The Marion County Circuit Court ordered Zoom Health Plan, Inc. into rehabilitation on April 21, 2017 after finding that the Company was impaired and that further operation of the Company would be hazardous. The Director of the Oregon Department of Consumer and Business Services was appointed as Receiver of Zoom Health Plan, Inc. Zoom Health Plan, Inc. will continue to operate as usual, but will withdraw from the individual and small group insurance markets at the end of 2017.
The receivership does not impact Zoom+ Care, which operates neighborhood clinics throughout the Portland area.
All current individual policies will be canceled effective Dec. 31, 2017. Individuals will have an opportunity to find a new plan for 2018 when health insurance open enrollment begins on Nov. 1, 2017.
Group plans may expire at different times. Businesses with small group coverage through Zoom Health Plan should call their health insurance agent, and individuals with group coverage should contact their employer with questions.
Receivership is a court-ordered proceeding to protect the interests of the policyholders of an insurance company as well as creditors and the general public. When acting as Receiver, the state has increased ability to preserve assets and help ensure policyholder claims and other liabilities are paid.
In early April, Zoom Health Plan notified the Division of Financial Regulation that it intended to stop offering health insurance plans at the end of 2017. It is typical for the Division to work closely with insurers if they are winding down operations in order to protect policyholders. After further discussion, the Division and the company came to the agreement that receivership was the best way to wind down the company and make sure policyholders are protected.
For questions not addressed in this FAQ, please send an email to: firstname.lastname@example.org
The insurance you bought will remain in effect through December 31, 2017. In order to maintain your health insurance coverage you are required to continue to pay your premiums. All individual insurance coverage will expire December 31, 2017.
Group policies may expire at different times. Employees should check with their employer to find out when their plan will change.
No, Zoom Health Plan is no longer selling new or renewal policies. You need to find new health insurance to begin January 1, 2018. Individual open enrollment begins November 1, 2017. You will need to enroll in new coverage by December 15, 2017, to have insurance on January 1, 2018. Businesses should contact their insurance agent to select new insurance coverage.
Enrollees can, however, add a spouse or dependent to your policy through the end of 2017.
Open enrollment begins November 1, 2017. You must purchase new coverage by December 15, 2017, to have insurance on January 1, 2018.
There are many ways to shop for and enroll in new health insurance. You can compare plans and enroll through HealthCare.gov, with the help of an agent, or directly with an insurance company. You also can access HealthCare.gov to see if you qualify for subsidies to help you pay for premiums or other health care costs.
Businesses with small or large group coverage through Zoom Health Plan should call their insurance agent for help picking new health insurance.
Zoom Health Plan has committed to the Division that it intends to pay all claims incurred through December 31, 2017. The Marion County Circuit Court issued a receivership order that allows the Division to act as a Receiver and oversee Zoom Health Plan's business as it winds down and help ensure all claims are paid.
If you received care from an out-of-network provider you may be balance billed. Balance billing is a term that refers to your provider's ability to bill you for the remaining balance after your insurance pays. If you have questions about balance billing or believe you used an in-network provider and are being balance billed, please contact a Zoom Health Plan representative at (503) 912-9654.
No. Premiums will not change through the 2017 plan year. Your premium may change when you purchase new coverage from another company for 2018.
Yes. You must pay your premium through the end of 2017 to keep your current health insurance.
Yes. Zoom Health Plan's provider network is not changing. Once you shop for new coverage for 2018, check provider directories for the other companies to ensure your doctors and preferred facilities are members of those networks.
No. Contracts between Zoom Health Plan and providers remain in force during the wind-down period.
Contact Zoom Health Plan customer service at (503) 912-9654 or email us at email@example.com
Yes. Zoom Health Plan has assured the Division that it intends to honor all contractual obligations, including agent contracts, during the wind-down process.
Zoom Health Plan has committed to the Division that it intends to pay all claims incurred through December 31, 2017. The Marion County Circuit Court issued a receivership order that allows it to oversee Zoom Health Plan's business as it winds down and help ensure all claims are paid.
We do not expect a delay in payments. Zoom and the Division are working closely to ensure a smooth wind-down process with no interruption in services for members or providers.
Yes. Zoom Health Plan has committed to the Division that it intends to pay all claims incurred through December 31, 2017. The Marion County Circuit Court issued a receivership order that allows it to oversee Zoom Health Plan's business as it winds down and help ensure all claims are paid.