Those facing cancellations could see a break in coverage if they don't enroll in a new plan on the state's problem-plagued online exchange by Dec. 15, the state's Insurance Division spokeswoman Cheryl Martinis said.
Another group that could face a break in coverage: about 11,000 Oregonians who are part of the state's high-risk insurance pool -- a program for those rejected by private insurance carriers because of pre-existing conditions. Because the insurance pool will dissolve by year's end, those individuals would be stuck without insurance if they don't enroll via Cover Oregon.
But a month in, the state has not enrolled a single person. Cover Oregon has received 4,260 paper applications and its website still can't tell people what subsidies they are eligible for.
Oregonians can sign up for a new plan via an insurance broker -- but if they qualify for a subsidy, they can only enroll through Cover Oregon.
About 48,000 clients of Regence Blue Cross Blue Shield, one of Oregon's largest insurance providers, have plans that are not compliant with the Affordable Care Act and will see cancellation notices, spokesman Jared Ishkanian said.
The company has been communicating with those affected since early summer, Ishkanian said. Those who don't enroll in a new plan via Cover Oregon or through Regence will automatically be moved to a plan that's most comparable to the one they had.
They won't face a break in coverage, Ishkanian said, but could face much higher insurance costs.
"We're here to help people through what could be a difficult transition. We want them to experience as little disruption as possible," Ishkanian said.
This week, the Obama administration granted a six-week extension for Americans to sign up for coverage and avoid the tax penalties. But anyone who wants their new insurance to start Jan. 1 must abide by the Dec. 15 deadline.
Cover Oregon officials declined to name a date when they expect the website will be functional enough to enroll anyone and they could not explain how they plan to sign up hundreds of thousands of people within a month and half.
Spokesman Michael Cox said the state has already begun processing eligibility determinations manually and is "staffing up" to enroll Oregonians by hand should that be necessary.
"We do not anticipate having to process all applications by hand," Cox said, "but are finalizing our plans should the need arise. We are confident that those who apply for coverage effective January 1 will get it."
Oregon officials also said they're revisiting a rule that would force previously uninsured people who sign up for coverage to wait two years for a transplant. Oregon is the only state that has the two-year waiting period, and officials say it may not be lawful under the new health care law.
Oregon has an estimated 600,000 uninsured, though officials say about 200,000 are expected to sign up through 2014.
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