DFR Warns Of “self-funded” Limited-partner Health Plans (Photo) - 09/22/26

Salem – The Oregon Division of Financial Regulation (DFR) is warning consumers to carefully review health insurance coverage offered through “self-funded” limited-partner plans or other unlicensed entities.

Oregonians should exercise caution before enrolling in a limited partner plan. Companies may offer plans that refer to consumers as “limited partners” or “employees” to avoid Oregon consumer-protection regulations. Many limited partner plans cover only preventive care, such as check-ups and annual health screenings. The plans tempt consumers with promises of low premium costs. However, consumers often end up with higher out-of-pocket costs due to uncovered medical bills. With open enrollment rapidly approaching, it is important to know what the difference is between these plans and standard plans. Open enrollment, which begins Nov. 1 and goes through Jan. 15, is for those who do not get insurance through their job, Medicare, or the Oregon Health Plan.

DFR warned of these plans back in April. They are not compliant with the Affordable Care Act (ACA) and do not provide comprehensive medical coverage, although they may be marketed otherwise. This leaves consumers with the possibility of being unexpectedly responsible for unpaid medical bills. Individual health plans that comply with the ACA are available only through a licensed insurance agent or through the Oregon Health Insurance Marketplace. Consumers should pay close attention to ensure that they are on the “.gov” website as there are other websites with similar web addresses that offer non-ACA-compliant plans.

“Consumers should remember the adage that if a deal looks too good to be true, it probably is,” said Oregon Insurance Commissioner TK Keen. “If a health insurance policy offers unusually low premiums and low deductibles yet promises full or unlimited coverage, be skeptical.”

Red flags to look for include:

• A salesperson marketing limited partner plans or other “ERISA plans” directly to consumers
• A salesperson claiming they do not need a license because their product is not insurance or is exempt from regulation
• A salesperson offering to sign you up outside open enrollment and without eligibility for a special enrollment period
• A health insurance plan seeming abnormally cheap or referencing “stop-loss” insurance
• A group issuing coverage with minimal requests about an applicant’s health
• A company attempting to quickly collect a large amount of premium
• A company delaying or denying claims and making excuses for failure to pay

Before providing an insurance sales agent with any payment or personal information, DFR encourages consumers to request the agent’s full name and National Producer Number. Consumers can verify the agent’s licensure status by visiting DFR’s check a license webpage.

DFR urges Oregonians to be careful when choosing a company to purchase health care coverage from. Organizations and health plans that DFR and other state regulators have identified as having marketed limited partner or self-funded coverage include:

• Socios Buenos, LP aka Vista Health
• Affordable Benefit Choices LLC
• LP Management Services, LLC
• Aither Healthcare Competitive Health
• NXT Level Health
• Multiplan PHCS Network
• Verdegard Administrators, LLC fka Hawaii Mainland Administrators, LLC
• Pioneer Health/Innovative Healthcare Solutions
• ClearShare Health and Clearwater Benefits LLC
• Emergency Management Alliance
• Premier Health Solutions
• Strategic Limited Partners, LP
• The Vitamin Patch, LLC

Consumers who believe they may have been deceived or have questions can contact our consumer advocates at 1-888-877-4894 (toll-free) or email dfr.insurancehelp@dcbs.oregon.gov.

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About Oregon DFR: The Division of Financial Regulation protects consumers and regulates insurance, depository institutions, trust companies, securities, and consumer financial products and services. The division is part of the Department of Consumer and Business Services, Oregon’s largest consumer protection and business regulatory agency. Visit dfr.oregon.gov and dcbs.oregon.gov.

DFR Warns Investors About AI-powered Investment Scams (Photo) - 09/14/26

State Of Oregon Proposes Workers’ Compensation Rates For 2027 (Photo) - 09/09/26

Salem – On average, Oregon employers will pay 92 cents per $100 of payroll for workers’ compensation coverage in 2027 under a proposal the Oregon Department of Consumer and Business Services (DCBS) announced today. The rate would be the second lowest on record.

The pure premium rate would increase by an average 2.1 percent under the proposal. Pure premium is the base rate insurers use to determine how much employers must pay for medical costs and lost wages. Despite the increase, the pure premium per $100 of payroll will have declined by 36.5 percent from 2018 to 2027.

The increase to the average pure premium rate would contribute to an increase in the average cost of workers’ compensation coverage, from 89 cents per $100 of payroll in 2026 to 92 cents per $100 of payroll in 2027. This figure is referred to as loaded pure premium and includes pure premium, insurer profit and expense factors, and assessments paid by employers.

The rise in Oregon’s average pure premium rate is due to benefits for workers injured on the job being increased through Senate Bill 1519 (2026), which modified weekly lost-time wage compensation benefits for workers with disabling claims. The bill is intended to elevate benefits for lower wage earners who are injured on the job. Under current law, temporary total disability benefits are paid at 66 2/3 percent of the state average weekly wage (SAWW). Effective Jan. 1, 2027, the weekly compensation rate for wages up to 75 percent of the average weekly wage will increase to 75 percent, while the compensation rate for wages more than 75 percent of the SAWW will decrease to 65 percent.

Long-term declines in lost-time claim frequency continue to help offset upward pressure on system costs from higher medical and indemnity claim severity seen across the country, as well as benefit increases such as those made by Senate Bill 1519, according to the National Council on Compensation Insurance (NCCI). NCCI is the U.S. rate-setting organization whose recommendation DCBS reviews as part of its annual public process to decide rates.

The 2.1 percent increase in the pure premium is an average, so an individual employer may see a larger or smaller increase, no change, or even a decrease, depending on the employer’s industry. Also, an employer’s premium is affected by factors other than changes in pure premium rates, such as the employer’s payroll, modifications based on its claim experience, and its insurer’s profit and expense factor.

The increase in the pure premium will be effective Jan. 1, 2027, but employers will see the changes when they renew their policies for 2027.

Employers’ total cost for workers’ compensation insurance also includes a premium assessment. In addition, employers pay at least half of the Workers’ Benefit Fund (WBF) component and the Oregon Bureau of Labor and Industries (BOLI) Expense Fund component, which are cents-per-hour-worked rates.

The premium assessment, which is a percentage of the workers’ compensation insurance premium employers pay, is added to the pure premium. It would remain at 9.8 percent in 2027, the same as 2026, under the DCBS proposal. In fact, 2027 would mark the sixth-straight year the premium assessment remained at 9.8 percent.

The premium assessment funds the successful programs of Oregon’s workers’ compensation system, including the Workers’ Compensation Division; Oregon OSHA; the Workers’ Compensation Board, which resolves disputes over the state’s workers’ compensation and workplace safety laws; the Ombuds Office for Oregon Workers, an independent advocate for workers on workers’ compensation and workplace safety and health; and the Office of the Small Business Ombudsman for Workers’ Compensation, an independent advocate for small businesses, entrepreneurs, and the professional advisers who serve them.

Meanwhile, the WBF assessment funds return-to-work programs, provides increased benefits over time for workers who are permanently and totally disabled, and gives benefits to families of workers who die from workplace injuries or diseases.

The fund’s revenue comes from a cents-per-hour-worked assessment. The assessment would increase to 2.2 cents per hour worked in 2027. It would be the fourth-lowest rate since the inception of the cents-per-hour assessment in 1996.

New for 2027 is the establishment of the BOLI Expenses Fund (BEF) component, created by House Bill 4027 (2026). DCBS is collecting that component to help fund BOLI. In 2027, DCBS will collect 0.2 cents per hour worked for the fund.

The addition of the BEF component combined with the WBF component results in a total assessment of 2.4 cents per hour worked.

Oregon’s workers’ compensation premium rates have ranked favorably compared to other states for many years. Oregon had the nation’s 14th least expensive rates in 2024, according to a nationally recognized biennial study conducted by DCBS.

The public hearings for the premium assessment and the WBF assessment are Thursday, Sept. 17, at 3 p.m. and 4 p.m., respectively.

Written testimony will be accepted through 5 p.m. Thursday, Sept. 24, by the Director's Office of DCBS, P.O. Box 14480, Salem, OR 97309-0405.

The DCBS website has a table showing the workers’ compensation cost summary for 2027 and more information about Oregon workers’ compensation costs.

The loaded pure premium includes insurer costs, known as expense loading factors. Historic figures are adjusted to reflect the 2026 mix of employment and payroll.

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About Oregon DCBS: The Department of Consumer and Business Services is Oregon’s largest consumer protection and business regulatory agency. The department administers state laws and rules to protect consumers and workers in the areas of workers’ compensation, occupational safety and health, financial services, insurance, and building codes. Visit dcbs.oregon.gov.

DFR Warns Consumers About Growing Payment App Scams (Photo) - 09/02/26

Salem – Mobile payment apps provide a convenient way to send, receive, and manage money using a smartphone. However, consumers should be aware that scammers are using these services to steal money and gain access to financial accounts. Popular payment apps include Venmo, Cash App, Zelle, and PayPal. Many mobile payment apps are connected to a consumer’s bank account, debit card, or credit card, making consumers’ accounts a target for fraudsters.

The Oregon Division of Financial Regulation (DFR) is reminding consumers to be cautious when receiving unexpected payments or when someone contacts them claiming there is a problem with their account.

Beware of “payment sent by mistake” scams

In this scam, a stranger sends money to a consumer through a payment app and then contacts the consumer claiming the payment was sent by mistake. The scammer asks the consumer to send the money back as a new payment. Cybercriminals may use stolen credit card or financial account information to make the initial payment appear legitimate. If the consumer sends the money back, the original fraudulent payment may later be reversed, leaving the consumer responsible for the money they sent to the scammer.

DFR advises consumers:

• Never exchange payments with people you do not know.
• If you receive a payment from someone you do not know, directly contact the payment app’s customer support. Customer support can help determine whether the payment is legitimate and explain how to properly reverse or address the transaction.
• Do not communicate with the person who sent the unexpected payment. Scammers may use emotional stories or pressure tactics to convince consumers to send money.

Watch out for fake payment app representatives

Scammers may also impersonate customer service representatives from payment apps. They may call or text consumers claiming that an unauthorized transaction has occurred or that someone is attempting to access their account. The scammer may say they need to “secure” the account and ask for sensitive information, including a password or a verification code sent to the consumer’s phone.

If you receive a call or message like this:

• Never provide a verification code sent to your phone to anyone.
• Never share your password or other account credentials with someone who contacts you unexpectedly.
• Do not click on links or use phone numbers provided in unsolicited messages.
• Contact the payment app directly using the official app or website to verify whether there is actually a problem with your account.

Legitimate customer service representatives will never ask for a verification code that was sent to the consumer’s phone to authenticate an account. Taking a moment to stop and verify an unexpected payment, phone call, or text can help prevent consumers from losing money to fraud.

Imposter scams

Fraudsters try to replicate a profile picture on a fake account to impersonate your friend, co-worker, potential new employer, landlord, or even a love interest. They pretend to be someone in your social circle and request money.

What to do if this happens to you:

• Contact the real person outside of the payment app to make sure it came from them or call them on the phone number you have. The fraudster may provide you with a new number, but don’t fall for it.
• If you don’t know the person, never give money to someone you haven’t met in person.
• Check the creation date and transaction history. If it’s a brand new account with no transaction history, it might be a scam.

“Payment apps make it easier than ever to move money, but that convenience can also make it easier for scammers to target consumers,” said DFR Administrator TK Keen. “Scammers know how to create a sense of urgency and trust, whether they claim a payment was sent by mistake, pretend to be a customer service representative, or impersonate someone you know. The best protection is to stop, verify who you are dealing with, and never send money until you are certain the request is legitimate.”

If you believe you have been a target of a financial scam, contact DFR’s consumer advocates at 1-888-877-4894 or dfr.financialserviceshelp@dcbs.oregon.gov.

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About Oregon DFR: The Division of Financial Regulation protects consumers and regulates insurance, depository institutions, trust companies, securities, and consumer financial products and services. The division is part of the Department of Consumer and Business Services, Oregon’s largest consumer protection and business regulatory agency. Visit dfr.oregon.gov and dcbs.oregon.gov.

Southern Oregon Event Offers Resources To Employers, Workers To Prevent On-the-job Injury, Illness (Photo) - 09/01/26

Oregon Division Of Financial Regulation Extends Wildfire Emergency Order 30 Days, Keeping Pause On Cancellations In Place (Photo) - 08/28/26

Salem – The Oregon Division of Financial Regulation (DFR) issued a wildfire emergency order and bulletin in late July for people affected by the state’s wildfire situation. That order was to expire this weekend. However, DFR extended it today for another 30 days to Sept. 29. The ZIP codes listed in the bulletin remain covered.

“Wildfire season is not over, and the last thing consumers should be worried about is receiving a cancellation or nonrenewal notice right now,” said Oregon Insurance Commissioner TK Keen. “Extending this order gives consumers breathing room to focus on their families and recovery while making sure coverage stays in place.”

As a reminder, this order requires all property and casualty insurance companies to take proactive measures to protect people in wildfire affected areas. The order:

• Suspends cancellations and nonrenewals
• Establishes a grace period for premium payments for all insurance policies issued, delivered, or covering a risk in the affected areas
• Extends deadlines for policyholders to report claims or submit other claims-related communications
• Requires all insurers to take all practicable steps to provide opportunities for policyholders to report claims

If your home or property was damaged by the wildfires, contact your insurance company as soon as possible to discuss your situation and learn next steps. If you still have concerns, the division’s consumer advocates are here to help. Call 888-877-4894 (toll-free) or email dfr.insurancehelp@oregon.gov.

Visit the DFR’s wildfire insurance resource page to view the order, bulletin, and more insurance information.

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About Oregon DFR: The Division of Financial Regulation protects consumers and regulates insurance, depository institutions, trust companies, securities, and consumer financial products and services. The division is part of the Department of Consumer and Business Services, Oregon’s largest consumer protection and business regulatory agency. Visit dfr.oregon.gov and dcbs.oregon.gov.