Please note this is a GROUP health plan, not individual coverage. As a result, there are eligibility criteria required by the state that we must follow in order to provide insurance to the Oregon REALTORS®.
Click the links below for information on copays, deductibles and plan options.
Following the 2018 launch of a health insurance survey by the National Association of REALTORS® and substantial work and effort, Oregon REALTORS® and Johnson Benefits Group are thrilled to announce that we will be offering Oregon REALTORS®, along with company employees access to affordable health insurance through our partner, Providence Health Plans.
The team is proud to have broken through the barriers to obtain affordable health insurance which has plagued the real estate industry for many years. The NAR survey revealed that many REALTORS® that have insurance are covered through a spouse or the individual market. However, there is also a significant group unable to purchase insurance at all through any channel due to the high premium cost.
Working together Oregon REALTORS®, Providence Health Plan and Johnson Benefits Group will be taking advantage of the purchasing power of the full Oregon REALTORS® membership, brokerage staff and family members. The size of the REALTORS® will ensure you receive excellent benefits at a lower cost.
In the next few weeks, please keep an eye out for additional information regarding the timeline for available plans and next steps for you and your brokerages. We are in the process of setting up the administrative framework for ease of billing and enrollment, and we anticipate accessibility for all eligible brokerages in the first quarter of 2021.
2020 Eligibility Guidelines for the Oregon REALTORS® Association Health Plan
- Groups must maintain membership in good standing with Oregon REALTORS®.
- Plans are available to groups of 2 or more in combination of REALTORS® and W-2 employees with a minimum of 2 enrolled.
- Family Business (when all eligible employees are family members). There must be at least one bonafide/payrolled statutory employee enrolling (not including the spouse of the realtor) – most recent Oregon Department of Revenue – Form 132 (State of Oregon payroll tax form) will be required to substantiate employee status at the time of quoting.
- Groups of 2-9 enrolled may offer two (2) Medical plans with different deductibles. The same riders must be selected for both Medical plans. No enrollment minimum for each plan.
- Groups of 10 or more enrolled may offer up to three (3) Medical plans. The same riders must be selected for all Medical plans. No enrollment minimum for each plan.
- Employer must contribute at least 50% of the W-2 employee only premium for medical. There is no requirement for contribution for REALTOR® or dependent premium.
- Employers can set eligibility between 17.5 and 30 hours per week for W-2 employees. There is an assumption that REALTOR® enrollees work full time.
- 75% participation is required for the Medical plan. Eligible employees must enroll on the plan unless they are waiving to other qualified coverage. All waivers must be verified on the waiver form. Final rates are determined by final enrollment. If enrollment varies from quoted enrollment, rates will change.
- Qualified coverage includes other Group Coverage, Medicare, VA/Tricare and Indian Health Services.
- Employers can set the following probationary waiting periods, first of the month following date of hire, 30 or 60 days.
- Domestic Partner coverage: Oregon REALTORS® Health Plan covers registered same-gender domestic partners as required by law and opposite-gender domestic partners.
- Employee-only contracts are not available. Oregon REALTORS® Health Plans does not offer contracts which exclude children from eligibility.
- Dependent children are eligible for coverage up to age 26.
- Authorization for ACH must be received by the 10th of the month prior to the month of coverage. For example, to pay July premiums authorization for ACH must be received no later than June 10th.
- Payment will be processed on or around the 20th of each month for the following month’s premiums.
- All groups will be considered primary over Medicare.
- All groups are subject to COBRA. COBRA Administration is available through QVI Risk Solutions (QVI) and will be administered by the individual groups.
Frequently Asked Questions
How do I know if my firm/agency is eligible?
Each covered firm must have at least one common law employee and either a W2 employee or REALTOR® for a minimum of two enrolling, and be in good standing with the Oregon REALTORS®. A common law employee cannot be the owner or spouse of an owner, retired or former employee, independent contractor, leased, seasonal, or temporary employee.
If a firm/agency meets the above criteria, common law employees, W2 employees, realtors (independent contractors), owners, and domestic partners are eligible for this association health plan. Additionally, a group Medicare plan is available to retirees of the Oregon REALTORS®.
How many plans can I offer?
Firms can have two plans if they have 2-9 enrolling eligible, and up to three plans for firms with 10 or more enrolling eligible employees/realtors.
What is the enrollment submission deadline?
All materials must be submitted to the Oregon REALTORS® preferred agent/agency by the 15th of the month prior to the requested effective date. If all materials are not received by the 15th, the effective date will be pushed out one month and rates are subject to change.
How does the participation requirement and waivers work?
Seventy-five percent participation is required for eligible employees/realtors (if realtor class is being offered coverage) for each firm within the association. Valid waivers do not count against participation and include other group coverage, Medicare, VA/Tricare and Indian Health Services. Waivers must include the name of the waiving employee/realtor on the front of the form, and the waiver section (4) on the back of the form (signature and date required).
What if someone leaves the firm, does that affect participation?
Participation is audited at time of enrollment and renewal only. Mid-year terminated enrollees will be offered COBRA and are entitled to 18-36 months of coverage, dependent upon their qualifying event.
Does this coverage extend to independent contractors (1099)?
Yes, this has been designed to cover both common law employees and independent contractors for affordable access to an association health plan (group coverage).
Does each person pay his or her own premium?
Firms are required to pay a minimum of 50% contribution for W2/enrolled common law employees. For realtors/independent contractors (1099) there is no firm contribution requirement. QVI Risk Solutions has been contracted to collect premiums from both the firms and enrolling realtors/contracted enrollees. This is through ACH transfer for realtors, and a firm ACH/EFT transfer for the W2/common law employees. The cost is $6.50 per person per month.
What effective date can a firm have and what is needed to enroll?
Each firm can have their own effective date (first of the month) and the association health plan is offered with effective dates of 11/1/2020 and after. A complete employee/realtor/dependent covered census is needed to supply a quote. Final rates are based upon final enrollment. A completed Master Contract Application and employee/realtor enrollment forms/waivers are needed to process enrollment.
Can you send me the rate sheet?
Rates are determined by the dynamics of the individual firms seeking a group quote. A census is needed that includes name, date of birth, gender and zip code for all covered eligible enrollees (common law employees, independent contractors, W2 employees) and indicating whether they are enrolling or not. Final rates are based on the final enrolling census.
What if I am retired, is there coverage options for me?
A group Medicare option is available for all members of the Oregon REALTORS® that are considered retired. Please contact Dave Johnson for more details.
What is the probationary period and hours worked requirement?
Each firm can determine their probationary period with one of the following: First of the month following date of hire, 30 or 60 days. Hours worked can be set by each firm between 17.5 and 30 hours per week (with the assumption that realtors work on average a full time schedule as set per each firm).
Ready to Sign Up? Here’s who to call:
Pacific Benefit Consultants
Insurance Services – The Stratton Agency
Coos Bay Area
The Vigue Company