Oregon Statutes - Chapter 25 - Support Enforcement - Section 25.321 - Definitions for ORS 25.321 to 25.343.

As used in ORS 25.321 to 25.343:

(1) “Accessible” means that, unless otherwise provided in a support order:

(a) A health benefit plan does not have service area limitations or the health benefit plan provides an option not subject to service area limitations;

(b) A health benefit plan has service area limitations and the child lives within 30 miles or 30 minutes of a primary care provider under the plan; or

(c) A health benefit plan is accessible as defined in rules of the Department of Justice.

(2) “Enforcing agency” means the administrator.

(3) “Enroll” means to be eligible for and covered by a health benefit plan.

(4) “Health benefit plan” means any policy or contract of insurance, indemnity, subscription or membership issued by an insurer, including health care coverage provided by a public entity, and any self-insured employee benefit plan that provides coverage for medical expenses.

(5)(a) “Health care coverage” means providing and paying for the medical needs of a child through a health benefit plan.

(b) “Health care coverage” does not include and is a separate obligation from any monetary amount of child support or spousal support ordered to be paid.

(6) “Medical support” means an amount ordered to be paid toward the cost of:

(a) Health care coverage, including premiums, provided by a public entity or by another parent through employment or otherwise; and

(b) Copayments, deductibles and other medical expenses not covered by a health benefit plan.

(7) “Medical support notice” means a notice as prescribed under 42 U.S.C. 666(a)(19) or a substantially similar notice that is issued and forwarded by the enforcing agency to enforce health care coverage provisions of a support order.

(8) “Plan administrator” means:

(a) The employer, union or other provider that offers a health benefit plan; or

(b) The person to whom, under a written agreement of the parties, the duty of plan administrator is delegated by the employer, union or other provider that offers a health benefit plan.

(9) “Primary care provider” means a physician who provides primary care and is a family or general practitioner, pediatrician, internist, obstetrician, or gynecologist.

(10) “Providing party” means a party to a child support order who has been ordered by the court or the enforcing agency to provide health care coverage for a child or to provide such coverage when it becomes available to the party.

(11) “Satisfactory health care coverage” means coverage provided under a health benefit plan that, at a minimum, includes medical and hospital coverage, provides for preventive, emergency, acute and chronic care and imposes reasonable deductibles and copayments. [2003 c.637 §2; 2007 c.878 §5]

Section:  Previous  25.313  25.314  25.315  25.316  25.317  25.318  25.320  25.321  25.323  25.325  25.327  25.329  25.330  25.331  25.333  Next

Last modified: August 7, 2008