, criminal or administrative proceeding.

(2) Except as provided in ORS 731.760 (Definitions for ORS 731.760 to 731.770) to 731.770 (Other privileges or limitations pertaining to audit document) , any person who performs or directs the performance of an insurance compliance audit, any officer, employee or agent of an insurer who is involved with an insurance compliance audit and any consultant who is hired for the purpose of performing an insurance compliance audit may not be examined in any civil, criminal or administrative proceeding about the insurance compliance audit or any insurance compliance self-evaluative audit document. [2001 c.329 §3]

Source: Section 731.761 — Privileged information , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 737.225 — OR Code / Title 56 / Chapter 737 / Section 737.225
737.225 Records requirements
Status: in_force

(1) Each insurer, rating organization or advisory organization shall maintain reasonable records, of the type and kind reasonably adapted to its method of operation, of its experience or the experience of its members and of the data, statistics or information collected or used by it in connection with the rates, rating plans, rating systems, underwriting rules, policy or bond forms, surveys or inspections made or used by it. An insurer providing workers’ compensation insurance shall maintain reasonable records showing investment income earned by the insurer, insurer profit on workers’ compensation insurance, accumulated reserves for vocational rehabilitation services and accumulated reserves for claim costs related to orders or awards made pursuant to ORS 656.278 (Board has continuing authority to alter earlier action on claim) .

(2) The maintenance of such records in the office of a licensed rating organization of which an insurer is a member or subscriber will be sufficient compliance with this section for any insurer maintaining membership or subscribership in such organization, to the extent that the insurer uses the rates, rating plans, rating systems or underwriting rules of such organization.

(3) Such records shall be available to the Director of the Department of Consumer and Business Services for examination and inspection at any time in order to determine whether the filings made pursuant to ORS 737.205 (Filing rates, plans with director) comply with this chapter.

(4) Each insurer shall maintain statistics under statistical plans compatible with the rating plans used by the insurer. An insurer may report its statistics through a recognized agency or advisory organization, except that workers’ compensation insurance statistics shall be reported to the workers’ compensation rating organization of which the insurer is a member. The director shall prescribe by rule the statistical plan for workers’ compensation insurance.

(5) Intentionally left blank —Ed.

(a) The director shall designate one workers’ compensation statistical agency from the licensed rating organizations as the agent to which all licensed workers’ compensation rating organizations shall report workers’ compensation insurance statistics. The director shall adopt rules to ensure a competitive process in the designation of the one workers’ compensation statistical agency.

(b) The designated workers’ compensation statistical agency shall assist the director in gathering workers’ compensation insurance statistics and making compilations of those statistics and shall make the compilations available to insurers and other licensed workers’ compensation rating organizations, subject to rules adopted by the director.

(c) If the director licenses only one workers’ compensation rating organization under ORS 737.355 (Licensing rating organizations generally) (2), that rating organization shall be the designated statistical agent under this subsection.

(6) The ownership of the financial and statistical data submitted to a workers’ compensation statistical agency is vested in the submitting member insurer. The financial and statistical data shall be confidential and may not be disclosed, provided that the ownership rights of an insurer shall not limit access by the director for the purposes of performing the regulatory duties of the Department of Consumer and Business Services. [1969 c.690 §11; 1981 c.535 §17; 1983 c.360 §2; 1987 c.884 §54; 1999 c.235 §2]

Source: Section 737.225 — Records requirements; inspection; statistics; workers’ compensation statistical agency; rules , https://www.­oregonlegislature.­gov/bills_laws/ors/ors737.­html (accessed May 26, 2025).
ORS § 731.016 — OR Code / Title 56 / Chapter 731 / Section 731.016
731.016 Construction of Insurance Code
Status: in_force

The Insurance Code shall be liberally construed and shall be administered and enforced by the Director of the Department of Consumer and Business Services to give effect to the policy stated in ORS 731.008 (Purpose of Insurance Code) . [1967 c.359 §4]

Source: Section 731.016 — Construction of Insurance Code , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 742.226 — OR Code / Title 56 / Chapter 742 / Section 742.226
742.226 Mortgagee interest and obligation of mortgagee
Status: in_force

A fire insurance policy shall contain provisions as follows:

(1) “If loss hereunder is made payable, in whole or in part, to a designated mortgagee not named herein as the insured, such interest in this policy may be canceled by giving to such mortgagee a 10 days’ written notice of cancellation.”

(2) “If the insured fails to render proof of loss such mortgagee, upon notice, shall render proof of loss in the form herein specified within 60 days thereafter and shall be subject to the provisions hereof relating to appraisal and time of payment and of bringing suit. If this company shall claim that no liability existed as to the mortgagor or owner, it shall, to the extent of payment of loss to the mortgagee, be subrogated to all the mortgagee’s rights of recovery, but without impairing mortgagee’s right to sue; or it may pay off the mortgage debt and require an assignment thereof and of the mortgage. Other provisions relating to the interests and obligations of such mortgagee may be added hereto by agreement in writing.” [Formerly 743.639]

Source: Section 742.226 — Mortgagee interest and obligation of mortgagee , https://www.­oregonlegislature.­gov/bills_laws/ors/ors742.­html (accessed May 26, 2025).
ORS § 746.021 — OR Code / Title 56 / Chapter 746 / Section 746.021
746.021 Discrimination under health benefit plans
Status: in_force

Except as otherwise provided for in the Insurance Code, an individual may not, on the basis of actual or perceived race, color, national origin, sex, sexual orientation, gender identity, age or disability, be excluded from participation in, be denied the benefits of or otherwise be subjected to discrimination under any health benefit plan issued or delivered in this state. [2019 c.285 §2]

Note: 746.021 (Discrimination under health benefit plans) was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 746 or any series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 746.021 — Discrimination under health benefit plans , https://www.­oregonlegislature.­gov/bills_laws/ors/ors746.­html (accessed May 26, 2025).
ORS § 731.439 — OR Code / Title 56 / Chapter 731 / Section 731.439
731.439 Satisfaction of requirements of ORS 731.438 (1) by certain title plants
Status: in_force

A title plant that conforms on December 31, 1999, with ORS 731.438 (Title plant requirement for title insurers) (1) and (2) (1997 Edition) satisfies the requirements of ORS 731.438 (Title plant requirement for title insurers) (1) as amended by section 1, chapter 183, Oregon Laws 1999, if it also contains after that date a general index, adequate maps and currently posted tract or geographic indexes for all lands in the county. [1999 c.183 §3]

Source: Section 731.439 — Satisfaction of requirements of ORS 731.438 (1) by certain title plants , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 743a.060 — OR Code / Title 56 / Chapter 743a / Section 743a.060
743A.060 Definition for ORS 743A.062
Status: in_force

As used in ORS 743A.062 (Prescription drugs) , “peer-reviewed medical literature” means scientific studies printed in journals or other publications that publish original manuscripts only after the manuscripts have been critically reviewed by unbiased independent experts for scientific accuracy, validity and reliability. “Peer-reviewed medical literature” does not include internal publications of pharmaceutical manufacturers. [Formerly 743.695]

Source: Section 743A.060 — Definition for ORS 743A.062 , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743A.­html (accessed May 26, 2025).
ORS § 743b.407 — OR Code / Title 56 / Chapter 743b / Section 743b.407
743B.407 Naturopathic physicians
Status: in_force

(1) An insurer shall provide a naturopathic physician the choice of applying to be credentialed by the insurer as a primary care provider or as a specialty care provider.

(2) To be credentialed by an insurer as a primary care provider, a naturopathic physician must meet the credentialing requirements as established by the insurer. [2015 c.224 §2]

Note: 743B.407 (Naturopathic physicians) was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743B or any series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 743B.407 — Naturopathic physicians , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743B.­html (accessed May 26, 2025).
ORS § 731.766 — OR Code / Title 56 / Chapter 731 / Section 731.766
731.766 Petition for in camera hearing
Status: in_force

(1) Within 30 days after a district attorney or the Attorney General serves on an insurer a written request by certified mail for disclosure of an insurance compliance self-evaluative audit document, the insurer that prepared or caused the document to be prepared may file in circuit court a petition requesting an in camera hearing on whether the insurance compliance self-evaluative audit document or portions of the document are privileged under ORS 731.761 (Privileged information) or subject to disclosure. Failure by the insurer to file a petition waives the privilege only with respect to the specific request.

(2) A petition filed by an insurer under this section must contain the following information:

(a) The date of the insurance compliance self-evaluative audit document.

(b) The identity of the person that conducted the audit.

(c) The general nature of the activities covered by the insurance compliance audit.

(d) An identification of the portions of the insurance compliance self-evaluative audit document for which the privilege is being asserted.

(3) Within 45 days after the filing of a petition by an insurer under this section, the court shall schedule an in camera hearing to determine whether the insurance compliance self-evaluative audit document or portions of the document are privileged under ORS 731.761 (Privileged information) .

(4) The court, after an in camera review pursuant to this section, may require disclosure of material for which the privilege established by ORS 731.761 (Privileged information) is asserted if the court determines that any of the conditions set forth in ORS 731.764 (Waiver of privilege) are met. Upon making such a determination, the court may compel the disclosure of only those portions of an insurance compliance self-evaluative audit document relevant to issues in dispute in the underlying proceeding. Any disclosure that is compelled by the court will not be considered to be a public document or be deemed to be a waiver of the privilege for any other civil, criminal or administrative proceeding. A party unsuccessfully opposing disclosure may apply to the court for an appropriate order protecting the document from further disclosure.

(5) An insurer asserting the privilege established under ORS 731.761 (Privileged information) has the burden of establishing that the privilege applies. If the insurer establishes that the privilege applies, a party seeking disclosure under ORS 731.764 (Waiver of privilege) has the burden of proving the elements set forth in ORS 731.764 (Waiver of privilege) . [2001 c.329 §6]

Source: Section 731.766 — Petition for in camera hearing; hearing; compelled disclosure , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 731.004 — OR Code / Title 56 / Chapter 731 / Section 731.004
731.004 Short title
Status: in_force

ORS chapters 731, 732, 733, 734, 735, 737, 742, 743, 743A, 743B, 744, 746, 748 and 750 may be cited as the Insurance Code. [1967 c.359 §1; 1973 c.97 §1; 1975 c.769 §1]

Source: Section 731.004 — Short title , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 742.522 — OR Code / Title 56 / Chapter 742 / Section 742.522
742.522 Binding arbitration under ORS 742.520
Status: in_force

(1) Costs to the insured of the arbitration proceeding under ORS 742.520 (Personal injury protection benefits for motor vehicle liability policies) (6) shall not exceed $100 and all other costs of arbitration shall be borne by the insurer.

(2) As used in this section, “costs” does not include attorney fees or expenses incurred in the production of evidence or witnesses or the making of transcripts of the arbitration proceedings. [Formerly 743.802; 2007 c.328 §9]

Source: Section 742.522 — Binding arbitration under ORS 742.520; costs , https://www.­oregonlegislature.­gov/bills_laws/ors/ors742.­html (accessed May 26, 2025).
ORS § 733.300 — OR Code / Title 56 / Chapter 733 / Section 733.300
733.300 Short title
Status: in_force

ORS 733.300 (Short title) to 733.340 (Exemptions) and sections 14 to 17, chapter 547, Oregon Laws 2015, may be cited as the Standard Valuation Law. [1991 c.401 §17]

Source: Section 733.300 — Short title , https://www.­oregonlegislature.­gov/bills_laws/ors/ors733.­html (accessed May 26, 2025).
ORS § 743a.160 — OR Code / Title 56 / Chapter 743a / Section 743a.160
743A.160 Alcoholism treatment
Status: in_force

A health insurance policy providing coverage for hospital or medical expenses, other than limited benefit coverage, shall provide, at the request of the applicant, coverage for expenses arising from treatment for alcoholism. The following conditions apply to the requirement for such coverage:

(1) The applicant shall be informed of the applicant’s option to request this coverage.

(2) The inclusion of the coverage may be made subject to the insurer’s usual underwriting requirements.

(3) The coverage may be made subject to provisions of the policy that apply to other benefits under the policy, including but not limited to provisions relating to deductibles and coinsurance.

(4) The policy may limit hospital expense coverage to treatment provided by the following facilities:

(a) A health care facility licensed as required by ORS 441.015 (Licensing of facilities and health maintenance organizations) .

(b) A health care facility accredited by the Joint Commission.

(5) Except as permitted by subsection (3) of this section, the policy may not limit payments thereunder for alcoholism to an amount less than $4,500 in any 24-consecutive month period and the policy shall provide coverage, within the limits of this subsection, of not less than 80 percent of the hospital and medical expenses for treatment for alcoholism. [Formerly 743.412; 2016 c.11 §6; 2017 c.17 §56]

Note: See 743.402 (Exceptions to individual health insurance policy requirements) .

Source: Section 743A.160 — Alcoholism treatment , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743A.­html (accessed May 26, 2025).
ORS § 743.295 — OR Code / Title 56 / Chapter 743 / Section 743.295
743.295 Effect of certain life insurance and disability benefits on minimum nonforfeiture amounts
Status: in_force

(1) For an annuity policy that includes, by rider or supplemental contract provision, both annuity benefits and life insurance benefits that exceed the greater of cash surrender benefits or a return of the gross considerations with interest, the minimum nonforfeiture benefits shall equal the sum of the minimum nonforfeiture benefits for the annuity portion and the minimum nonforfeiture benefits, if any, for the life insurance portion, computed as if each portion were a separate policy.

(2) Notwithstanding ORS 743.284 (Computation of benefits) and 743.287 (Commencement of annuity payments at optional maturity dates) , additional benefits payable in the event of total and permanent disability, as reversionary annuity or deferred reversionary annuity benefits, or as other policy benefits additional to life insurance, endowment and annuity benefits, and considerations for all such additional benefits, shall be disregarded in ascertaining the minimum nonforfeiture amounts and paid-up annuity, cash surrender and death benefits required by the Standard Nonforfeiture Law for Individual Deferred Annuities. The inclusion of such benefits may not be required in any paid-up benefits unless the additional benefits would separately require minimum nonforfeiture amounts and paid-up annuity, cash surrender and death benefits. [1977 c.320 §8; 2003 c.370 §8]

Source: Section 743.295 — Effect of certain life insurance and disability benefits on minimum nonforfeiture amounts , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743.­html (accessed May 26, 2025).
ORS § 742.284 — OR Code / Title 56 / Chapter 742 / Section 742.284
742.284 Insured obligations as legal investments and securities for deposit
Status: in_force

(1) Obligations insured by mortgage insurance policies issued in conformity with the Insurance Code shall be legal investments for all trust funds held by any executor, administrator, conservator, trustee or other person or corporation holding trust funds, and also for the funds of banks, banking institutions and trust companies, and shall be accepted by this state and its officers and officials as securities constituting any part of any fund or deposit required by law to be made with this state, or any officer or official thereof, by any trust company doing business in this state. All premiums required to be paid according to the terms of any such mortgage insurance policy may be charged to or paid out of the income from the obligations covered thereby. In the case of such fund or deposit required by law, such obligations must constitute a first lien on real property that is worth at least double the amount of such lien.

(2) The provisions of subsection (1) of this section with respect to legal investments for funds shall also apply to obligations not so insured if:

(a) The obligation constitutes a first lien upon a marketable title to real property;

(b) There exists a lease insurance policy covering the property securing the obligation, issued in conformity with the Insurance Code;

(c) The aggregate lease payments so insured exceeds the amount of the obligation; and

(d) The insurer is legally bound to remit all lease insurance proceeds directly to the owner of the obligation. [Formerly 746.080 and then 743.708]

Source: Section 742.284 — Insured obligations as legal investments and securities for deposit , https://www.­oregonlegislature.­gov/bills_laws/ors/ors742.­html (accessed May 26, 2025).
ORS § 742.013 — OR Code / Title 56 / Chapter 742 / Section 742.013
742.013 Representations in applications
Status: in_force

(1) All statements and descriptions in any application for an insurance policy by or in behalf of the insured, shall be deemed to be representations and not warranties. Misrepresentations, omissions, concealments of facts and incorrect statements shall not prevent a recovery under the policy unless the misrepresentations, omissions, concealments of fact and incorrect statements:

(a) Are contained in a written application for the insurance policy, and a copy of the application is indorsed upon or attached to the insurance policy when issued;

(b) Are shown by the insurer to be material, and the insurer also shows reliance thereon; and

(c) Are either:

(A) Fraudulent; or

(B) Material either to the acceptance of the risk or to the hazard assumed by the insurer.

(2) This section does not apply to surety insurance. [Formerly 743.042]

Source: Section 742.013 — Representations in applications , https://www.­oregonlegislature.­gov/bills_laws/ors/ors742.­html (accessed May 26, 2025).
ORS § 733.320 — OR Code / Title 56 / Chapter 733 / Section 733.320
733.320 Minimum required reserve for certain policies
Status: in_force

(1) Except as provided in subsection (2) of this section, if in any contract year the gross premium charged by an insurer on any life insurance policy or contract is less than the valuation net premium for the policy or contract calculated by the method used in calculating the reserve thereon but using the minimum valuation standards of mortality and rate of interest, the minimum reserve required for the policy or contract shall be the greater of either the reserve calculated according to the mortality table, rate of interest, and method actually used for the policy or contract, or the reserve calculated by the method actually used for the policy or contract but using the minimum valuation standards of mortality and rate of interest and replacing the valuation net premium by the actual gross premium in each contract year for which the valuation net premium exceeds the actual gross premium. The minimum valuation standards of mortality and rate of interest referred to in this subsection are the standards stated in ORS 733.306 (Computation of minimum standards for life insurance, industrial insurance, annuities and pure endowment contracts) and 733.310 (Interest rates for determining minimum standard for valuation) .

(2) For any life insurance policy issued on or after January 1, 1986, for which the gross premium in the first policy year exceeds that of the second year and for which no comparable additional benefit is provided in the first year for the excess and which provides an endowment benefit or a cash surrender value or a combination thereof in an amount greater than the excess premium, subsection (1) of this section shall apply as if the method actually used in calculating the reserve for the policy were the method described in ORS 733.312 (Amount of required reserves for life insurance policies) (1). The minimum reserve at each policy anniversary of such a policy shall be the greater of the minimum reserve calculated in accordance with ORS 733.312 (Amount of required reserves for life insurance policies) , and the minimum reserve calculated in accordance with this section. [1991 c.401 §27]

Source: Section 733.320 — Minimum required reserve for certain policies , https://www.­oregonlegislature.­gov/bills_laws/ors/ors733.­html (accessed May 26, 2025).
ORS § 743a.069 — OR Code / Title 56 / Chapter 743a / Section 743a.069
743A.069 Insulin
Status: in_force

(1) As used in this section:

(a) “Health benefit plan” has the meaning given that term in ORS 743B.005 (Definitions) .

(b) “Insulin” has the meaning given that term in ORS 689.696 (Prescription and dispensation of emergency refills of insulin) .

(2) A health benefit plan offered in this state may not require an enrollee in the plan to incur cost-sharing or other out-of-pocket costs, as adjusted under subsection (3) of this section, that exceed $75 for each 30-day supply of a type of insulin prescribed for the treatment of diabetes or $225 for each 90-day supply.

(3) The Department of Consumer and Business Services shall, by rule, annually adjust the maximum cost specified in subsection (2) of this section by the percentage increase, if any, in the cost of living for the previous calendar year, based on changes in the Consumer Price Index for All Urban Consumers, West Region (All Items), as published by the Bureau of Labor Statistics of the United States Department of Labor.

(4) The coverage under this section may not be subject to a deductible imposed by a health benefit plan.

(5) This section does not prohibit a health benefit plan from using a drug formulary or other utilization review protocol applicable to prescription drug coverage under the plan.

(6) This section is not subject to ORS 743A.001 (Automatic repeal of certain statutes on individual and group health insurance) . [2021 c.160 §2]

Note: 743A.069 (Insulin) was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743A or any series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 743A.069 — Insulin , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743A.­html (accessed May 26, 2025).
ORS § 742.392 — OR Code / Title 56 / Chapter 742 / Section 742.392
742.392 Termination of reimbursement insurance policy
Status: in_force

An insurer that issues a reimbursement insurance policy shall not terminate the policy until a notice of termination has been mailed or delivered to the Director of the Department of Consumer and Business Services. The notice of termination shall be mailed or delivered to the director at least 30 days prior to the date of termination. The termination of a reimbursement insurance policy shall not reduce the issuer’s responsibility for service contracts sold by or on behalf of obligors prior to the date of the termination. [1995 c.801 §8]

Note: See note under 742.390 (Reimbursement insurance policy) .

Source: Section 742.392 — Termination of reimbursement insurance policy , https://www.­oregonlegislature.­gov/bills_laws/ors/ors742.­html (accessed May 26, 2025).
ORS § 743.551 — OR Code / Title 56 / Chapter 743 / Section 743.551
743.551 Student health benefit plans
Status: in_force

(1) As used in this section, “student health benefit plan” means a plan that is subject to rules adopted by the United States Department of Health and Human Services under 42 U.S.C. 18118(c).

(2) Notwithstanding any other provision of law, the Department of Consumer and Business Services shall by rule and in a manner consistent with federal law in effect on January 1, 2017, adopt requirements for student health benefit plans. [2013 c.681 §4; 2017 c.152 §3]

Note: 743.551 (Student health benefit plans) was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743 or any series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 743.551 — Student health benefit plans; rules , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743.­html (accessed May 26, 2025).
ORS § 734.270 — OR Code / Title 56 / Chapter 734 / Section 734.270
734.270 Claims of residents against foreign insurers
Status: in_force

(1) In a delinquency proceeding in a reciprocal state against an insurer domiciled in that state, claimants against such insurer who reside within this state may file claims either with the ancillary receiver, if any, appointed in this state, or with the domiciliary receiver. All such claims must be filed on or before the last date fixed for the filing of claims in the domiciliary delinquency proceedings.

(2) Controverted claims belonging to claimants residing in this state may either:

(a) Be proved in the domiciliary state as provided by the law of that state; or

(b) If ancillary proceedings have been commenced in this state, be proved in those proceedings.

(3) In the event that any such claimant elects to prove a claim in this state, the claimant shall file a claim with the ancillary receiver in the manner provided by this chapter for the proving of claims against insurers domiciled in this state, and the claimant shall give notice in writing to the receiver in the domiciliary state, either by registered or certified mail or by personal service at least 40 days prior to the date set for hearing. The notice shall contain a concise statement of the amount of the claim, the facts on which the claim is based, and the priorities asserted, if any. If the domiciliary receiver, within 30 days after the giving of such notice, shall give notice in writing to the ancillary receiver and to the claimant, either by registered or certified mail or by personal service, of intention to contest such claim, the domiciliary receiver shall be entitled to appear or to be represented in any proceeding in this state involving the adjudication of the claim. The final allowance of the claim by the courts of this state shall be accepted as conclusive as to its amount, and shall also be accepted as conclusive as to its priority, if any, against special deposits or other security located within this state. [Formerly 751.050]

Source: Section 734.270 — Claims of residents against foreign insurers , https://www.­oregonlegislature.­gov/bills_laws/ors/ors734.­html (accessed May 26, 2025).
ORS § 743.523 — OR Code / Title 56 / Chapter 743 / Section 743.523
743.523 Certain sales practices prohibited
Status: in_force

(1) No person selling group health insurance is authorized to sell membership in an association, including a labor union, for the purpose of qualifying an applicant who is an individual for group health insurance.

(2) No person selling membership in an association, including a labor union, is authorized to offer group health insurance for the purpose of selling membership in the association. [1989 c.784 §10]

Source: Section 743.523 — Certain sales practices prohibited , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743.­html (accessed May 26, 2025).
ORS § 731.008 — OR Code / Title 56 / Chapter 731 / Section 731.008
731.008 Purpose of Insurance Code
Status: in_force

The Legislative Assembly declares that the Insurance Code is for the protection of the insurance-buying public. [Formerly 736.003]

Source: Section 731.008 — Purpose of Insurance Code , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 743b.810 — OR Code / Title 56 / Chapter 743b / Section 743b.810
743B.810 Enrollees covered by workers’ compensation
Status: in_force

(1) A health benefit plan may not exclude, and shall expedite preauthorizations required for, work-related injuries or occupational diseases if:

(a) The injured worker is covered by workers’ compensation insurance and the health benefit plan; and

(b) The injured worker has submitted a workers’ compensation claim for the work-related injury or occupational disease that has not been accepted or denied by the workers’ compensation carrier.

(2) A health benefit plan subject to this section shall guarantee payment for preauthorized medical services to the provider of those medical services according to the terms, conditions and benefits of the plan if the claim is found not to be a compensable workers’ compensation claim.

(3) As used in this section, “health benefit plan” has the meaning given that term in ORS 743B.005 (Definitions) .

(4) The provisions of ORS 743A.001 (Automatic repeal of certain statutes on individual and group health insurance) do not apply to this section. [2014 c.94 §2; 2017 c.309 §7]

Note: 743B.810 (Enrollees covered by workers’ compensation) was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743B or any series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 743B.810 — Enrollees covered by workers’ compensation , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743B.­html (accessed May 26, 2025).
ORS § 735.510 — OR Code / Title 56 / Chapter 735 / Section 735.510
735.510 Notice to department of specified changes to practice
Status: in_force

A certified retainer medical practice shall:

(1) Notify the Department of Consumer and Business Services immediately whenever:

(a) The license of a provider who has provided services on behalf of the practice is denied, suspended, revoked or not renewed in this state or in any other jurisdiction; or

(b) The authority of the practice to operate in another jurisdiction is denied, suspended, revoked or not renewed.

(2) Notify the department no later than 30 days after any change to the name, address or contact information that is provided in the application for certification under ORS 735.500 (Requirements for certification as retainer medical practice) . [2011 c.499 §3]

Note: See note under 735.500 (Requirements for certification as retainer medical practice) .

Source: Section 735.510 — Notice to department of specified changes to practice , https://www.­oregonlegislature.­gov/bills_laws/ors/ors735.­html (accessed May 26, 2025).
ORS § 737.007 — OR Code / Title 56 / Chapter 737 / Section 737.007
737.007 “Rating organization” defined
Status: in_force

(1) As used in this chapter, unless the context requires otherwise, “rating organization” means:

(a) Every person, other than an insurer, whether located within or outside this state who has as the person’s object or purpose the making of rates, rating plans or rating systems; or

(b) Two or more insurers which act in concert for the purpose of making rates, rating plans or rating systems.

(2) Subsection (1) of this section does not include, apply to or affect two or more insurers operating within the specific authorizations contained in ORS 737.275 (Preparation of rates, rating systems and other administrative matters by insurers under common ownership) , 737.312 (Agreements among insurers for assignment of risks) , 737.365 (Cooperative activities among rating organizations and insurers) , 737.390 (Regulation of joint underwriting and joint reinsurance) and 737.526 (Interchange of data) . [1969 c.690 §14]

Source: Section 737.007 — “Rating organization” defined , https://www.­oregonlegislature.­gov/bills_laws/ors/ors737.­html (accessed May 26, 2025).
ORS § 744.308 — OR Code / Title 56 / Chapter 744 / Section 744.308
744.308 Limitations on authority of insurer and managing general agent
Status: in_force

(1) An insurer shall not allow a managing general agent, without prior approval of the insurer, to pay or commit the insurer to pay a claim over the amount, net of reinsurance, specified in the contract under ORS 744.306 (Contract between insurer and managing general agent) . The amount established in the contract shall not exceed one percent of the insurer’s policyholder surplus as of December 31 of the last completed calendar year.

(2) Neither an insurer nor a managing general agent may allow a subagent of the managing general agent to serve on the board of directors of the insurer.

(3) An insurer and a managing general agent may not jointly employ any individual. [1991 c.495 §6]

Source: Section 744.308 — Limitations on authority of insurer and managing general agent , https://www.­oregonlegislature.­gov/bills_laws/ors/ors744.­html (accessed May 26, 2025).
ORS § 743.272 — OR Code / Title 56 / Chapter 743 / Section 743.272
743.272 Computing benefits
Status: in_force

(1) A variable annuity policy shall specify the investment increment factors to be used in computing the dollar amount of variable benefits or other variable payments or values under the policy, and may guarantee that expense or mortality results or both will not adversely affect such dollar amounts. In the case of an individual variable annuity policy under which the expense or mortality results may adversely affect the dollar amount of benefits, the expense and mortality factors shall be correspondingly specified in the policy. “Expense” as used in this subsection may exclude some or all taxes, as specified in the policy.

(2) In computing the dollar amount of variable benefits or other policy payments or values:

(a) The annual net investment increment assumption shall not exceed five percent, except with the approval of the Director of the Department of Consumer and Business Services; and

(b) To the extent that the level of benefits may be affected by future mortality results, the mortality factor shall be determined from the Annuity Mortality Table for 1949, Ultimate, or any modification of that table not having a lower life expectancy at any age or, if approved by the director, from another table. [1973 c.435 §22]

Source: Section 743.272 — Computing benefits , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743.­html (accessed May 26, 2025).
ORS § 734.240 — OR Code / Title 56 / Chapter 734 / Section 734.240
734.240 Conduct of delinquency proceedings for foreign insurers
Status: in_force

(1) Whenever under this chapter an ancillary receiver is to be appointed in delinquency proceedings for an insurer not domiciled in this state, the court shall appoint the Director of the Department of Consumer and Business Services as ancillary receiver. The director shall file a petition requesting the appointment:

(a) If the director finds that there are sufficient assets of such insurer located in this state to justify the appointment of an ancillary receiver; or

(b) If 10 or more persons resident in this state having claims against such insurer file a petition with the director requesting the appointment of such ancillary receiver.

(2) The domiciliary receiver of an insurer domiciled in a reciprocal state, shall be vested by operation of law with the title to all the property, contracts and rights of action, and all the books and records of the insurer located in this state, and the domiciliary receiver shall have the immediate right to recover balances due from local insurance producers and to obtain possession of any books and records of the insurer found in this state. The domiciliary receiver shall also be entitled to recover the other assets of the insurer located in this state except that upon the appointment of an ancillary receiver in this state, the ancillary receiver shall during the ancillary receivership proceedings have the sole right to recover such other assets. The ancillary receiver shall, as soon as practicable, liquidate from their respective securities those special deposit claims and secured claims which are proved and allowed in the ancillary proceedings in this state, and shall pay the necessary expenses of the proceedings. All remaining assets the ancillary receiver shall promptly transfer to the domiciliary receiver. Subject to the provisions of this section the ancillary receiver and the deputies of the ancillary receiver shall have the same powers and be subject to the same duties with respect to the administration of such assets, as a receiver of an insurer domiciled in this state. [Formerly 751.030; 2003 c.364 §85]

Source: Section 734.240 — Conduct of delinquency proceedings for foreign insurers , https://www.­oregonlegislature.­gov/bills_laws/ors/ors734.­html (accessed May 26, 2025).
ORS § 742.156 — OR Code / Title 56 / Chapter 742 / Section 742.156
742.156 Notice of transfer under assumption reinsurance agreement
Status: in_force

(1) The transferring insurer in an assumption reinsurance agreement to which ORS 742.150 (Approval by director) applies shall provide or cause to be provided a notice of transfer meeting the requirements established under this section to the following persons:

(a) Each policyholder who has the right to terminate or otherwise alter the terms of a policy.

(b) Each certificate holder whose certificate is in force on the proposed effective date of the assumption if the certificate holder has the right to keep the certificate in force without change in benefit following termination of the group policy. The right to keep the certificate in force does not include the right to elect individual coverage under the Consolidated Omnibus Budget Reconciliation Act, section 601 et seq., of the Employee Retirement Income Security Act of 1974, as amended (29 U.S.C. 1161 et seq.).

(c) The transferring insurer’s agents of record on the affected policies.

(2) The Director of the Department of Consumer and Business Services shall prescribe the contents of the notice of transfer, methods by which insurers must give notice of the transfer and notice of opportunity to accept or reject the assumption and methods of response by the policyholders and certificate holders. [1995 c.30 §5]

Source: Section 742.156 — Notice of transfer under assumption reinsurance agreement , https://www.­oregonlegislature.­gov/bills_laws/ors/ors742.­html (accessed May 26, 2025).
ORS § 742.554 — OR Code / Title 56 / Chapter 742 / Section 742.554
742.554 Disclosures required by insurer to motor vehicle owner when insurer declares vehicle total loss
Status: in_force

When an insurer declares a motor vehicle a total loss and offers to make a cash settlement to an insured or third-party owner of the motor vehicle, the insurer shall provide the insured or third-party owner:

(1) Any valuation or appraisal reports relied upon by the insurer to determine value; and

(2) A written statement in a form provided by the Director of the Department of Consumer and Business Services that includes:

(a) Information about total loss, vehicle valuation and the duties of the insurer; and

(b) The manner in which and under what circumstances the insured may contact the Division of Financial Regulation of the Department of Consumer and Business Services. [2009 c.65 §2; 2017 c.17 §55]

Note: 742.554 (Disclosures required by insurer to motor vehicle owner when insurer declares vehicle total loss) and 742.558 (Dispute resolution process for total loss vehicles) were added to and made a part of the Insurance Code by legislative action but were not added to ORS chapter 742 or any series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 742.554 — Disclosures required by insurer to motor vehicle owner when insurer declares vehicle total loss , https://www.­oregonlegislature.­gov/bills_laws/ors/ors742.­html (accessed May 26, 2025).
ORS § 743a.150 — OR Code / Title 56 / Chapter 743a / Section 743a.150
743A.150 Treatment of craniofacial anomaly
Status: in_force

(1) As used in this section, “craniofacial anomaly” means a physical disorder identifiable at birth that affects the bony structures of the face or head, including but not limited to cleft palate, cleft lip, craniosynostosis, craniofacial microsomia and Treacher Collins syndrome.

(2) All health benefit plans, as defined in ORS 743B.005 (Definitions) , providing coverage of hospital, surgical or dental services, shall provide coverage for dental and orthodontic services for the treatment of craniofacial anomalies if the services are medically necessary to restore function.

(3) This section does not require coverage for the treatment of:

(a) Developmental maxillofacial conditions that result in overbite, crossbite, malocclusion or similar developmental irregularities of the teeth; or

(b) Temporomandibular joint disorder.

(4) Coverage required by this section may be subject to copayments, deductibles and coinsurance imposed on similar services by the terms of the plan.

(5) This section does not limit or supersede any coverage required by ORS 743A.028 (Services provided by denturist) , 743A.032 (Surgical services provided by dentist) or 743A.148 (Maxillofacial prosthetic services) .

(6) This section is exempt from ORS 743A.001 (Automatic repeal of certain statutes on individual and group health insurance) . [2012 c.21 §2]

Note: 743A.150 (Treatment of craniofacial anomaly) was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743A or any series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 743A.150 — Treatment of craniofacial anomaly , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743A.­html (accessed May 26, 2025).
ORS § 743.159 — OR Code / Title 56 / Chapter 743 / Section 743.159
743.159 Scope of ORS 743.162 to 743.243
Status: in_force

ORS 743.162 (Payment of premium) to 743.243 (Restrictions on form of coupon policy) apply only to policies of life insurance other than group life insurance, and do not apply to annuity or pure endowment policies. Such sections apply to such policies that are policies of variable life insurance, except to the extent the provisions of such sections are obviously inapplicable to variable life insurance or are in conflict with other provisions of such sections that are expressly applicable to variable life insurance. [1967 c.359 §375; 1973 c.435 §16]

Source: Section 743.159 — Scope of ORS 743.162 to 743.243 , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743.­html (accessed May 26, 2025).
ORS § 733.020 — OR Code / Title 56 / Chapter 733 / Section 733.020
733.020 Assets not allowed
Status: in_force

In addition to assets impliedly excluded by ORS 733.010 (Assets allowed) , the following expressly shall not be allowed as assets in any determination of the financial condition of an insurer:

(1) Advances to officers, other than policy loans, whether secured or not, and advances to employees, agents and other persons on personal security only.

(2) Stock of such insurer owned by it, or any material equity therein or loans secured thereby, or any material proportionate interest in such stock acquired or held through the ownership by such insurer of an interest in another firm, corporation or business unit.

(3) Tangible personal property, except such property as the insurer is otherwise permitted to acquire and retain as an investment under the Insurance Code and which is deemed by the Director of the Department of Consumer and Business Services to be available for the payment of losses and claims or which is otherwise expressly allowable, in whole or in part, as an asset.

(4) The amount, if any, by which the book value of any investment as carried in the ledger assets of the insurer exceeds the value thereof as determined under the Insurance Code. [1967 c.359 §209; 2001 c.318 §8]

Source: Section 733.020 — Assets not allowed , https://www.­oregonlegislature.­gov/bills_laws/ors/ors733.­html (accessed May 26, 2025).
ORS § 744.575 — OR Code / Title 56 / Chapter 744 / Section 744.575
744.575 Adjusting claims involving credit life or credit health insurance
Status: in_force

No plan or arrangement shall be used with respect to credit life or credit health insurance whereby any person other than the insurer or its designated claim representative shall be authorized to settle or adjust claims. The creditor shall not be designated as claim representative for the insurer in adjusting claims, except that a group policyholder may, by arrangement with the group insurer, draw drafts or checks in payment of claims due to the group policyholder subject to audit and review by the insurer. [Formerly 741.455; 1989 c.701 §52]

Source: Section 744.575 — Adjusting claims involving credit life or credit health insurance , https://www.­oregonlegislature.­gov/bills_laws/ors/ors744.­html (accessed May 26, 2025).
ORS § 746.240 — OR Code / Title 56 / Chapter 746 / Section 746.240
746.240 Undefined trade practices injurious to public prohibited
Status: in_force

No person shall engage in this state in any trade practice that, although not expressly defined and prohibited in the Insurance Code, is found by the Director of the Department of Consumer and Business Services to be an unfair or deceptive act or practice in the transaction of insurance that is injurious to the insurance-buying public. [1967 c.359 §589; 1973 c.281 §2]

Source: Section 746.240 — Undefined trade practices injurious to public prohibited , https://www.­oregonlegislature.­gov/bills_laws/ors/ors746.­html (accessed May 26, 2025).
ORS § 750.085 — OR Code / Title 56 / Chapter 750 / Section 750.085
750.085 Offer of replacement coverage upon order of liquidation
Status: in_force

(1) If a final order of liquidation with a finding of insolvency has been entered with respect to a health care service contractor by a court of competent jurisdiction in the domicile of the health care service contractor, subscribers of the health care service contractor must be offered replacement coverage as provided in this section.

(2) All insurers and health care service contractors that participated with the insolvent health care service contractor in the open enrollment process at the last regular open enrollment period for a group shall offer members of the group that are subscribers of the insolvent health care service contractor an open enrollment period that the Director of the Department of Consumer and Business Services establishes by rule, commencing on the date on which the final order of liquidation with a finding of insolvency was entered. Each of the insurers and health care service contractors shall offer the subscribers of the insolvent health care service contractor the same coverages and rates that the insurer or health care service contractor had offered to members of the group at the group’s last regular open enrollment period.

(3) If no other insurer or health care service contractor offered health insurance coverage to a group or groups whose members are enrolled with the insolvent health care service contractor, or if the other insurers and health care service contractors lack sufficient health care delivery resources to assure that health care services will be available and accessible to all of the group subscribers of the insolvent health care service contractor, the Director of the Department of Consumer and Business Services shall equitably allocate the contract or contracts for the group or groups among all health care service contractors that operate within a portion of the service area of the insolvent health care service contractor. The director shall take into consideration the health care delivery resources of each health care service contractor. Each health care service contractor to which a group or groups are so allocated shall offer to each such group the existing coverage of the health care service contractor, at rates determined by the health care service contractor in accordance with the health care service contractor’s existing rating methodology. Each health care service contractor to whom a group or groups are allocated may reevaluate the group or groups at the end of the contractual period or at the end of six months after the allocation, whichever occurs first, in order to determine the appropriate premium for each such group.

(4) The director shall equitably allocate the nongroup subscribers of the insolvent health care service contractor that are unable to obtain other coverage among all health care service contractors that operate within a portion of the service area of the insolvent health care service contractor. The director shall take into consideration the health care delivery resources of each health care service contractor. Each health care service contractor to which nongroup subscribers are allocated shall offer the health care service contractor’s existing individual or conversion coverage to nongroup subscribers, at rates determined in accordance with the health care service contractor’s existing rating methodology. A health care service contractor that does not offer direct nongroup enrollment may aggregate all of the allocated nongroup subscribers into one group for rating and coverage purposes. [1989 c.783 §2; 2017 c.479 §23]

Source: Section 750.085 — Offer of replacement coverage upon order of liquidation; procedure; rules , https://www.­oregonlegislature.­gov/bills_laws/ors/ors750.­html (accessed May 26, 2025).
ORS § 731.504 — OR Code / Title 56 / Chapter 731 / Section 731.504
731.504 Limit of risk
Status: in_force

(1) No insurer shall retain any risk on any one subject of insurance, whether a domestic risk or not, in an amount exceeding 10 percent of its surplus to policyholders, or in the case of title insurance, more than 50 percent of such surplus, except that an insurance company, including a reciprocal insurance company, comprised solely of 1,000 or more licensed Oregon physicians organized for the purpose of insuring for professional liability may consider aggregate insurance as surplus to policyholders for purposes of this section and shall not be allowed to retain the risk on any one subject of insurance in excess of two and one-half percent of such aggregate insurance.

(2) For purposes of this section, aggregate insurance is insurance which provides coverage in the event that the total fund of an insurance company, including a reciprocal insurance company, which is available to pay claims for occurrences of any one year, is exhausted. Aggregate insurance shall be in an amount equal to at least five times the annual premium collected by the insurance company.

(3) A “subject of insurance” for the purposes of this section:

(a) As to insurance against fire and hazards other than windstorm, earthquake and other catastrophic hazards, includes all properties insured by the same insurer that customarily are considered by underwriters to be subject to loss or damage from the same fire or the same occurrence of any other hazard insured against;

(b) As to group life and health insurance, refers individually to each person benefited under the group policy as a separate subject; and

(c) As to mortgage insurance, includes all obligations secured by real property in a single tract, or in multiple tracts not separated by at least one-half mile.

(4) Reinsurance ceded as authorized by ORS 731.508 (Approved reinsurance) shall be deducted in determining risk retained. As to surety risks, deduction also shall be made of the amount assumed by any established incorporated cosurety and the value of any security deposited, pledged, or held subject to the surety’s consent and for the surety’s protection.

(5) As to alien insurers, this section relates only to risks and surplus to policyholders of the insurer’s United States branch.

(6) As used in this section, “surplus to policyholders,” in addition to the insurer’s capital and surplus, includes any voluntary reserves that are not required pursuant to law, includes the contingency reserve held for mortgage insurance as required by ORS 733.100 (Contingency reserve liability for mortgage insurance) , and shall be determined from the last sworn statement of the insurer on file with the Director of the Department of Consumer and Business Services, or by the last report of examination of the insurer, whichever is the more recent at time of assumption of risk.

(7) This section does not apply to wet marine and transportation insurance or to any policy or type of coverage as to which the maximum possible loss to the insurer is not readily ascertainable on issuance of the policy. [1967 c.359 §103; 1969 c.692 §3; 1975 c.796 §12]

Source: Section 731.504 — Limit of risk , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 733.580 — OR Code / Title 56 / Chapter 733 / Section 733.580
733.580 Investment of required capitalization
Status: in_force

(1) Funds of an insurer at least equal to its required capitalization shall be invested and kept invested as follows:

(a) In amply secured obligations of the United States, a state or a political subdivision of this state.

(b) In loans secured by first liens upon improved, unencumbered real property (other than leaseholds) in this state where:

(A) The lien does not exceed 50 percent of the appraised value of the property and the loan is for a term of five years or less;

(B) The lien does not exceed 66-2/3 percent of the appraised value of the property provided there is an amortization plan mortgage, deed of trust or other instrument under the terms of which the installment payments are sufficient to repay the loan within a period of not more than 25 years; or

(C) The investment is insured or guaranteed by the Federal Housing Administration, the United States Department of Veterans Affairs, or under Title I of the Housing Act of 1949 (providing for slum clearance and redevelopment projects) enacted by Congress on July 15, 1949.

(c) In certificates of deposit or other investments described in ORS 733.650 (Investment of funds in certain obligations and other specified items) (4), to the extent such investments are insured by the Federal Deposit Insurance Corporation.

(2) Investments made pursuant to this section shall be kept free of any lien or pledge. The term “lien or pledge” as used in this section shall not include a deposit of securities with a sovereign, nor assets held in trust for the benefit or protection of all or any class of policyholders of an insurer. [Formerly 738.238; 1991 c.67 §195; 1993 c.447 §113]

Source: Section 733.580 — Investment of required capitalization , https://www.­oregonlegislature.­gov/bills_laws/ors/ors733.­html (accessed May 26, 2025).
ORS § 734.850 — OR Code / Title 56 / Chapter 734 / Section 734.850
734.850 Examination and regulation of association by director
Status: in_force

The Oregon Life and Health Insurance Guaranty Association shall be subject to examination and regulation by the Director of the Department of Consumer and Business Services. The board of directors shall submit to the director, not later than May 1 of each year, a financial report for the preceding calendar year in a form approved by the director, and a report of its activities during the preceding calendar year. [1975 c.251 §16]

Source: Section 734.850 — Examination and regulation of association by director; required reports , https://www.­oregonlegislature.­gov/bills_laws/ors/ors734.­html (accessed May 26, 2025).
ORS § 742.505 — OR Code / Title 56 / Chapter 742 / Section 742.505
742.505 Arbitration procedures under ORS 742.504
Status: in_force

Unless the parties agree otherwise, arbitration proceedings under ORS 742.504 (Required provisions of uninsured motorist coverage) shall be conducted as follows:

(1) Parties to an arbitration proceeding shall submit the dispute to arbitration by a panel of three arbitrators. The panel shall consist of one arbitrator chosen by each party and one arbitrator chosen by the two arbitrators previously chosen to sit on the panel.

(2) An arbitration proceeding shall be conducted under local court rules in the county where the arbitration is held. [2007 c.328 §2]

Note: 742.505 (Arbitration procedures under ORS 742.504) was added to and made a part of ORS chapter 742 by legislative action but was not added to any smaller series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 742.505 — Arbitration procedures under ORS 742.504 , https://www.­oregonlegislature.­gov/bills_laws/ors/ors742.­html (accessed May 26, 2025).
ORS § 732.551 — OR Code / Title 56 / Chapter 732 / Section 732.551
732.551 Registration of insurer members of holding company systems
Status: in_force

(1) Every authorized insurer that is a member of an insurance holding company system shall register with the Director of the Department of Consumer and Business Services as provided in this section. A foreign insurer need not register if the foreign insurer is subject to registration requirements and standards adopted by statute or rule in the jurisdiction of its domicile that are substantially similar to those contained in:

(a) This section, ORS 732.552 (Registration statement) , 732.553 (Certain information not required to be disclosed) and 732.554 (Changes in registration information) ;

(b) ORS 732.574 (Standards for transactions within holding company) (1), 732.576 (Dividends and distributions) and 732.582 (Determination of reasonableness and adequacy of capital and surplus) ; and

(c) ORS 732.574 (Standards for transactions within holding company) (2) or a provision that requires each registered insurer to keep current the information required to be disclosed in its registration statement by reporting all material changes or additions not later than 15 days after the end of the month in which it learns of each such change or addition.

(2) An insurer that is subject to registration under this section shall register not later than 15 days after the date the insurer becomes subject to registration, and annually thereafter on or before April 30 for the previous calendar year, unless the director for good cause shown extends the time for registration, and then within such extended time. The director may require any authorized insurer that is a member of a holding company system and is not subject to registration under this section to furnish a copy of the registration statement, the summary required in ORS 732.552 (Registration statement) or other information filed by the insurer with the insurance regulatory authority of its domiciliary jurisdiction. [Formerly 732.615]

Source: Section 732.551 — Registration of insurer members of holding company systems , https://www.­oregonlegislature.­gov/bills_laws/ors/ors732.­html (accessed May 26, 2025).
ORS § 731.616 — OR Code / Title 56 / Chapter 731 / Section 731.616
731.616 Valuation of deposits
Status: in_force

(1) For the purpose of determining the sufficiency of its deposit in this state the assets of the insurer on deposit shall be valued at current market value.

(2) If assets deposited by an insurer are subject to material fluctuations in market value, the Director of the Department of Consumer and Business Services, in the discretion of the director, may require the insurer to deposit and maintain on deposit additional assets in such amount as reasonably is necessary to assure that the deposit at all times will have a market value of not less than the amount specified under or pursuant to the law by which the deposit is required.

(3) If for any reason the current market value of such assets falls below the amount of deposit required of the insurer, the insurer shall promptly deposit other or additional assets eligible for deposit in an amount sufficient to cure the deficiency. The insurer has 30 days in which to cure the deficiency after notice thereof from the director. [1967 c.359 §115]

Source: Section 731.616 — Valuation of deposits; deficiencies , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 731.126 — OR Code / Title 56 / Chapter 731 / Section 731.126
731.126 “Reinsurance.”
Status: in_force

“Reinsurance” means a contract under which an originating insurer, called the “ceding” insurer, procures insurance for itself in another insurer, called the “assuming” insurer or the “reinsurer,” with respect to part or all of an insurance risk of the originating insurer. [1967 c.359 §26]

Source: Section 731.126 — “Reinsurance.” , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 746.155 — OR Code / Title 56 / Chapter 746 / Section 746.155
746.155 Applicability of ORS 746.145 and 746.150
Status: in_force

ORS 746.145 (Workers’ compensation insurance) and 746.150 (Other insurance) do not apply to groupings or combinations of persons or risks by way of common ownership or common use and control as permitted under ORS 737.600 (Fictitious grouping for rate purposes prohibited) . [1977 c.405 §2]

Source: Section 746.155 — Applicability of ORS 746.145 and 746.150 , https://www.­oregonlegislature.­gov/bills_laws/ors/ors746.­html (accessed May 26, 2025).
ORS § 731.418 — OR Code / Title 56 / Chapter 731 / Section 731.418
731.418 Grounds for suspension or revocation of certificate of authority
Status: in_force

(1) The Director of the Department of Consumer and Business Services may refuse to continue or may suspend or revoke an insurer’s certificate of authority if the director finds after a hearing that:

(a) The insurer has violated or failed to comply with any lawful order of the director, or any provision of the Insurance Code other than those for which suspension or revocation is mandatory.

(b) The insurer is in unsound condition, or in such condition or using such methods and practices in the conduct of its business, as to render its further transaction of insurance in this state hazardous or injurious to its policyholders or to the public.

(c) The insurer has failed, after written request by the director, to remove or discharge an officer or director who has been convicted in any jurisdiction of an offense which, if committed in this state, constitutes a misdemeanor involving moral turpitude or a felony, or is punishable by death or imprisonment under the laws of the United States, in any of which cases the record of the conviction shall be conclusive evidence.

(d) The insurer is affiliated with and under the same general management, interlocking directorate or ownership as another insurer that transacts direct insurance in this state without having a certificate of authority therefor, except as permitted under the Insurance Code.

(e) The insurer or an affiliate or holding company of the insurer refuses to be examined or any director, officer, employee or representative of the insurer, affiliate or holding company refuses to submit to examination relative to the affairs of the insurer, or to produce its accounts, records, and files for examination when required by the director or an examiner of the Department of Consumer and Business Services, or refuse to perform any legal obligation relative to the examination.

(f) The insurer has failed to pay any final judgment rendered against it in this state upon any policy, bond, recognizance or undertaking issued or guaranteed by it, within 30 days after the judgment became final, or within 30 days after time for taking an appeal has expired, or within 30 days after dismissal of an appeal before final determination, whichever date is the later.

(g) The insurer fails to comply with ORS 742.534 (Reimbursement of other insurers paying benefits) (1).

(h) The insurer has failed to comply with ORS 476.270 (Insurance company reports of suspicious fires) (1), (2) or (3) or 654.097 (Consultative services required) (1).

(2) Without advance notice or a hearing thereon, the director may suspend immediately the certificate of authority of any insurer as to which proceedings for receivership, conservatorship, rehabilitation, or other delinquency proceedings, have been commenced in any state by the public insurance supervisory official of such state. [1967 c.359 §89; 1971 c.321 §17; 1971 c.523 §10; 1975 c.585 §4; 1981 c.701 §3; 1993 c.447 §7]

Source: Section 731.418 — Grounds for suspension or revocation of certificate of authority , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 742.234 — OR Code / Title 56 / Chapter 742 / Section 742.234
742.234 Insurer’s options
Status: in_force

A fire insurance policy shall contain a provision as follows: “It shall be optional with this company to take all, or any part, of the property at the agreed or appraised value, and also to repair, rebuild or replace the property destroyed or damaged with other of like kind and quality within a reasonable time, on giving notice of its intention so to do within 30 days after the receipt of the proof of loss herein required.” [Formerly 743.651]

Source: Section 742.234 — Insurer’s options , https://www.­oregonlegislature.­gov/bills_laws/ors/ors742.­html (accessed May 26, 2025).
ORS § 733.654 — OR Code / Title 56 / Chapter 733 / Section 733.654
733.654 Limitation on amount of separate account investments
Status: in_force

An insurer shall not invest the funds of a separate account so as to have more than 10 percent of the market value of the assets of the account invested in or secured by the stocks, obligations or property of any one person or political subdivision, or invested in a single parcel of real property or any other single investment. This section does not apply to:

(1) Funds equaling 25 percent of the market value of the total assets in the separate account;

(2) Investments in, or loans upon, the security of the general obligations of a sovereign; or

(3) Investments in certificates of deposits insured by the Federal Deposit Insurance Corporation. [1973 c.435 §10; 1981 c.472 §27; 1999 c.107 §17]

Source: Section 733.654 — Limitation on amount of separate account investments; exceptions , https://www.­oregonlegislature.­gov/bills_laws/ors/ors733.­html (accessed May 26, 2025).
ORS § 731.374 — OR Code / Title 56 / Chapter 731 / Section 731.374
731.374 Exemptions to certificate of authority requirement
Status: in_force

A certificate of authority is not required of an insurer with respect to the following:

(1) Transactions pursuant to surplus lines coverages lawfully written under the Insurance Code.

(2) Reinsurance, when transacted by an insurer duly authorized by the insurer’s state of domicile to transact the class of insurance involved.

(3) Wet marine and transportation insurance. [1967 c.359 §78; 2015 c.505 §1]

Source: Section 731.374 — Exemptions to certificate of authority requirement , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 743.245 — OR Code / Title 56 / Chapter 743 / Section 743.245
743.245 Variable life insurance policy provisions
Status: in_force

A variable life insurance policy shall contain a provision stating the essential features of the procedures to be followed by the insurer in determining benefits thereunder. Such a policy, and any certificate evidencing such a policy, shall contain on its first page a clear and prominent statement to the effect that benefits thereunder are variable. [1973 c.435 §14]

Source: Section 743.245 — Variable life insurance policy provisions , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743.­html (accessed May 26, 2025).
ORS § 744.702 — OR Code / Title 56 / Chapter 744 / Section 744.702
744.702 Third party administrator license
Status: in_force

(1) Subject to ORS 744.704 (Exemptions from license requirement) , a person shall not transact business or purport or offer to transact business as a third party administrator in this state unless the person holds a third party administrator license issued by the Director of the Department of Consumer and Business Services.

(2) For purposes of ORS 744.700 (Definitions for ORS 744.700 to 744.740) to 744.740 (Responsibility of insurer using third party administrator) , a person transacts or purports or offers to transact business as a third party administrator when the person directly or indirectly solicits or effects coverage of, underwrites, collects charges or premiums from, or adjusts or settles claims on, residents of this state or residents of another state from offices in this state, in connection with life insurance or health insurance coverage.

(3) Nothing in ORS 744.700 (Definitions for ORS 744.700 to 744.740) to 744.740 (Responsibility of insurer using third party administrator) exempts a third party administrator from any other applicable licensing requirement when the third party administrator performs the functions of an insurance producer, adjuster or insurance consultant. [1991 c.812 §3; 2003 c.364 §127]

Source: Section 744.702 — Third party administrator license; description of transacting business as third party administrator , https://www.­oregonlegislature.­gov/bills_laws/ors/ors744.­html (accessed May 26, 2025).
ORS § 737.270 — OR Code / Title 56 / Chapter 737 / Section 737.270
737.270 Determination of workers’ compensation premiums for worker leasing company
Status: in_force

(1) When a worker leasing company required to be licensed by ORS 656.850 (License) provides workers to work for a client and also provides the workers’ compensation coverage for those workers, the insurance premium for the client’s exposure shall be based on the client’s own experience rating, in the same manner as required for employers insuring directly employed workers.

(2) An insurer that provides workers’ compensation to a worker leasing company shall maintain and report to the licensed workers’ compensation rating organization of which the insurer is a member separate statistical experience for each client of the worker leasing company according to the uniform statistical plan prescribed by the Director of the Department of Consumer and Business Services according to ORS 737.225 (Records requirements) (4).

(3) To reimburse expenses incurred by the insurer in segregating client experience, the insurer shall be permitted to charge the worker leasing company a reasonable fee as determined by the director.

(4) The worker leasing company shall earn a separate experience rating for any administrative personnel the company employs. [1993 c.628 §5; 1999 c.235 §4]

Source: Section 737.270 — Determination of workers’ compensation premiums for worker leasing company; reporting statistical experience , https://www.­oregonlegislature.­gov/bills_laws/ors/ors737.­html (accessed May 26, 2025).
ORS § 731.026 — OR Code / Title 56 / Chapter 731 / Section 731.026
731.026 Application of Insurance Code to particular insurers
Status: in_force

The Insurance Code applies to:

(1) A fraternal benefit society complying with ORS chapter 748, only as provided in such chapter.

(2) A health care service contractor complying with ORS 750.005 (Definitions) to 750.095 (Requirements of contract between provider and subscriber) , only as provided in such sections.

(3) A legal expense organization complying with ORS 750.505 (Definitions for ORS 750.505 to 750.715) to 750.715 (Rules) , only as provided in such sections.

(4) A multiple employer welfare arrangement complying with ORS 750.301 (Definitions for ORS 750.301 to 750.341) to 750.341 (Requirement for multiple employer welfare arrangement to become traditional insurer) , only as provided in such sections. [1967 c.359 §6; 1971 c.425 §1; 1973 c.97 §2; 1975 c.769 §2; 1989 c.331 §23; 1993 c.265 §2; 1993 c.615 §26; 2005 c.31 §6]

Source: Section 731.026 — Application of Insurance Code to particular insurers , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 743b.458 — OR Code / Title 56 / Chapter 743b / Section 743b.458
743B.458 Performance-based incentive payments for primary care
Status: in_force

An insurer offering a health benefit plan, as defined in ORS 743B.005 (Definitions) , that reimburses the costs of services provided by a national primary care medical home payment model, conducted by the Center for Medicare and Medicaid Innovation in accordance with 42 U.S.C. 1315a, that includes performance-based incentive payments for primary care, shall offer similar alternative payment methodologies to reimburse the costs of services provided by patient centered primary care homes identified in accordance with ORS 413.259 (Patient centered primary care home program and behavioral health home program) that serve beneficiaries of the health benefit plan. [2017 c.489 §7]

Note: 743B.458 (Performance-based incentive payments for primary care) was added to and made a part of the Insurance Code by legislative action but was not added to ORS chapter 743B or any series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 743B.458 — Performance-based incentive payments for primary care , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743B.­html (accessed May 26, 2025).
ORS § 737.205 — OR Code / Title 56 / Chapter 737 / Section 737.205
737.205 Filing rates, plans with director
Status: in_force

(1) Every insurer shall file with the Director of the Department of Consumer and Business Services copies of the rates, rating plans and rating systems used by it. Except as provided in ORS 737.207 (Commercial liability insurance rate filings) , 737.209 (Hearing on rate filings under ORS 737.207) and 737.320 (Review of certain filings) (2), each filing shall become effective immediately on the date specified therein but not earlier than the date such filing is received by the director. This subsection does not apply to inland marine risks which by general custom of the business are not written according to manual rates or rating plans.

(2) An insurer may satisfy its obligation to make such filings by becoming a member of or a subscriber to a licensed rating organization which makes such filings, and by authorizing the director to accept such filings on its behalf. Such insurer may so adopt the filings of a rating organization on part of the classes of risks insured by it and may make its own filings as to other classes which shall be uniform throughout the insurer’s territorial classification. This subsection does not apply to workers’ compensation insurance filings except to the extent that the rating organization filings of rating plans or systems under ORS 737.320 (Review of certain filings) are complete and usable by an insurer without the addition of allowances for expenses, taxes or profit.

(3) A filing shall be open to public inspection immediately upon submission to the director. [1969 c.690 §4; 1981 c.535 §16; 1987 c.774 §50]

Source: Section 737.205 — Filing rates, plans with director; public inspection of filings; effect on workers’ compensation filings , https://www.­oregonlegislature.­gov/bills_laws/ors/ors737.­html (accessed May 26, 2025).
ORS § 750.319 — OR Code / Title 56 / Chapter 750 / Section 750.319
750.319 Salaries
Status: in_force

(1) The trust carrying out a multiple employer welfare arrangement may not pay any salary, compensation or emolument to any officer or trustee of the trust unless the payment is first authorized by a majority vote of the board of trustees.

(2) The compensation of any trustee or officer may not be unreasonable and may not be calculated, directly or indirectly, as a percentage of contributions collected. [1993 c.615 §12]

Note: See note under 750.301 (Definitions for ORS 750.301 to 750.341) .

Source: Section 750.319 — Salaries; other compensation , https://www.­oregonlegislature.­gov/bills_laws/ors/ors750.­html (accessed May 26, 2025).
ORS § 743a.036 — OR Code / Title 56 / Chapter 743a / Section 743a.036
743A.036 Services provided by licensed nurse practitioner or licensed physician assistant
Status: in_force

(1) Whenever any policy of health insurance provides for reimbursement for a primary care or mental health service provided by a licensed physician, the insured under the policy is entitled to reimbursement for such service if provided by a licensed physician assistant or a licensed nurse practitioner if the service is within the lawful scope of practice of the physician assistant or nurse practitioner.

(2) Intentionally left blank —Ed.

(a) The reimbursement of a service described in subsection (1) of this section that is provided by a licensed physician assistant or a licensed nurse practitioner who is in an independent practice shall be in the same amount as the reimbursement paid under the policy to a licensed physician performing the service in the area served.

(b) As used in this subsection, “independent practice” means the licensed physician assistant or the licensed nurse practitioner bills insurers for services provided by the physician assistant or nurse practitioner using the:

(A) Diagnosis and procedure codes applicable to the services;

(B) Physician assistant’s or nurse practitioner’s own name; and

(C) National provider identifier for:

(i) The physician assistant or nurse practitioner; and

(ii) If required by the insurer, the facility in which the physician assistant or nurse practitioner provides the services.

(3) This section does not apply to group practice health maintenance organizations that are federally qualified pursuant to Title XIII of the Health Maintenance Organization Act or other insurers that employ physicians, licensed physician assistants or licensed nurse practitioners to provide primary care or mental health services and do not compensate such practitioners on a fee-for-service basis.

(4) An insurer may not reduce the reimbursement paid to a licensed physician in order to comply with this section. [Formerly 743.712; 2013 c.430 §§1,4; 2015 c.377 §1; 2016 c.54 §1; 2019 c.358 §42]

Source: Section 743A.036 — Services provided by licensed nurse practitioner or licensed physician assistant , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743A.­html (accessed May 26, 2025).
ORS § 743.315 — OR Code / Title 56 / Chapter 743 / Section 743.315
743.315 Incontestability
Status: in_force

A group life insurance policy shall contain a provision that the validity of the policy shall not be contested, except for nonpayment of premiums, after it has been in force for two years from its date of issue; and that no statement made by any person insured under the policy relating to the insurability of the person shall be used in contesting the validity of the insurance with respect to which such statement was made after such insurance has been in force prior to the contest for a period of two years during such person’s lifetime nor unless it is contained in a written instrument signed by the person. [1967 c.359 §416]

Source: Section 743.315 — Incontestability , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743.­html (accessed May 26, 2025).
ORS § 748.319 — OR Code / Title 56 / Chapter 748 / Section 748.319
748.319 Group certificates issued by foreign or alien society or by domestic society in foreign or alien jurisdiction
Status: in_force

(1) A group certificate, when issued in this state by any foreign or alien society, may contain, when issued, any provision required by the laws of the state or country under which the society is organized.

(2) Group certificates issued in other states or countries by a domestic society may contain any provision required by the laws of the other state or country. [1987 c.490 §39]

Source: Section 748.319 — Group certificates issued by foreign or alien society or by domestic society in foreign or alien jurisdiction , https://www.­oregonlegislature.­gov/bills_laws/ors/ors748.­html (accessed May 26, 2025).
ORS § 732.410 — OR Code / Title 56 / Chapter 732 / Section 732.410
732.410 Right to acquire own shares
Status: in_force

A domestic insurer shall have the right to purchase or otherwise acquire, hold, pledge, transfer or dispose of its own issued shares. An insurer may acquire any such shares by purchase, exchange or disposition of its assets only from earned surplus as defined by rule, that is not otherwise restricted or, with the prior written approval of the Director of the Department of Consumer and Business Services, from other of its surplus. [1967 c.359 §180; 1987 c.846 §8]

Source: Section 732.410 — Right to acquire own shares , https://www.­oregonlegislature.­gov/bills_laws/ors/ors732.­html (accessed May 26, 2025).
ORS § 750.331 — OR Code / Title 56 / Chapter 750 / Section 750.331
750.331 Prohibited activities for trustee or officer
Status: in_force

In addition to limitations and restrictions imposed by the federal Employee Retirement Income Security Act of 1974, as amended, 29 U.S.C. 1001 et seq., on trustees or officers in their capacity as fiduciaries, a trustee or officer of a trust carrying out a multiple employer welfare arrangement shall not do any of the following:

(1) Receive directly or indirectly any payment for negotiating, procuring, recommending or aiding in:

(a) Any purchase by or sale to the trust; or

(b) Any loan from the trust.

(2) Be pecuniarily interested, as principal, coprincipal, agent or beneficiary, in a purchase, sale or loan described in subsection (1) of this section. [1993 c.615 §18]

Note: See note under 750.301 (Definitions for ORS 750.301 to 750.341) .

Source: Section 750.331 — Prohibited activities for trustee or officer , https://www.­oregonlegislature.­gov/bills_laws/ors/ors750.­html (accessed May 26, 2025).
ORS § 731.480 — OR Code / Title 56 / Chapter 731 / Section 731.480
731.480 Workers’ compensation policies
Status: in_force

An insurer shall not issue workers’ compensation insurance policies pursuant to ORS chapter 656 unless it furnishes occupational safety and health loss control consultative services to its insured employers consistent with the requirements of ORS 654.097 (Consultative services required) . [1975 c.585 §3; 1981 c.874 §9; 1987 c.373 §80b; 1987 c.884 §61; 2007 c.241 §24]

Source: Section 731.480 — Workers’ compensation policies; conditions for issuing , https://www.­oregonlegislature.­gov/bills_laws/ors/ors731.­html (accessed May 26, 2025).
ORS § 732.572 — OR Code / Title 56 / Chapter 732 / Section 732.572
732.572 Rulemaking authority for ORS 732.517 to 732.596
Status: in_force

The Director of the Department of Consumer and Business Services may adopt rules to carry out ORS 732.517 (Purpose of ORS 732.517 to 732.546) to 732.596 (Request by insurance holding company system for determination or acknowledgement of group-wide supervisor) . [Formerly 732.705]

Source: Section 732.572 — Rulemaking authority for ORS 732.517 to 732.596 , https://www.­oregonlegislature.­gov/bills_laws/ors/ors732.­html (accessed May 26, 2025).
ORS § 743a.028 — OR Code / Title 56 / Chapter 743a / Section 743a.028
743A.028 Services provided by denturist
Status: in_force

Notwithstanding any provisions of any policy of insurance covering dental health, whenever such policy provides for reimbursement for any service that is within the lawful scope of practice of a denturist, the insured under such policy shall be entitled to reimbursement for such service, whether the service is performed by a licensed dentist or a licensed denturist as defined in ORS 680.500 (Definitions for ORS 680.500 to 680.565) . [Formerly 743.713]

Note: 743A.028 (Services provided by denturist) was added to and made a part of the Insurance Code by law but was not added to ORS chapter 743A or any series therein. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 743A.028 — Services provided by denturist , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743A.­html (accessed May 26, 2025).
ORS § 743.474 — OR Code / Title 56 / Chapter 743 / Section 743.474
743.474 Conformity with state statutes
Status: in_force

A health insurance policy may contain a provision as follows: “CONFORMITY WITH STATE STATUTES: Any provision of this policy which, on its effective date, is in conflict with the statutes of the state in which the insured resides on such date hereby is amended to conform to the minimum requirements of such statutes.” [1967 c.359 §450]

Source: Section 743.474 — Conformity with state statutes , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743.­html (accessed May 26, 2025).
ORS § 733.302 — OR Code / Title 56 / Chapter 733 / Section 733.302
733.302 Reserve valuation method for life insurance policies and annuity and pure endowment contracts
Status: in_force

(1) The Director of the Department of Consumer and Business Services shall annually value, or cause to be valued, the reserve liabilities for all outstanding life insurance policies and annuity and pure endowment contracts of every life insurer doing business in this state, and may certify the amount of any such reserves, specifying the mortality table or tables, rate or rates of interest, and methods, net level premium method or other, used in the calculations of such reserves. For purposes of ORS 733.300 (Short title) to 733.340 (Exemptions) and sections 14 to 17, chapter 547, Oregon Laws 2015, reserve liabilities shall be referred to as reserves.

(2) In calculating reserves, the director may use group methods and approximate averages for fractions of a year or otherwise.

(3) In lieu of the valuation of the reserves required of any foreign or alien insurer under the Standard Valuation Law, the director may accept any valuation made, or caused to be made, by the insurance supervisory official of any state or other jurisdiction when the valuation complies with the minimum standard provided under the Standard Valuation Law and if the official of the state or jurisdiction accepts as sufficient and for all valid legal purposes the certificate of valuation of the director when the certificate states the valuation to have been made in a specified manner according to which the aggregate reserves would be at least as large as if they had been computed in the manner prescribed by the law of that state or jurisdiction. [1991 c.401 §18; 2015 c.547 §22]

Source: Section 733.302 — Reserve valuation method for life insurance policies and annuity and pure endowment contracts , https://www.­oregonlegislature.­gov/bills_laws/ors/ors733.­html (accessed May 26, 2025).
ORS § 734.890 — OR Code / Title 56 / Chapter 734 / Section 734.890
734.890 Association not to be used in sales or solicitation
Status: in_force

No insurer or insurance producer shall make, publish, disseminate, circulate or place before the public, or cause directly or indirectly, to be made, published, disseminated, circulated or placed before the public, in any newspaper, magazine or other publication, or in the form of a notice, circular, pamphlet, letter or poster, or over any radio station or television station, or in any other way, any advertisement, announcement or statement which uses the existence of the Oregon Life and Health Insurance Guaranty Association for the purpose of sales, solicitation or inducement to purchase any form of insurance covered by the Oregon Life and Health Insurance Guaranty Association Act. This section shall not apply however to the Oregon Life and Health Insurance Guaranty Association or any other entity which does not sell or solicit insurance or to public service institutional advertisements by individual insurers. [1975 c.251 §20; 2003 c.364 §87]

Source: Section 734.890 — Association not to be used in sales or solicitation , https://www.­oregonlegislature.­gov/bills_laws/ors/ors734.­html (accessed May 26, 2025).