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Rulemaking: Senate Bill 91Designing standardized bronze, silver, and gold plansIn 2014, the federal Affordable Care Act (ACA) requires health insurers to offer individual and small group plans in and outside of the exchange that provide essential health benefits and represent one of four actuarial value (AV) levels. The different value levels will show consumers that some plans pay a greater share of medical costs than others. However, even plans with the same actuarial value can vary in benefit structure. Oregon's Senate Bill 91 (2011) gives the Department of Consumer and Business Services authority to adopt rules ensuring that health plans sold in Oregon's individual and small group markets comply with these requirements. The department, through its Insurance Division, will design a bronze plan and a silver plan that must be identical across companies and a standardized gold plan that carriers may offer. These standardized plans will make it easier for consumers to shop and compare health plans. An external advisory committee will assist with this work. The attached documents provide background on this issue and a meeting schedule. Questions may be addressed to jeannette.holman@state.or.us.
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