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Coverage of COVID-19 Immunizations

 

On February 4, 2021, Commissioner Stolfi issued Bulletin No. DFR 2021-1, which clarifies the Division of Financial Regulation’s expectations around the coverage of COVID-19 vaccinations. In accordance with Oregon’s COVID-19 public health declaration and the CARES Act, the division confirms that coverage of the COVID-19 vaccine:

  • Must be provided by all health benefit plans
  • Cannot be restricted to in-network providers
  • Cannot have any cost-sharing requirements
  • Must be provided without requiring any prior authorization or any other form of utilization review
  • May not impose any other limitation that would prevent an enrollee from receiving the vaccine at no out-of-pocket cost

The bulletin is retroactive to January 27, 2021. Although this bulletin is directed towards insurance carriers, employers based in Oregon should familiarize themselves with this guidance as individuals begin to access COVID-19 immunizations.

 

Bulletin No. DFR 2021-1 »

PPI Benefit Solutions does not provide legal or tax advice. Compliance, regulatory and related content is for general informational purposes and is not guaranteed to be accurate or complete. You should consult an attorney or tax professional regarding the application or potential implications of laws, regulations or policies to your specific circumstances.

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