§36-7106. Annual fee and report – Examination of books and records – Cost of examination
A. The owner of a cemetery maintaining a Perpetual Care Trust Fund, or certificate of deposit in lieu of a Perpetual Care Trust Fund, shall be required to pay to the Insurance Commissioner an annual fee of Two Hundred Dollars ($200.00), and file a report of each cemetery by March 15 of each year with […]
§36-7107. Prepayment contract finance charges – Disclosure.
Every cemetery which provides prepayment financing programs to its customers under contracts in which a finance charge is made shall comply with all applicable provisions of the Uniform Consumer Credit Code, Sections 1-101 through 9-101 of Title 14A of the Oklahoma Statutes. Added by Laws 1993, c. 218, § 4, eff. Sept. 1, 1993. Amended […]
§36-6933. Provision of basic health care services directly or by contract or agreement – Standards and procedures for selection of providers – Chiropractic and vision care services – Referrals.
A. A health maintenance organization shall provide basic health care services directly or by contract or agreement with other persons, corporations, institutions, associations, foundations or other legal entities, public or private, in accordance with the laws governing such professions and services. B. Each health maintenance organization shall have a defined set of standards and procedures […]
§36-6949. Severability.
If any provision of the Risk-based Capital (RBC) for Health Maintenance Organizations Act of 2003 or its application to any person or circumstance is held invalid, such determination shall not affect the provisions or applications of this act that can be given effect without the invalid provision or application, and to that end the provisions […]
§36-6965. Power to investigate.
A. The Insurance Commissioner shall have power and authority to examine and investigate the affairs of every pharmacy benefits manager (PBM) engaged in pharmacy benefits management in this state in order to determine whether such entity is in compliance with the Patient’s Right to Pharmacy Choice Act. B. All PBM files and records shall be […]
§36-6934. Services permitted to be provided.
Health maintenance organizations may provide any services included in state or federal health care programs, such as state employee benefits, the state basic health benefits program, “Medicare”, “Medicaid”, “CHAMPUS” and Veterans Administrations and other health programs provided in whole or in part by state or federal funds, in accordance with the laws governing such programs. […]
§36-6950. Effective date of notices by Insurance Commissioner.
All notices by the Insurance Commissioner to a health maintenance organization that may result in regulatory action under this act shall be effective upon the date the notice is postmarked by the United States Postal Service if transmitted by registered or certified mail or, in the case of any other transmission, shall be effective upon […]
§36-6966. Patient’s Right to Pharmacy Choice Commission – Complaints alleging violations – Hearings.
A. There is hereby created the Patient’s Right to Pharmacy Choice Commission. B. The Insurance Commissioner shall provide for the receiving and processing of individual complaints alleging violations of the provisions of the Patient’s Right to Pharmacy Choice Act, the Pharmacy Audit Integrity Act and Sections 357 through 360 of Title 59 of the Oklahoma […]
§36-6935. Services provided to out-of-state enrollees.
Basic health care services as herein provided may be furnished to enrollees of health maintenance organizations outside this state only in accordance with the laws of the state or of the United States that govern the provision of such services in the state or place concerned; provided, that an enrollee may be reimbursed directly for […]
§36-6951. Requirements for RBC reports filed in 2003.
For Risk-based Capital (RBC) reports required to be filed by health maintenance organizations in 2003, the following requirements shall apply in lieu of the provisions of Sections 40, 41, 42 and 43 of this act: 1. In the event of a Company Action Level Event in a domestic health maintenance organization, the Insurance Commissioner shall […]