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Oregon Declaración jurada de no cobertura por otro plan de salud grupal - Affidavit of No Coverage by Another Group Health Plan

State:
Multi-State
Control #:
US-321EM
Format:
Word
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Description

El empleado mencionado en esta declaración jurada da fe de que no está cubierto por ningún otro plan de salud grupal.

The Oregon Affidavit of No Coverage by Another Group Health Plan is a legal document used in the state of Oregon to attest that an individual or their dependents do not have access to another group health plan. This affidavit is generally required when enrolling in a group health insurance plan provided by the State of Oregon, Medicaid, or the Oregon Health Insurance Marketplace. The purpose of this affidavit is to ensure that individuals do not have duplicate coverage or access to multiple health insurance plans, which could lead to unnecessary costs and complications. By completing this affidavit, individuals confirm that they do not have other group health insurance coverage, including employer-sponsored plans, spouse's coverage, or coverage through a parent's plan. In order to provide accurate information, it is important to understand the different types of Oregon Affidavit of No Coverage by Another Group Health Plan: 1. Individual Coverage: This type of affidavit is completed by individuals who are not eligible for group health coverage through their employer or any other organization. It confirms that the individual does not have access to any other form of group health plan. 2. Dependent Coverage: This variant of the affidavit is specific to dependents who are seeking coverage under an individual's group health plan. It ensures that dependents are not covered by another group health plan, including coverage through a spouse, parent, or any other source. 3. Medicaid Coverage: In certain cases, individuals may need to complete the Oregon Affidavit of No Coverage by Another Group Health Plan when applying for Medicaid. This affidavit verifies that the individual is not eligible for any other group health plan that could provide similar coverage. Completing the Oregon Affidavit of No Coverage by Another Group Health Plan accurately is crucial as providing false information can result in penalties or the denial of benefits. It is important to carefully review the affidavit and consult with a healthcare provider or insurance professional to ensure accurate completion. Keywords: Oregon, Affidavit of No Coverage, Group Health Plan, Oregon Health Insurance Marketplace, Medicaid, duplicate coverage, employer-sponsored plans, spouse's coverage, parent's plan, individual coverage, dependent coverage, Medicaid coverage, healthcare provider, insurance professional.

Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.

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FAQ

Group insurance is a type of insurance plan that covers a number of people in the same contract. Such a plan provides the same level of insurance coverage to all members of a group irrespective of their age, gender, occupation or socio-economic status.

The term continuation coverage refers to the extended coverage provided under the group benefit plan in which an eligible employee or eligible dependent is currently enrolled.

Group Insurance health plans provide coverage to a group of members, usually comprised of company employees or members of an organization. Group health members usually receive insurance at a reduced cost because the insurer's risk is spread across a group of policyholders.

What Is Group Coverage? Group medical coverage refers to a single policy issued to a group (typically a business with employees, although there are other kinds of groups that can get coverage) that covers all eligible employees and sometimes their dependents.

Group plans are chosen by the employer to accommodate the needs of everyone being covered at the company, so they typically offer as many providers, locations, and services as possible. Individual plans are chosen by the employee for the employee, not based on the needs of coworkers.

A dependent is a person who is eligible to be covered by you under these plans.

The primary purpose of the certificate is to show the amount of creditable coverage that you had under a group health plan or other health insurance coverage, because this can reduce or eliminate the length of time that any pre-existing condition clause in a new plan otherwise might apply to you.

COBRA generally requires that group health plans sponsored by employers with 20 or more employees in the prior year offer employees and their families the opportunity for a temporary extension of health coverage (called continuation coverage) in certain instances where coverage under the plan would otherwise end.

Continuation coverage allows someone who recently lost their employer-based health coverage to continue their current insurance policy as long as they pay the full monthly premiums.

More info

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Oregon Declaración jurada de no cobertura por otro plan de salud grupal