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Private Insurance Data Requirements in Oregon

        Private insurers in the state of Oregon are subject to limitations on the disclosure and use of protected health information.  A licensee or insurance-support organization may disclose personal or privileged information about an individual collected or received with an insurance transaction under a variety of circumstances, including when for the performance of a business, professional or insurance function, to detect or prevent fraud, to inform an individual of a medical problem of which he may not be aware, or to a professional peer review organization for the purpose of reviewing the service or conduct of a health care provider.1

        Private insurers are also required to report certain information.  As an example, the Office for Oregon Health Policy and Research requires all insurers in the state, including private insurers, managed care plans, health service contractors and third party administrators to report health care data.2

Private insurers must abide by requirements surrounding the requested correction and deletion of insurance information.  Any entity that corrects, amends, or deletes insurance information must produce the correction, amendment or fact of deletion to each person that was specifically designated by the complaining individual, each insurance-support organization that has systematically received recorded personal information from the insurer within the preceding seven years, and each insurance-support organization that furnished the recorded personal information that has been corrected amended or deleted.3

 

 

 

Footnotes

  • 1. Or. Rev. Stat. § 746.665
  • 2. Or. Rev. Stat. §442.466
  • 3. Or. Rev. Stat. § 746.645

 

Private Insurance Data Requirements in Oregon

Subtopic Statute/Regulation Description
Grievance procedures Or. Admin. R. 309-040-0410 - Residents’ Rights, Complaints, and Grievances Each resident of an adult foster home has a number of rights, including: Be informed of the resident’s medical condition Be informed of...
Or. Rev. Stat. § 430.210 - Rights of persons receiving mental health services Persons receiving mental health and development disability services have many rights, including the following: Choose from available services...
Health plan required reporting Or. Rev. Stat. § 743.814 - Requirements for insurers offering managed health insurance All insurers offering managed health insurance must have a quality assessment program that allows the insurer to monitor and improve the quality of...
Disclosure of information held by health plan, including notice requirements Or. Rev. Stat. § 746.607 - Use and disclosure of personal information Health insurers are permitted to use or disclose individuals’ personal information in a manner that is consistent with an authorization...
Access to individual’s own records (Cross reference Medical Records Collection) Or. Rev. Stat. § 746.640 - Access to recorded personal information If an individual submits a request to an insurer for access to recorded personal information about the individual, including individually...
Correction/deletion of insurance information Or. Rev. Stat. § 746.645 - Correction, amendment or deletion of recorded personal information An insurer, insurance producer or insurance-support organization has 30 days from the receipt of a written request from an individual to correct,...
Private Insurance Data Requirements Or. Rev. Stat. § 746.665 - Limitations and conditions on disclosure of certain information A licensee or insurance-support organization may disclose personal or privileged information about an individual collected or received with an...