243.125 Powers
and duties of board; rules.
(1) The Public Employees’ Benefit Board shall prescribe rules for the conduct
of its business and for carrying out ORS 243.256. The board shall study all
matters connected with the providing of adequate benefit plan coverage for
eligible employees on the best basis possible with relation both to the welfare
of the employees and to the state and local governments. The board shall design
benefits, devise specifications, analyze carrier responses to advertisements
for bids and decide on the award of contracts. Contracts shall be signed by the
chairperson on behalf of the board.
(2) In carrying
out its duties under subsection (1) of this section, the goal of the board
shall be to provide a high quality plan of health and other benefits for
employees at a cost affordable to both the employer and the employees.
(3) Subject to
ORS chapter 183, the board may make rules not inconsistent with ORS 243.105 to
243.285 and 292.051 to determine the terms and conditions of eligible employee
participation and coverage.
(4)(a) The board
shall prepare specifications, invite bids and do acts necessary to award
contracts for health benefit plan and dental benefit plan coverage of eligible
employees in accordance with the criteria set forth in ORS 243.135 (1).
(b) Premium rates
established by the board for a self-insured health benefit plan and premium
rates negotiated by the board with a carrier that offers a health benefit plan
to eligible employees must take into account any reduction in the cost of
hospital services and supplies anticipated to result from the application of
ORS 243.256.
(5) The executive
director of the board shall report to the Director of the Oregon Health
Authority.
(6) The board may
retain consultants, brokers or other advisory personnel when necessary and,
subject to the State Personnel Relations Law, shall employ such personnel as
are required to perform the functions of the board. If the board contracts for
actuarial or technical support to manage the functions of the board, the board
shall solicit invitations to bid and the proposals must include all of the
following:
(a) An
explanation of how the bidder has assisted other clients in creating incentives
to improve the quality of care provided to enrollees;
(b) An
explanation of how the bidder will support the board’s efforts to maximize
provider efficiencies and achieve more organized systems of care; and
(c) A description
of the bidder’s experience in assisting other clients in structuring contracts
that use risk-based networks of providers and alternative provider
reimbursement methodologies. [1971 c.527 §3; 1975 c.560 §1; 1975 c.667 §1a;
1983 c.640 §2; 1987 c.879 §9; 1997 c.222 §29; 2001 c.655 §5; 2011 c.418 §10;
2013 c.731 §3; 2017 c.746 §30; 2023 c.51 §1]
Notes of Decisions
Cited in
5
cases, 2002–2014 · leading case:
Pebb v. Ohsu, 132 P.3d 1061 (Or. Ct. App. 2006).
Pebb v. Ohsu, 132 P.3d 1061 (Or. Ct. App. 2006).
· cites it 4× “" ORS 243.125. PEBB has exclusive control of state employee benefit plans and the selection of and negotiation with insurance carriers.”
Ass'n of Oregon Corr. Employees v. State, 337 P.3d 998 (Or. Ct. App. 2014).
· cites it 2× “125(2), to select coverage “on the best basis possible with relation both to the welfare of the employees and to the state,” ORS 243.125(1), and to consider factors like a “competitive marketplace,” creativity and innovation, and the improvement of employee health, ORS 243.”
Serv. Employees Int'l Union Local 503 v. State, Dep't of Admin. Servs., 54 P.3d 1043 (Or. Ct. App. 2002).
“DAS first points out that ORS 243.125(1) requires PEBB to “design benefits, devise specifications, analyze carrier responses to advertisements for bids and decide on the award of contracts” concerning benefit plan coverage for eligible employees.”
Seiu v. Das, 54 P.3d 1043 (Or. Ct. App. 2002).
“DAS first points out that ORS 243.125(1) requires PEBB to "design benefits, devise specifications, analyze carrier responses to advertisements for bids and decide on the award of contracts" concerning benefit plan coverage for eligible employees.”
— Or. Rev. Stat. § 243.125(1) — 3 cases
Serv. Employees Int'l Union Local 503 v. State, Dep't of Admin. Servs., 54 P.3d 1043 (Or. Ct. App. 2002).
“DAS first points out that ORS 243.125(1) requires PEBB to “design benefits, devise specifications, analyze carrier responses to advertisements for bids and decide on the award of contracts” concerning benefit plan coverage for eligible employees.”
Ass'n of Oregon Corr. Employees v. State, 337 P.3d 998 (Or. Ct. App. 2014).
“125(2), to select coverage “on the best basis possible with relation both to the welfare of the employees and to the state,” ORS 243.125(1), and to consider factors like a “competitive marketplace,” creativity and innovation, and the improvement of employee health, ORS 243.”
Seiu v. Das, 54 P.3d 1043 (Or. Ct. App. 2002).
“DAS first points out that ORS 243.125(1) requires PEBB to "design benefits, devise specifications, analyze carrier responses to advertisements for bids and decide on the award of contracts" concerning benefit plan coverage for eligible employees.”
— Or. Rev. Stat. § 243.125(2) — 1 case
Ass'n of Oregon Corr. Employees v. State, 337 P.3d 998 (Or. Ct. App. 2014).
“125(2), to select coverage “on the best basis possible with relation both to the welfare of the employees and to the state,” ORS 243.125(1), and to consider factors like a “competitive marketplace,” creativity and innovation, and the improvement of employee health, ORS 243.”
Annotations are extracted automatically from the opinions in the
Syfert caselaw corpus and ranked by authority, recency, and
treatment. Dots show Syfertize treatment of the citing case itself.