§36-7003. State-mandated health benefits – Exclusion.
Any insurance company, health maintenance organization or group health service organization that files a high deductible health benefit plan pursuant to Section 223(c)(2) of the Internal Revenue Code as added by Section 1201 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, P.L. 108-173, shall not be required to offer coverage for any […]
§36-7004. Interstate Insurance Product Regulation Compact.
A. Pursuant to terms and conditions of this act, the State of Oklahoma seeks to join with other states and establish the Interstate Insurance Product Regulation Compact, and thus become a member of the Interstate Insurance Product Regulation Commission. B. The Insurance Commissioner of the State of Oklahoma is hereby designated to serve as the […]
§36-6942. Authorized control level event – Definition – Duties of Insurance Commissioner.
A. “Authorized Control Level Event” means any of the following events: 1. The filing of an RBC report by the health maintenance organization that indicates that the health maintenance organization’s total adjusted capital is greater than or equal to its Mandatory Control Level RBC, but less than its Authorized Control Level RBC; 2. The notification […]
§36-6958. Short title – Patient’s Right to Pharmacy Choice Act.
This act shall be known and may be cited as the “Patient’s Right to Pharmacy Choice Act”. Added by Laws 2019, c. 426, § 1, eff. Nov. 1, 2019.
§36-6943. Mandatory control level event – Definition – Duties of Insurance Commissioner.
A. “Mandatory Control Level Event” means any of the following events: 1. The filing of an RBC report which indicates that the health maintenance organization’s total adjusted capital is less than its Mandatory Control Level RBC; 2. Notification by the Commissioner to the health maintenance organization of an adjusted RBC report that indicates a Mandatory […]
§36-6959. Purpose of act.
The purpose of the Patient’s Right to Pharmacy Choice Act is to establish minimum and uniform access to a provider and standards and prohibitions on restrictions of a patient’s right to choose a pharmacy provider. Added by Laws 2019, c. 426, § 2, eff. Nov. 1, 2019.
§36-6927. Public records – Trade secrets – Privileged or confidential information.
All applications, filings, provider contracts excluding any financial terms and/or reimbursement criteria contained in such contracts, and reports required under the Health Maintenance Organization Act of 2003 shall be treated as public records, except those that are trade secrets or privileged or confidential quality assurance, commercial, financial or other information considered privileged or confidential under […]
§36-6944. Challenge of determination or action by Insurance Commissioner – Required events – Hearing.
Upon the occurrence of any of the events specified in this section, the health maintenance organization shall have the right to a confidential departmental hearing, on the record, at which time the health maintenance organization may challenge any determination or action by the Insurance Commissioner. The health maintenance organization shall notify the Commissioner of its […]
§36-6960. Definitions.
For purposes of the Patient’s Right to Pharmacy Choice Act: 1. “Health insurer” means any corporation, association, benefit society, exchange, partnership or individual licensed by the Oklahoma Insurance Code; 2. “Health insurer payor” means a health insurance company, health maintenance organization, union, hospital and medical services organization or any entity providing or administering a self-funded […]
§36-6928. Disclosure of diagnostic, treatment or health status information.
A. 1. Any data or information pertaining to the diagnosis, treatment or health of any enrollee or applicant obtained from that person or from a provider by a health maintenance organization shall be held in confidence and shall not be disclosed to any person except: a.to the extent that it may be necessary to carry […]