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This handbook provides detailed information on the benefits, limitations, and procedures associated with the 2024 Oregon Group Medical Plan administered by Moda Health. It covers member resources, schedules of benefits, cost-sharing details, and includes information about eligibility, enrollment, and claims administration.
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01
Gather required personal information for each applicant, such as name, address, date of birth, and Social Security number.
02
Obtain details about the employer or organization offering the group medical plan.
03
Review the eligibility criteria to ensure all applicants qualify for the plan.
04
Fill out the employee application form provided by the employer or insurance provider.
05
Include any dependent information if applying for family coverage.
06
Provide necessary documentation, like proof of previous insurance or income if required.
07
Review the plan details, including benefits, coverage limits, and costs before submission.
08
Sign and date the application form to certify the information is true.
09
Submit the application to the employer or the designated insurance agent.

Who needs oregon group medical plan?

01
Employees of companies offering a group medical plan.
02
Self-employed individuals who wish to join a group health insurance plan.
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Members of organizations or associations that provide access to group health insurance.
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Families of eligible employees who want to add dependents to the plan.
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The Oregon Group Medical Plan is a healthcare insurance program that provides coverage for groups such as employers or organizations within the state of Oregon, ensuring that employees and their families have access to necessary medical services.
Employers who provide group health insurance to their employees in Oregon are required to file the Oregon Group Medical Plan.
To fill out the Oregon Group Medical Plan, employers must complete the designated application form provided by the state, provide necessary details about the group and coverage options, and submit any required documentation.
The purpose of the Oregon Group Medical Plan is to ensure that employees have access to affordable healthcare coverage, to promote health and well-being, and to comply with state regulations regarding employee health benefits.
Information required on the Oregon Group Medical Plan includes the group’s contact information, the number of employees enrolled, plan details, coverage options, and any premium payment arrangements.
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