OAC 365:10 — Life, Accident and Health (Subchapter 1 to 31)
52 sections in this chapter.
OAC 365:10-OAC 365:10-app-A A - Uniform Health Claim Form
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app A
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-AA AA - Long Term Care Insurance Format for Outline of Coverage
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app AA Added at 15 Ok Reg 3207, eff 7-13-98
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-B B - Medicare Supplement Policy Standards [Revoked]
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Notes Okla. Admin. Code tit. 365, ch. 10, app B
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-BB BB - Select Mortality Factors
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app BB Added at 17 Ok Reg 726, eff 1-3-00 (emergency); Added at 17 Ok Reg 1659, eff 7-14-00
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-C C - Rescission Reporting Formfor Long-termcare Policies
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Click to view image Notes Okla. Admin. Code tit. 365, ch. 10, app C Revoked and reenacted at 10 Ok Reg 397, eff 11-12-92 (emergency); Revoked and reenacted at 10 Ok Reg 3033, eff 7-15-93 Adopted by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/11/2020
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-CC CC - Long-Term Care Insurance Claims Denial Reporting Form
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app CC Added at 18 Ok Reg 1277, eff 7-14-01; Revoked and reenacted at 27 Ok Reg 1531, eff 7-14-10
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-D D - Mixed-Gender Mortality Tables
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app D
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-DD DD - Long Term Care Insurance Potential Rate Increase Disclosure Form
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app DD Added at 18 Ok Reg 1277, eff 7-14-01; Revoked and reenacted at 19 Ok Reg 1294, eff 7-14-02
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-E E - Presumptively Reasonable Accident and Health Rates
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app E Added at 10 Ok Reg 3049, eff 10-1-93; Revoked and reenacted at 13 Ok Reg 135, eff 11-1-95 (emergency); Revoked and reenacted at 13 Ok Reg 2669, eff 7-1-96
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-EE EE - Triggers for a Substantial Premium Increase
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app EE Added at 18 Ok Reg 1277, eff 7-14-01; Revoked and reenacted at 26 Ok Reg 1529, eff 7-14-09
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-F F - Credit Insurance Deviation Request Form
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Click to view image Click to view image Click to view image Click to view image Click to view image Notes Okla. Admin. Code tit. 365, ch. 10, app F Added at 10 Ok Reg 3049, eff 10-1-93 Adopted by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/11/2020
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-FF FF - Medicare Supplement Insurance Questions
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app FF Added at 22 Ok Reg 1954, eff 7-14-05
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-G G - Credibility Table
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app G Added at 10 Ok Reg 3049, eff 10-1-93
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-GG GG - Information Provided Pursuant to Section 365:10-5-176(F)(1)(C)(Ii) of the Actuarial Opinion and Memorandum Regulation
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app GG Added at 23 Ok Reg 2672, eff 7-14-06
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-H H - Inventory Credit Life and Disability Presumptive Rates
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Click to view image Click to view image Notes Okla. Admin. Code tit. 365, ch. 10, app H Added at 10 Ok Reg 3049, eff 10-1-93 Adopted by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/11/2020
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-HH HH - Partnership Program Notice
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app HH Added at 25 Ok Reg 1643, eff 7-14-08
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-I I - Inventory Credit Life and Disability Deviated Rates
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app I Added at 10 Ok Reg 3049, eff 10-1-93
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-II II - Partnership Status Disclosure Notice
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app II Added at 25 Ok Reg 1643, eff 7-14-08
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-J J - Credit Life Insurance Experience Report
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Click to view image Click to view image Notes Okla. Admin. Code tit. 365, ch. 10, app J Added at 10 Ok Reg 3049, eff 10-1-93 Adopted by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/11/2020
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-JJ JJ - Issuer Certification Form
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app JJ Added at 25 Ok Reg 1643, eff 7-14-08
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-K K - Credit Disability Insurance Experience Report
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Click to view image Click to view image Notes Okla. Admin. Code tit. 365, ch. 10, app K Added at 10 Ok Reg 3049, eff 10-1-93 Adopted by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/11/2020
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-KK KK - Approved Long Term Care Partnership Program Policy Summary
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app KK Added at 25 Ok Reg 1643, eff 7-14-08
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-L L - Credit Life Insurance Experience Report
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app L Added at 10 Ok Reg 3049, eff 10-1-93
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-LL LL - Notice to Applicant Regarding Replacement of Individual Accident and Sickness or Long-Term Care Insurance for Solicitations Other than Direct Response
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app LL Added at 26 Ok Reg 1529, eff 7-14-09
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-M M - Credit Disability Insurance Experience Report
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Click to view image Notes Okla. Admin. Code tit. 365, ch. 10, app M Added at 10 Ok Reg 3049, eff 10-1-93 Adopted by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/11/2020
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-MM MM - Notice to Applicant Regarding Replacement of Accident and Sickness or Long-Term Care Insurance for Direct Response Solicitations
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app MM Added at 26 Ok Reg 1529, eff 7-14-09
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-N N - Credit Life Insurance Experience Reconciliation to State Page
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Click to view image Notes Okla. Admin. Code tit. 365, ch. 10, app N Added at 10 Ok Reg 3049, eff 10-1-93 Adopted by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/11/2020
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-NN NN - Patient's Affidavit [Expired]
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Notes Okla. Admin. Code tit. 365, ch. 10, app NN
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-O O - Credit Disability Insurance Experience Reconciliation to State Page
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Click to view image Notes Okla. Admin. Code tit. 365, ch. 10, app O Added at 10 Ok Reg 3049, eff 10-1-93 Adopted by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/11/2020
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-OO OO - Provider Assistance Form [Expired]
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Notes Okla. Admin. Code tit. 365, ch. 10, app OO
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-P P - Selection Factors Memorandum
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app P Added at 9 Ok Reg 2497, eff 6-26-92
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-PP PP - Notice of Appeal Rights
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Click to view image Notes Okla. Admin. Code tit. 365, ch. 10, app PP Added at 29 Ok Reg 16, eff 9-12-11 (emergency); Added at 29 Ok Reg 1254, eff 7-14-12 Adopted by Oklahoma Register, Volume 39, Issue 24, September 1, 2022, eff. 9/11/2022
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-Q Q - Medicare Supplement
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app Q Added at 9 Ok Reg 549, eff 12-13-91 (emergency); Added at 9 Ok Reg 2499, eff 6-26-92; Amended at 9 Ok Reg 3899, eff 8-24-92 (emergency); Amended at 10 Ok Reg 1475, eff 5-1-93; Revoked and reenacted at 20 Ok Reg 1667, eff 7-…
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-QQ QQ - External Review Request Form
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Click to view image Click to view image Click to view image Click to view image Click to view image Click to view image Click to view image Click to view image Click to view image Notes Okla. Admin. Code tit. 365, ch. 10, app QQ Added at 29 Ok Reg 16, eff 9-12-11 (emergency); Add…
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-R R - Form for Reporting Medicare Supplement Policies
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app R Added at 9 Ok Reg 549, eff 12-13-91 (emergency); Added at 9 Ok Reg 2499, eff 6-26-92; Amended at 9 Ok Reg 3899, eff 8-24-92 (emergency); Amended at 10 Ok Reg 1475, eff 5-1-93
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-RR RR - Application for Registration As an Independent Review Organization
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Click to view image Click to view image Click to view image Notes Okla. Admin. Code tit. 365, ch. 10, app RR Added at 29 Ok Reg 16, eff 9-12-11 (emergency); Added at 29 Ok Reg 1254, eff 7-14-12 Adopted by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/11/2020…
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-S S - Outline of Coverage [Revoked]
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Notes Okla. Admin. Code tit. 365, ch. 10, app S
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-SS SS - Independent Revieworganization External Reviewannual Report Form
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Click to view image Click to view image Notes Okla. Admin. Code tit. 365, ch. 10, app SS Added at 29 Ok Reg 16, eff 9-12-11 (emergency); Added at 29 Ok Reg 1254, eff 7-14-12 Adopted by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/11/2020
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-T T - Notice to Applicant Regarding Replacement of Medicare Supplement Insurance or Medicare Advantage
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app T Added at 9 Ok Reg 2499, eff 6-26-92; Revoked and reenacted at 14 Ok Reg 2292, eff 7-1-97; Revoked and reenacted at 22 Ok Reg 1954, eff 7-14-05
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-TT TT - Health Carrier External Reviewannual Report Form
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Click to view image Notes Okla. Admin. Code tit. 365, ch. 10, app TT Added at 29 Ok Reg 16, eff 9-12-11 (emergency); Added at 29 Ok Reg 1254, eff 7-14-12 Adopted by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/11/2020
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-U U - Portability Form
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app U Added at 9 Ok Reg 2499, eff 6-26-92; Added at 11 Ok Reg 1835, eff 5-15-94; Revoked and reenacted at 22 Ok Reg 1954, eff 7-14-05
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-UU UU - Policy Holder's Authorization to Release Insurance Policy information to agent of record [REVOKED]
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Click To View Image Click To View Image Notes Okla. Admin. Code tit. 365, ch. 10, app UU Added at 29 Ok Reg 16, eff 9-12-11 (emergency); Added at 29 Ok Reg 1254, eff 7-14-12 Revoked by Oklahoma Register, Volume 31, Issue 24, September 2, 2014, eff. 9/15/2014
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-V V - Disclosure Statements
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app V Added at 15 Ok Reg 3569, eff 5-29-98 (emergency); Added at 16 Ok Reg 1088, eff 4-26-99; Revoked and reenacted at 20 Ok Reg 1667, eff 7-14-03
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-VV VV - Uniform Health Questionnaire
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app VV Added at 29 Ok Reg 16, eff 9-12-11 (emergency); Added at 29 Ok Reg 1254, eff 7-14-12
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-W W - Long Term Care Insurance Personal Worksheet
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app W Added at 13 Ok Reg 3281, eff 8-1-96; Revoked and reenacted at 15 Ok Reg 3207, eff 7-13-98; Revoked and reenacted at 18 Ok Reg 1277, eff 7-14-01
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-WW WW - 2012 I am Period Table, Female, Age Nearest Birthday
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AGE 1000 . qx2012 AGE 1000 . qx2012 AGE 1000 . qx2012 AGE 1000 . qx2012 0 1.621 30 0.300 60 3.460 90 88.377 1 0.405 31 0.321 61 3.916 91 97.491 2 0.259 32 0.338 62 4.409 92 107.269 3 0.179 33 0.351 63 4.933 93 118.201 4 0.137 34 0.365 64 5.507 94 130.969 5 0.125 35 0.381 65 6.146…
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-X X - Disclosure Form
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app X Added at 13 Ok Reg 3281, eff 8-1-96
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-XX XX - 2012 I am Period Table, Male, Age Nearest Birthday
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AGE 1000 . qx2012 AGE 1000 . qx2012 AGE 1000 . qx2012 AGE 1000 . qx2012 0 1.605 30 0.741 60 5.096 90 109.993 1 0.401 31 0.751 61 5.614 91 123.119 2 0.275 32 0.754 62 6.169 92 137.168 3 0.229 33 0.756 63 6.759 93 152.171 4 0.174 34 0.756 64 7.398 94 168.194 5 0.168 35 0.756 65 8.1…
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-Y Y - Suitability Letter
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app Y Added at 13 Ok Reg 3281, eff 8-1-96
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-YY YY - Projection Scale G2, Female, Age Nearest Birthday
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AGE G2X AGE G2X AGE G2X AGE G2X 0 0.010 30 0.010 60 0.013 90 0.006 1 0.010 31 0.010 61 0.013 91 0.006 2 0.010 32 0.010 62 0.013 92 0.005 3 0.010 33 0.010 63 0.013 93 0.005 4 0.010 34 0.010 64 0.013 94 0.004 5 0.010 35 0.010 65 0.013 95 0.004 6 0.010 36 0.010 66 0.013 96 0.004 7 0…
OAC 365:10Open chapter PDF ↗