# ORS § 743.004: 743.004 Submission of information by carriers offering health benefit plans > Oregon · Statutes · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_OR_T56_C743_S743.004 ## Section - **Citation:** ORS § 743.004 - **Heading:** 743.004 Submission of information by carriers offering health benefit plans - **Jurisdiction:** Oregon - **Kind:** Statutes - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** OR Code / Title 56 / Chapter 743 / Section 743.004 ## Text (1) Each carrier offering a health benefit plan shall submit to the Director of the Department of Consumer and Business Services on or before April 1 of each year a report that contains: (a) The following information for the preceding year that is derived from the exhibit of premiums, enrollment and utilization included in the carrier’s annual report: (A) The total number of members; (B) The total amount of premiums; (C) The total amount of costs for claims; (D) The medical loss ratio; (E) The average amount of premiums per member per month; and (F) The percentage change in the average premium per member per month, measured from the previous year. (b) The following aggregate financial information for the preceding year that is derived from the carrier’s annual report: (A) The total amount of general administrative expenses, including identification of the five largest nonmedical administrative expenses; (B) The total amount of the surplus maintained; (C) The total amount of the reserves maintained for unpaid claims; (D) The total net underwriting gain or loss; and (E) The carrier’s net income after taxes. (2) A carrier shall electronically submit the information described in subsection (1) of this section in a format and according to instructions prescribed by the Department of Consumer and Business Services by rule. (3) The department shall evaluate the reporting requirements under subsection (1)(a) of this section by the following market segments: (a) Individual health benefit plans; (b) Health benefit plans for small employers; (c) Health benefit plans for employers described in ORS 743B.010 (Issuance of group health benefit plan to affiliated group of employers) ; and (d) Health benefit plans for employers that are not small employers. (4) The department shall make the information reported under this section available to the public through a searchable public website on the Internet. [Formerly 743.748] Note: Definitions for 743.004 (Submission of information by carriers offering health benefit plans) may be found in 743B.005 (Definitions) . Source: Section 743.004 — Submission of information by carriers offering health benefit plans , https://www.­oregonlegislature.­gov/bills_laws/ors/ors743.­html (accessed May 26, 2025). ## Nearby sections - [ORS § 743.004 743.004 Submission of information by carriers offering health benefit plans](https://www.frixlaw.com/law-library/statutes/STATE_OR_T56_C743_S743.004.md) - [ORS § 743.005 743.005 Protection of health information report](https://www.frixlaw.com/law-library/statutes/STATE_OR_T56_C743_S743.005.md) - [ORS § 743.007 743.007 Data reporting](https://www.frixlaw.com/law-library/statutes/STATE_OR_T56_C743_S743.007.md) - [ORS § 743.008 743.008 Reporting requirements](https://www.frixlaw.com/law-library/statutes/STATE_OR_T56_C743_S743.008.md) - [ORS § 743.010 743.010 Health insurance policy and health benefit plan forms](https://www.frixlaw.com/law-library/statutes/STATE_OR_T56_C743_S743.010.md) - [ORS § 743.015 743.015 Filing and approval of credit life and credit health insurance forms](https://www.frixlaw.com/law-library/statutes/STATE_OR_T56_C743_S743.015.md) - [ORS § 743.018 743.018 Filing of rates for life and health insurance](https://www.frixlaw.com/law-library/statutes/STATE_OR_T56_C743_S743.018.md) - [ORS § 743.019 743.019 Procedure for review of proposed rates for health benefit plans](https://www.frixlaw.com/law-library/statutes/STATE_OR_T56_C743_S743.019.md) - [ORS § 743.020 743.020 Rate filing to include statement of administrative expenses](https://www.frixlaw.com/law-library/statutes/STATE_OR_T56_C743_S743.020.md) - [ORS § 743.022 743.022 Premium rates for individual health benefit plans](https://www.frixlaw.com/law-library/statutes/STATE_OR_T56_C743_S743.022.md) - [ORS § 743.023 743.023 Electronic administration](https://www.frixlaw.com/law-library/statutes/STATE_OR_T56_C743_S743.023.md) - [ORS § 743.025 743.025 Annual report of information related to prescription drugs covered by health benefit plans](https://www.frixlaw.com/law-library/statutes/STATE_OR_T56_C743_S743.025.md) - [ORS § 743.028 743.028 Uniform health insurance claim forms](https://www.frixlaw.com/law-library/statutes/STATE_OR_T56_C743_S743.028.md) - [ORS § 743.029 743.029 Uniform standards for health care financial and administrative transactions](https://www.frixlaw.com/law-library/statutes/STATE_OR_T56_C743_S743.029.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_OR_T56_C743_S743.004. Check the current official text before relying on it. Not legal advice.