# ORS § 743.022: 743.022 Premium rates for individual health benefit plans > Oregon · Statutes · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_OR_T56_C743_S743.022 ## Section - **Citation:** ORS § 743.022 - **Heading:** 743.022 Premium rates for individual 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 743.022 ## Text Premium rates for individual health benefit plans shall be subject to the following provisions: (1) Each carrier must file the carrier’s initial geographic average rate and any changes to the geographic average rate for its individual health benefit plans with the Director of the Department of Consumer and Business Services. (2) The premium rates charged during a rating period for individual health benefit plans issued to individuals shall not vary from the individual geographic average rate, except that the premium rate may be adjusted to reflect differences in benefit design, age, tobacco use and family composition. For age adjustments to the individual plans, a carrier shall apply uniformly its schedule of age adjustments for individual health benefit plans as approved by the director. (3) A carrier may not increase the rates of an individual health benefit plan more than once in a 12-month period except as approved by the director. Annual rate increases shall be effective on the anniversary date of the individual health benefit plan’s issuance. The percentage increase in the premium rate charged for an individual health benefit plan for a new rating period may not exceed the sum of the following: (a) The percentage change in the carrier’s geographic average rate for its individual health benefit plan measured from the first day of the prior rating period to the first day of the new period; and (b) Any adjustment attributable to differences in benefit design, age, tobacco use and family composition. (4) A carrier offering an individual health benefit plan in this state shall include: (a) In one risk pool, all of the insureds residing in this state who are covered in the carrier’s individual health benefit plans that are not grandfathered health plans or student health plans; and (b) In a separate risk pool, all of the insureds residing in this state who are covered in the carrier’s individual grandfathered health plans. [Formerly 743.767] Note: Definitions for 743.022 (Premium rates for individual health benefit plans) may be found in 743B.005 (Definitions) . Source: Section 743.022 — Premium rates for individual 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_S743.022. Check the current official text before relying on it. Not legal advice.