reglab/housing_qa huggingface dataset:
OR Rev Stat § 743B.462 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 743B - Health Benefit Plans: Individual and Group|Section 743B.462 - Direct payments to providers.

(1) As used in this section: (a) "Health benefit plan" has the meaning given that term in ORS 743B.005. (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 and 743.550, 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 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.
OR Rev Stat § 743B.501 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 743B - Health Benefit Plans: Individual and Group|Section 743B.501 - Registration of contracting entity.

(1) A contracting entity that does not have a certificate of authority shall register with the Department of Consumer and Business Services as a contracting entity by submitting the following information to the department in written or electronic form as prescribed by the department along with any fee prescribed by the department: (a) The official name of the entity and any secondary, alternative or substitute designations. (b) The mailing address and telephone number of the headquarters of the entity. (c) The name and telephone number of a representative of the entity who shall serve as the primary contact for the department. (2) The requirements of this section do not apply to a contracting entity that is under common ownership and control of a contracting entity that is licensed by or has a certificate of authority from the department. [Formerly 743.083] Note: 743B.501 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.
OR Rev Stat § 743B.503 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 743B - Health Benefit Plans: Individual and Group|Section 743B.503 - Additional requirements for third party contracts.

(1) A contract between a third party and a contracting entity or between two third parties with respect to a provider network contract must comply with this section and ORS 743B.502. (2)(a) A third party shall inform the contracting entity and providers under a contracting entity’s provider network contract of a website, toll-free number or other readily available mechanism to identify the names of all third parties to which the third party provides access to the health care services and discounted rates of a provider under the provider network contract. (b) The third party shall update the website described in paragraph (a) of this subsection at least every 90 days to reflect all third parties currently provided access. Upon request, the third party shall make the information available to a provider via telephone or through direct notification. (3) A provider may refuse to accept as payment in full a discounted payment made by a third party under the terms of a provider network contract if there is no valid contractual basis for the discount or the discount is taken in violation of this section or ORS 743B.502. [Formerly 743.086] Note: See note under 743B.500.
OR Rev Stat § 743B.550 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 743B - Health Benefit Plans: Individual and Group|Section 743B.550 - Disclosure of information.

Nothing in ORS 743.008, 743A.012, 743B.195, 743B.197, 743B.200, 743B.202, 743B.204, 743B.250, 743B.400, 743B.403, 743B.420, 743B.423 and 743B.550 shall be construed to require disclosure of information that is otherwise privileged or confidential under any other provision of law. [Formerly 743.839; 2021 c.97 §83]
OR Rev Stat § 743B.601 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 743B - Health Benefit Plans: Individual and Group|Section 743B.601 - Synchronization of prescription drug refills.

(1) As used in this section: (a) "Health plan" means: (A) A "health benefit plan" as defined in ORS 743B.005; and (B) A self-insured health plan offered by the Oregon Health and Science University. (b) "Synchronization policy" means a procedure for aligning the refill dates of a patient’s prescription drugs so that drugs that are refilled at the same frequency may be refilled concurrently. (2) A health plan that includes prescription drug coverage shall implement a synchronization policy for the dispensing of prescription drugs to the plan’s enrollees. (3) A health plan shall reimburse the cost of prescription drugs dispensed in accordance with the plan’s synchronization policy. (4) If a drug is dispensed in less than a 30-day supply for the purpose of synchronizing a patient’s prescription drug refills, a health plan shall: (a) Prorate the copayment; or (b) Adjust the copayment using a method approved by the Department of Consumer and Business Services. (5) A health plan shall fully reimburse the dispensing fee for partially filled or refilled prescription drugs. (6) This section does not apply to prescription drugs that: (a) Are in unit-of-use packaging for which synchronization is not possible; (b) Are controlled substances; or (c) Have been identified by the United States Drug Enforcement Administration as having a high risk of diversion. (7) The coverage required by this section may be limited by formulary restrictions applied to a prescription drug by a health plan. (8)(a) This section does not apply to a prepaid group practice health plan with at least 200,000 enrollees in this state. (b) As used in this subsection, "prepaid group practice health plan" means a health care service contractor that provides physician services to its enrollees through an integrated health care delivery system using, primarily, a single group of physicians contracted on a prepaid, capitated basis. [2014 c.25 §2; 2015 c.800 §1; 2017 c.309 §6] Note: 743B.601 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.
OR Rev Stat § 743B.810 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 743B - Health Benefit Plans: Individual and Group|Section 743B.810 - Enrollees covered by workers’ compensation.

(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. (4) The provisions of ORS 743A.001 do not apply to this section. [2014 c.94 §2; 2017 c.309 §7] Note: 743B.810 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.
OR Rev Stat § 744.012 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 744 - Insurance Producers; Life Settlement Providers, Brokers and Contracts; Adjusters; Consultants; Third Party Administrators; Reinsurance Intermediaries; Limited Licenses|Section 744.012

[1979 c.501 §1; 1989 c.701 §41; renumbered 744.240 in 1989]
OR Rev Stat § 744.015 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 744 - Insurance Producers; Life Settlement Providers, Brokers and Contracts; Adjusters; Consultants; Third Party Administrators; Reinsurance Intermediaries; Limited Licenses|Section 744.015

[1967 c.359 §526; 1989 c.701 §22; renumbered 744.054 in 1989]
OR Rev Stat § 744.017 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 744 - Insurance Producers; Life Settlement Providers, Brokers and Contracts; Adjusters; Consultants; Third Party Administrators; Reinsurance Intermediaries; Limited Licenses|Section 744.017

[1971 c.231 §8; 1989 c.701 §42; renumbered 744.245 in 1989]
OR Rev Stat § 744.025 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 744 - Insurance Producers; Life Settlement Providers, Brokers and Contracts; Adjusters; Consultants; Third Party Administrators; Reinsurance Intermediaries; Limited Licenses|Section 744.025

[1967 c.359 §527; 1971 c.385 §6; 1979 c.501 §3; 1979 c.829 §9a; 1981 c.247 §18; 1983 c.464 §1; 1985 c.762 §188; 1989 c.701 §23; renumbered 744.057 in 1989]
OR Rev Stat § 744.039 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 744 - Insurance Producers; Life Settlement Providers, Brokers and Contracts; Adjusters; Consultants; Third Party Administrators; Reinsurance Intermediaries; Limited Licenses|Section 744.039

[1991 c.810 §22; 2001 c.191 §23; renumbered 744.077 in 2001]
OR Rev Stat § 744.045 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 744 - Insurance Producers; Life Settlement Providers, Brokers and Contracts; Adjusters; Consultants; Third Party Administrators; Reinsurance Intermediaries; Limited Licenses|Section 744.045

[1967 c.359 §529; 1983 c.76 §2; 1987 c.916 §8; 1989 c.331 §33; 1989 c.701 §25; renumbered 744.066 in 1989]
OR Rev Stat § 744.052 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 744 - Insurance Producers; Life Settlement Providers, Brokers and Contracts; Adjusters; Consultants; Third Party Administrators; Reinsurance Intermediaries; Limited Licenses|Section 744.052 - Definitions for ORS 744.052 to 744.089.

As used in ORS 744.052 to 744.089: (1) "Business entity" has the meaning given that term in ORS 731.116. (2) "Home state" means any state, district or territory of the United States, in which an insurance producer maintains the insurance producer’s principal place of residence or principal place of business and is licensed to act as an insurance producer. (3) "Limited class credit insurance" includes but is not limited to credit life, credit disability, credit property, credit unemployment, involuntary unemployment, mortgage life, mortgage guaranty, mortgage disability, and guaranteed automobile protection insurance, and any other form of insurance offered in connection with an extension of credit that is limited to partially or wholly extinguishing the credit obligation that the Director of the Department of Consumer and Business Services determines should be designated a form of limited class credit insurance. (4) "Limited class credit insurance producer" means a person required to be licensed to sell, solicit or negotiate one or more forms of limited class credit insurance coverage to individuals through a master, corporate, group or individual policy. (5) "Limited class insurance" includes but is not limited to credit, mortgage, automobile dealer guaranteed automobile protection and any other form of insurance designated by the director as a form of limited class insurance. (6) "Limited class insurance producer" means a person required to be licensed to sell, solicit or negotiate one or more forms of limited class insurance coverage to individuals through a master, corporate, group or individual policy. (7) "Negotiate," "sell" and "solicit" have the meanings given those terms in ORS 731.104. (8) "Terminate" means to cancel the relationship between an insurance producer and the insurer or to revoke an insurance producer’s authority to sell, solicit or negotiate insurance. (9) "Uniform Application" means the current version of the Uniform Application for resident and nonresident insurance producer licensing, produced by the National Association of Insurance Commissioners. (10) "Uniform Business Entity Application" means the current version of the Uniform Business Entity Application for resident and nonresident business entities, produced by the National Association of Insurance Commissioners. [2001 c.191 §2; 2003 c.364 §2]
OR Rev Stat § 744.053 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 744 - Insurance Producers; Life Settlement Providers, Brokers and Contracts; Adjusters; Consultants; Third Party Administrators; Reinsurance Intermediaries; Limited Licenses|Section 744.053 - Requirements to be licensed as insurance producer for class of insurance.

A person may not sell, solicit or negotiate insurance in this state for any class or classes of insurance unless the person is licensed as an insurance producer for that class or those classes in accordance with ORS 744.052 to 744.089. [2001 c.191 §3; 2003 c.364 §3]
OR Rev Stat § 744.055 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 744 - Insurance Producers; Life Settlement Providers, Brokers and Contracts; Adjusters; Consultants; Third Party Administrators; Reinsurance Intermediaries; Limited Licenses|Section 744.055

[1967 c.359 §530; 1971 c.231 §27; 1987 c.222 §1; 1989 c.701 §27; renumbered 744.071 in 1989]
OR Rev Stat § 744.058 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 744 - Insurance Producers; Life Settlement Providers, Brokers and Contracts; Adjusters; Consultants; Third Party Administrators; Reinsurance Intermediaries; Limited Licenses|Section 744.058 - Written examination; fees; rules.

(1) An individual applying for a resident insurance producer license must pass a written examination unless the individual is exempt from the prelicensing education and examination requirement as provided in ORS 744.067. The examination must test the knowledge of the individual concerning the class or classes of insurance for which application is made, the duties and responsibilities of an insurance producer and the insurance statutes and rules of this state. Except as provided in subsection (2) of this section, the examination required by this section shall be developed and conducted by the Director of the Department of Consumer and Business Services. An individual may apply for a resident insurance producer license only if the individual has established in this state a residence or a place of business for acting as an insurance producer. (2) The director may make arrangements, including contracting with a private testing service, for developing and administering the examination and collecting applicable fees. (3) Each individual applying to take an examination shall pay fees as established by the director. (4) An individual who fails to appear for the examination as scheduled or fails to pass the examination may reapply to take the examination according to requirements and procedures established by the director by rule. [2001 c.191 §5; 2003 c.364 §5]
OR Rev Stat § 744.059 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 744 - Insurance Producers; Life Settlement Providers, Brokers and Contracts; Adjusters; Consultants; Third Party Administrators; Reinsurance Intermediaries; Limited Licenses|Section 744.059 - Qualifications for license; use of uniform application.

(1) An individual applying for a resident insurance producer license shall apply to the Director of the Department of Consumer and Business Services on the Uniform Application and shall declare that the statements made in the application are true, correct and complete to the best of the individual’s knowledge and belief. Before approving the application, the director must find that the individual: (a) Is at least 18 years of age; (b) Has not committed an act that is a ground for action on a license set forth in ORS 744.074; (c) When required by the director, has completed a prelicensing course of study for the lines of authority for which the person has applied; (d) Has paid all applicable fees; and (e) Has successfully passed the examination for the lines of authority for which the person has applied. (2) A business entity acting as an insurance producer is required to obtain an insurance producer license. Application shall be made on the Uniform Business Entity Application. Before approving the application, the director must find that: (a) The business entity has paid all applicable fees; and (b) The business entity has designated a licensed insurance producer responsible for the business entity’s compliance with the insurance laws and rules of this state. (3) The director may require any documents necessary to verify the information contained in an application. (4) Each insurer that sells, solicits or negotiates any form of limited class credit insurance shall provide to each limited class credit insurance producer a program of instruction, which is subject to review and approval by the director. [2001 c.191 §6; 2003 c.364 §6]
OR Rev Stat § 744.061 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 744 - Insurance Producers; Life Settlement Providers, Brokers and Contracts; Adjusters; Consultants; Third Party Administrators; Reinsurance Intermediaries; Limited Licenses|Section 744.061 - Banking institution as insurance producer.

(1) The Insurance Code does not limit or prohibit the licensing of a banking institution, as defined in ORS 706.008, as an insurance producer to transact one or more of the classes of insurance described in ORS 744.062, except for title insurance. (2) The Insurance Code does not limit or prohibit the licensing, as an insurance producer to transact one or more of the classes of insurance described in ORS 744.062, of any of the following: (a) A corporation owned in whole or in part by a banking institution under ORS 708A.120, 716.588 or 716.594. (b) A corporation owned in whole or in part by a financial holding company or a bank holding company, as defined in ORS 706.008. [1989 c.701 §24; 1997 c.631 §548; 2001 c.191 §24; 2001 c.377 §51; 2003 c.364 §7; 2005 c.194 §5]
OR Rev Stat § 744.062 (2021)
2021 Oregon Revised Statutes|Volume : 18 - Financial Institutions, Insurance|Chapter 744 - Insurance Producers; Life Settlement Providers, Brokers and Contracts; Adjusters; Consultants; Third Party Administrators; Reinsurance Intermediaries; Limited Licenses|Section 744.062 - Issuance of insurance producer license; rules.

(1) Unless the Director of the Department of Consumer and Business Services refuses to issue or renew a license pursuant to ORS 744.074, a person who has met the requirements of ORS 744.058 and 744.059, or ORS 744.063, shall be issued an insurance producer license. An insurance producer may receive qualification for a license in one or more of the following classes of insurance: (a) Life insurance as defined in ORS 731.170. (b) Health insurance as defined in ORS 731.162. (c) Property insurance as defined in ORS 731.182. (d) Casualty insurance as defined in ORS 731.158. (e) Variable life insurance, including variable annuities. (f) Property and casualty insurance coverage sold to individuals and families for primarily noncommercial purposes. (g) Limited class credit insurance. (h) Any form of insurance designated by the director as a form of limited class insurance. (i) Title insurance as defined in ORS 731.190. A license for the class of title insurance may be issued only to a resident insurance producer. (j) Any other class of insurance permitted under the Insurance Code or rules adopted thereunder. (2) For assistance in performance of the director’s duties, the director may participate with the National Association of Insurance Commissioners, or any affiliate or subsidiary that the National Association of Insurance Commissioners oversees, in a centralized producer licensing registry in which insurance producer licenses and appointments are centrally or simultaneously effected for all states that require an insurance producer license. The director may adopt by rule any uniform standards and procedures as are necessary to participate in the registry, including the centralized collection of fees for licenses or appointments that are processed through the registry. (3) An insurance producer may apply to amend a license for the purpose of adding or deleting a class of insurance on the license in the manner prescribed for license application in ORS 744.059 or 744.063, or as otherwise prescribed by the director. [2001 c.191 §8; 2003 c.364 §8]