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Results from search: http://www.omip.state.or.us/

OMIP Home Page More Links Message from the Administrator Related Sites & Sources Insurance Pool Governing Board (IPGB) Family Health Insurance Assistance Program (FHIAP) OARs & ORSs Dept. of Consumer & Business Services (DCBS) Oregon.gov The Oregon Medical Insurance Pool (OMIP) was established by the 1987 Oregon Legislature to provide medical insurance coverage for all Oregonians who are unable to obtain medical insurance because of health conditions. OMIP issued its first policy in July 1990. OMIP also provides health benefit portability coverage to Oregonians who have exhausted COBRA benefits and have no other portability options available to them. OMIP is a component of the Oregon Health Plan, and has four major medical plans to choose from for you and your family. Regence BlueCross BlueShield of Oregon is OMIP's administering insurer and handles eligibility, enrollment, member services, and claims processing. Since the first policy was issued, OMIP has insured more than 24,000 Oregonians who otherwise would have had no health benefit coverage. A citizen board of directors guides policy for OMIP. OMIP is part of Oregon's Department of Consumer & Business Services. OMIP Home Page | Administrator's Message | Events & Training | OMIP Benefits & Eligibility OMIP Publications | Enrollment & Statistics | Related Sites & Sources | IPGB | FHIAP OARs & ORSs | DCBS | Oregon.gov | Privacy Policy Questions? Comments? E-mail us or phone: toll-free in Oregon (800) 542-3104 or in Salem, (503) 373-1692. This document was last revised: April 8, 2002    

Results from search: http://www.omap.hr.state.or.us/

Oregon DHS: Health Services, Office of Medical Assistance Programs DHS | Health Services | Office of Medical Assistance Programs   Welcome to OMAP The Office of Medical Assistance Programs The Office of Medical Assistance Programs (OMAP) administers the Medicaid component of the Oregon Health Plan (OHP) and the Children's Health Insurance Program (CHIP) under a waiver from the Health Care Financing Administration (HCFA). Use the menu at right to browse through this site. If you can't find something, try the "Search DHS" feature at the top of this page, or contact the OMAP Webmaster. Budget meetings. During the next several months, the Department of Human Services (DHS) will host budget and legislative planning meetings in five communities throughout Oregon. Follow this link to the DHS budget meeting page, where you can also read a letter from DHS Director Bobby Mink regarding the meetings. NEW! Public Meetings page. Go to this page to see notices of upcoming meetings regarding the Oregon Health Plan. Are you eligible for the Oregon Health Plan? The Oregon Health Plan provides health insurance coverage for low-income Oregonians. Click here to find out if you may be eligible, and how to apply for coverage. Información para clientes sobre el Plan de Salud de Oregón. Federal Poverty Level. A table showing the Federal Poverty Level used to calculate eligibility for Oregon Health Plan benefits. What's new at OMAP's Website? We'll post links to new information on our website here every week. The Prioritized List of Health Services. Click here to go to the Oregon Health Services Commission's prioritized list web page, where you can download a copy of the list. OMAP Fee Schedule. Governor John Kitzhaber's "Oregon Economic Wellbeing" Web site. Select a destination... DHS HOME Administrative Services Children, Adults & Families Community Human Services Continuous System Improvement Director's Office Finance & Policy Analysis Health Services Seniors & People with Disabilities What's New Clients Providers Managed Care Prevention Demographics Public Meetings Forms State Plan Medical Workers Fee Schedule CHIP Library Links About OMAP Rules  Oregon Department of Human Services Health Services: Office of Medical Assistance Programs 500 Summer St. NE E37, Salem, OR 97301-1079 PH: (503) 945 -5772 . 1-800-527-5772 . TTY: 1-800-375-2863 DHS home . State search page . Oregon.gov . Questions regarding DHS: DHS Information . DHS Groupwise users, address email to dhr.info@state.or.us . Comments on this site: DHS OMAP Webmaster . DHS Groupwise users, address email to gary.whitehouse@state.or.us

Results from search: http://bluebook.state.or.us/state/executive/Medical_Insurance/medical_insurance_home.htm

Oregon Medical Insurance Pool Oregon Medical Insurance Pool (DCBS) Contact Information Mailing Address: 625 Marion St. NE, Suite 3, Salem 97301-3757 Telephone: 503-373-1692 Fax: 503-373-7704 General E-mail: omip.mail@state.or.us Director: Howard "Rocky" King , Administrator Administrative Rules Coordinator E-mail: Sue Munson Records Officer E-mail: Joan Hader Staff Directory from Oregon.gov Location Map : by Mapquest@ Interactive Atlas Legal and Legislative Information Statutory Authority: ORS 735 .600-735.650 Administrative Rules: OAR Chapter 443 Budget Analysis by Legislative Fiscal Office Audit Reports Records, Publications and General Information Present Duties and Responsibilities This is a brief summary of agency functions. Agency History This is a detailed history of the agency. State Library Publications This is a link to the Oregon State Library Catalog. Agency Subdivisions FACTS | STATE | LOCAL | NATIONAL | CULTURAL | EDUCATION | KIDS | SEARCH | HOME Topics | Index | Executive | Legislative | Judicial | Elections | Govt Finance | Constitution

Results from search: http://bluebook.state.or.us/topic/med/med03.htm

Oregon Topics: Medical/Health- Other agencies Oregon Topics: Medical/Health- Other State Agencies Oregon Topics home | Medical/Health home Oregon Blue Book (includes contact information, agency history, records retention schedules, budgets, records held by the Oregon State Archives, and more) Oregon Human Services Department information Oregon Health Division information Oregon Mental Health and Developmental Disabilities Services Division information Oregon Office of Alcohol and Drug Abuse Programs information Oregon Office of Medical Assistance Programs information Oregon Insurance Pool Governing Board information Oregon Medical Insurance Pool information (Consumer and Business Services Department) Oregon Office of Long Term Care Ombudsman information Oregon Health Plan Policy and Research Office (administers the Oregon Health Plan) Oregon Insurance Pool Governing Board (helps Oregonians gain access to health benefit coverage) Oregon Medical Insurance Pool (for Oregonians unable to obtain medical insurance because of health conditions) Oregon Office of Long Term Care Ombudsman (works to enhance long term care facilities such as nursing homes and residential care facilities) Oregon Topics home | Medical/Health home FACTS | STATE | LOCAL | NATIONAL | CULTURAL | EDUCATION | KIDS | CREDITS | SEARCH Topics | Index | Blue Book Home | Secretary of State Home | Oregon Online

Results from search: http://arcweb.sos.state.or.us/rules/OARS_400/OAR_443/443_tofc.html

Oregon Medical Insurance Pool Board_443_tofc The Oregon Administrative Rules contain OARs filed through April 15, 2002   DEPARTMENT OF CONSUMER AND BUSINESS SERVICES, OREGON MEDICAL INSURANCE POOL BOARD   DIVISION 1 PROCEDURAL RULES   443-001-0000 Notice of Rulemaking 443-001-0005 Rules of Administrative Procedure 443-001-0010 Rules Governing Contracting Procedures   DIVISION 5 LIMITATIONS, WAITING LISTS, ENROLLMENT PRIORITY, AND ENROLLMENT   443-005-0000 Eligibility, Benefits, Limitations, Exclusions and Premiums 443-005-0010 Enrollment Limitations 443-005-0020 Waiting Lists 443-005-0040 Enrollment When Waiting Lists Exist 443-005-0050 Enrollment When No Waiting Lists Exist 443-005-0060 Credit Toward the Six-Month Pre-Existing Condition Exclusion 443-005-0070 Criteria for Assessment Reduction Consideration DIVISION 10 APPEAL RULES   443-010-0010 Appeals Procedure   DIVISION 15 ASSESSMENT RULES   443-015-0010 Assessment for Operating Expenses The official copy of an Oregon Administrative Rule is contained in the Administrative Order filed at the Archives Division, 800 Summer St. NE, Salem, Oregon 97310. Any discrepancies with the published version are satisfied in favor of the Administrative Order. The Oregon Administrative Rules and the Oregon Bulletin are copyrighted by the Oregon Secretary of State. Terms and Conditions of Use Alphabetical Index by Agency Name Numerical Index by OAR Chapter Number Search the Text of the OARs Questions about Administrative Rules? Link to the Oregon Revised Statutes (ORS) Return to Oregon State Archives Home Page

Results from search: http://arcweb.sos.state.or.us/rules/OARS_400/OAR_443/443_015.html

Oregon Medical Insurance Pool Board_443_015 EA SHAPE=rect COORDS="357,83,444,104" HREF="http://arcweb.sos.state.or.us/banners/holdings.htm"> The Oregon Administrative Rules contain OARs filed through April 15, 2002   DEPARTMENT OF CONSUMER AND BUSINESS SERVICES, OREGON MEDICAL INSURANCE POOL BOARD   DIVISION 15 ASSESSMENT RULES   443-015-0010 Assessment for Operating Expenses (1) An assessment of insurers and reinsurers shall be made by the Oregon Medical Insurance Pool Board for the purpose of collecting monies to cover expenses and losses of the Pool which are not or will not be sufficiently covered by funds in the Oregon Medical Insurance Pool Account. (2) The frequency of such assessments shall be determined by the Board based on projected cash balances and operating revenues and expenditures. (3) The projected cash balance shall take into account a reserve intended to cover claims incurred but not reported or paid. The reserve shall be reviewed quarterly by the Board to determine its adequacy and adjusted as needed. (4) The amount assessed to each insurer or reinsurer shall depend on each insurer's or reinsurer's proportion of the total of all Oregon insureds and certificate holders insured or reinsured and the amount of deficiency: (a) Each insurer's or reinsurer's proportion of the total of all Oregon insureds and certificate holders insured or reinsured will be based on reports submitted to the Board stating the number of insureds as of December 31st of the previous year; (b) Total Oregon insureds and certificate holders insured or reinsured shall be determined as follows: (A) The count of insureds and certificate holders insured or reinsured shall be limited to medical insurance as defined in ORS 735 .605(5); (B) The count shall include all insureds and certificate holders, including dependents, other individuals whose medical insurance coverage is insured or reinsured in whole or in part, and individuals covered under excess loss coverage written on self-funded medical plans; (C) Reinsurers may exclude from the number reported those individuals that have been counted by the primary insurer or the primary reinsurers; (D) Insurers and reinsurers are permitted to reduce their estimate of the number of covered dependents by ten percent to account for dual coverage; (E) The insurer and reinsurer may use any reasonable method of estimating or may use actual counts of the number of individuals for whom coverage is provided. (5) If assessment collections exceed the amount needed to meet Pool expenses and losses, excess funds shall be held and invested and, with the earnings and interest, used by the Board to offset future net losses or to reduce Pool premiums. For the purposes of this section, "future net losses" include reserves for incurred but not reported claims. Stat. Auth.: ORS 183.341 & ORS 705 .135 Stats. Implemented: Hist.: MIP 2-1990(Temp), f. & cert. ef. 5-15-90; MIP 1-1992, f. & cert. ef. 4-28-92 The official copy of an Oregon Administrative Rule is contained in the Administrative Order filed at the Archives Division, 800 Summer St. NE, Salem, Oregon 97310. Any discrepancies with the published version are satisfied in favor of the Administrative Order. The Oregon Administrative Rules and the Oregon Bulletin are copyrighted by the Oregon Secretary of State. Terms and Conditions of Use Alphabetical Index by Agency Name Numerical Index by OAR Chapter Number Search the Text of the OARs Questions about Administrative Rules? Link to the Oregon Revised Statutes (ORS) Return to Oregon State Archives Home Page

Results from search: http://www.cbs.state.or.us/external/dir/dcbs/insurance.html

Insurance resources   Information about insurance can be found with these divisions: Insurance Division The Insurance Division (INS) regulates insurance companies doing business in Oregon to protect the insurance-buying public. It licenses and monitors all types of insurance companies, including health care service contractors, fraternal benefits societies, and the agents of these entities. The division also provides independent consumer advocacy and education, assists consumers in resolving complaints against agents and companies, enforces the Insurance Code, and collects and audits taxes of insurance companies. Oregon Medical Insurance Pool The Oregon Medical Insurance Pool (OMIP) is a state-run health insurance program designed to provide access to health insurance for Oregonians who cannot obtain coverage in the private sector due to health reasons. Workers' Compensation   Advanced Search  

Results from search: http://www.cbs.state.or.us/external/ins/docs/sb21/domestic/omip_1999/omip.htm

Oregon Insurance Division - Oregon Medical Insurance Pool Welcome | Site Search | What's New Insurance Division About the Division Advisory Committees Agent Information Public Meetings Company Information Consumer Complaints Consumer Information Division Directory Employment      Opportunities Enforcement Actions F.A.Q. Fees Forms In the News Laws, Rules & Bulletins Legislation Links to Other Sites Publications Rates and Forms Senior Health Insurance      Benefits Assistance Subject Index Reports Received from Oregon Medical Insurance Pool - 1999 In 1997, the Legislature adopted the Oregon "Patient Protection Act" (SB 21), which established broad new consumer protections in the areas of disclosures to consumers, grievance procedures, emergency room claims, and prior authorizations. The bill, which took effect on January 1, 1998, also requires annual insurer reporting. Note: Insurance companies can submit the annual report in any format. A company may or may not have summary reports in each category. Notations have been made where a company has not submitted required reports. Reports require Adobe Acrobat© Reader , available free. Grievance Report : Summary and types of consumer complaints. Utilization Review : Summary of procedures used to monitor levels of care. Managed Health Care Insurance Companies Quality Assessment : Summary of quality improvement goals and measurements designed to provide better care and service to you. Accreditation Reports: Reports from NCQA and other experts monitoring quality of services. HCFA (Medicare): The Federal audits on insurance companies Medicare business. HEDIS: NCQA data measuring quality of services. Scope of Network : A description of how the insurance company monitors their contracted network of providers to ensure that you have reasonable access to services. Review another company Return to Top DCBS Home Page | DCBS Site Search | Oregon.gov | Disclaimer of Liability We'd like to hear from you. Send comments, questions or suggestions to Oregon Insurance Division or call (503) 947-7980 This document was last revised on May 30, 2001 .

Results from search: http://www.state.or.us/agencies.ns/44000/00010/00020/

OREGON MEDICAL INSURANCE POOL BOARD (OMIP) CONSUMER & BUSINESS SERVICES, DEPARTMENT of OFFICE of the DIRECTOR OREGON MEDICAL INSURANCE POOL BOARD (OMIP) 250 Chruch St SE, Suite 200 Salem, OR 97301-3921 Fax: (503) 378-8365 Information and Reception 250 Church St SE, Suite 200 Salem, OR 97301-3921 (503) 373-1692   Oregon Toll Free Number 250 Church St SE, Suite 200 Salem, OR 97301-3921 (800) 542-3104   Administrator 250 Church St SE, Suite 200 Salem, OR 97301-3921 Howard 'Rocky' King (503) 378-5165   Office Manager 250 Church St SE, Suite 200 Salem, OR 97301-3921 Karla Messer-Holt (503) 378-2530   Fiscal Coordinator/Budget Analyst 250 Church St SE, Suite 200 Salem, OR 97301-3921 Richard McNew (503) 373-1692 x252   Program Coordinator 250 Church St SE, Suite 200 Salem, OR 97301-3921 Pamela Sloan (503) 373-1692 x229   Fiscal & Information Management Manager 250 Church St SE, Suite 200 Salem, OR 97301-3921 Becky Frederick (503) 378-4679   Agency Website Return to Oregon.gov Click here to report changes or corrections   denotes location is served by State Mail Service.

Results from search: http://www.mcandl.com/oregon.html

Oregon Medical Malpractice Summary OREGON Statutes of Limitations Statutory Cap on Attorneys' Fees Contributory or Comparative Negligence       Periodic Payments Joint and Several Liability Collateral Source Rule Contribution Pre-Judgment Interest Vicarious Liability Patient Compensation Funds Expert Testimony Immunities Damage Caps Arbitration       Statutes of Limitations Oregon applies a two-year statute of limitations to medical malpractice actions. Or. Rev. Stat. § 12.110(4) (1988). Under the statute, an action does not accrue until the date the injury is first discovered or in the exercise of reasonable care should have been discovered; however, no action may be brought more than five years from the date of treatment. Id . That statute of repose and others like it have been upheld as constitutional by the intermediate appellate courts. Jones v. Salem Hospital , 93 Or. App. 252, 762 P.2d 303 (1988), cert. denied , 307 Or. 514, 770 P.2d 595 (1989). The statute of limitations is tolled during the time a claimant is within 18 years of age or insane. Or. Rev. Stat. § 12.160 (Supp. 1998). However, this provision cannot extend the statute for more than one year after the disability has been lifted, Id. , nor can it extend the five-year statute of repose. Or. Rev. Stat. § 12.110(4) (1988). Oregon's wrongful death statute, which is applicable to medical malpractice actions involving death, requires that an action be brought within three years after the injury causing the death is discovered (or reasonably should have been discovered) by the decedent, but in no case more than three years after the date of death or outside the five-year medical malpractice statute of repose. Or. Rev. Stat. § 30.020(1) (Supp. 1998). Contributory or Comparative Negligence Oregon has adopted a form of modified comparative negligence. Under this doctrine, a claimant's action is barred if his fault exceeds the combined fault of all defendants and persons who have settled. Otherwise, the claimant's recovery is diminished in proportion to his percentage of fault. Or. Rev. Stat. § 18.470 (Supp. 1998). Joint and Several Liability Oregon has a limited form of joint and several liability. In actions arising out of bodily injury and death, the jury apportions fault among the claimant and the defendants, and the liability of each defendant is several only for his proportionate share. Or. Rev. Stat. §§ 18.480 and 18.485 (Supp. 1998). However, if within a year of judgment plaintiff brings a motion establishing that one of the defendants is uncollectible, then that defendant's share of is reapportioned among the claimant and other defendants according to their relative fault. A defendant whose share of fault is 25 percent or less, or whose fault is less than that of the claimant, is not affected by the reallocation. Or. Rev. Stat. § 18.485 (Supp. 1998). Contribution Tortfeasors who have paid more than a proportional share of the common liability, based on relative degrees of fault, have a right of contribution. Or. Rev. Stat. §§ 18.440 and 18.445 (1988). A settling tortfeasor is not entitled to contribution from the remaining tortfeasors whose liability was not extinguished thereby. Or. Rev. Stat. § 18.440 (1988). Regardless of whether a judgment has been entered in an action against two or more tortfeasors, contribution may be enforced by a separate action. Or. Rev. Stat. § 18.450 (Supp. 1998). However, where there has been a judgment, contribution may be enforced in that action by motion. Id . An action for contribution must be commenced within two years after final judgment or settlement. Id . Vicarious Liability Oregon courts will allow the trier of fact to hold a hospital vicariously liable for the negligence of a physician who is not its employee, if the physician is performing "an inherent function of the hospital," or if the hospital has created ostensible agency by representing (even implicitly) that the physician is its agent. Themins v. Emanuel Lutheran Charity Board , 54 Or. App. 901, 908, 637 P.2d 155, 159 (1981), cert. denied , 292 Or. 568, 644 P.2d 1129 (1982). Expert Testimony Oregon does not require medical malpractice claimants to file an expert's statement verifying the claims of negligence with the complaint. However, expert testimony is required to establish a prima facie case of medical malpractice, unless the negligence is obvious to a layman. Getchell v. Mansfield , 260 Or. 174, 489 P.2d 953 (1971). Damage Caps Although the legislature has established a $500,000 cap on damages for non-economic loss in bodily injury and death cases, Or. Rev. Stat. § 18.560 (Supp. 1998), the Oregon Supreme Court recently ruled it to be unconstitutional under most circumstances. It held that the damage cap violates the right to a jury trial provided by the state constitution whenever the cap is applied to a claim for which, under common law, a jury trial was customary in 1857. Lakin v. Senco Products, Inc. , 329 Or. 62, ___ P.2 ___, 1999 WL 498088 (July 15, 1999). This did not overrule an earlier case upholding the constitutionality of the cap in wrongful death cases, since the wrongful death statute is a creation of the legislature. Greist v. Phillips , 322 Or. 281, 906 P.2d 789 (1995) (also holding that a single cap limits the collective recovery of all beneficiaries). Oregon limits punitive damages in medical malpractice cases. Or. Rev. Stat. § 18.550 (Supp. 1998). Punitive damages cannot be awarded against health care practitioners such as physicians and nurses, but they may be awarded against hospitals. Id . If punitive damages are awarded, 60 percent must be paid to the Criminal Injuries Compensation Account. Not more than half of the plaintiff's 40 percent can go for attorneys' fees. Or. Rev. Stat. § 18.540 (Supp. 1998). Statutory Cap on Attorneys' Fees Oregon does not place a cap on the amount attorneys can charge a client, nor does it require that contingent fee arrangements be reviewed by the court. Periodic Payments Oregon does not require the periodic payment of medical malpractice damages. Collateral Source Rule Oregon permits the trial court to deduct from a verdict certain benefits received by the claimant in connection with the injury. Or. Rev. Stat. § 18.580 (Supp. 1998). The court cannot deduct life insurance, insurance benefits for which the claimant has paid premiums, retirement or disability benefits, or social security. Id . Evidence concerning collateral benefits is received by the court after the verdict and used to modify the final judgment. Id . Pre-Judgment Interest Pre-judgment interest is not available in tort actions when the amount of damages cannot be easily ascertained until litigation. Erickson Air-Crane Co. v. United Technologies Corp. , 87 Or. App. 577, 582, 743 P.2d 747, 750, cert. denied , 304 Or. 680,748 P.2d 142 (1987). Patient Compensation Funds and Physician Insurance Oregon does not have a patient compensation fund, nor does it have a statutory requirement for physicians and health care providers to obtain liability insurance. Immunities Oregon has waived, to a limited extent, the governmental immunity of all public bodies, including the state and its departments, agencies, cities, counties, school districts, and other political subdivisions or municipalities. Moreover, the sole remedy against government employees acting within their scope of employment is a claim against the employing public body. Or. Rev. Stat. §§ 30.260 and 30.265 (Supp. 1998). Claims against public bodies are subject to a special, short statute of limitations: one year for death and 180 days for injury. Or. Rev. Stat. § 30.275 (Supp. 1998). This runs from discovery and the five-year malpractice statute of repose does not apply. O'Brien v. Oregon , 104 Or. App. 1, 799 P.2d 171 (1990). Public bodies and their employees are immune from liability for punitive damages. The liability of public bodies and their employees for compensatory damages is limited to $100,000 for special damages and $100,000 for general damages per claimant, and $500,000 in total per occurrence. Or. Rev. Stat. § 30.270 (1988). Patient care provided at an Oregon Health Sciences University campus or clinic is within the scope of state employment even if performed by a non-salaried or courtesy physician for a fee. Or. Rev. Stat. § 30.267 (1988). Care provided elsewhere is within the scope of state employment only if performed by faculty, staff, or students acting under prior, express, written authority. Or. Rev. Stat. § 30.268 (Supp. 1998). An employee of the University is not considered to be acting within the scope of state employment when the services constitute an exclusively private relationship between the patient and the physician. Id . A governmental entity may purchase insurance, establish a self-insurance fund, or contract through the state's Department of General Services to cover liabilities. Or. Rev. Stat. § 30.282 (1988). This does not create an implied waiver of governmental immunity. Espinosa v. Southern Pacific Transportation Co. , 291 Or. 853, 635 P.2d 638 (1981). Arbitration Oregon does not require that claims of medical malpractice be heard by an arbitration panel or a medical review board prior to litigation.         Copyright © 1990-1999 McCullough, Campbell & Lane. All Rights Reserved. Revision Date: August 3, 1999

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