Oklahoma Administrative Code
4,952 sections across 543 Oklahoma regulatory chapters.
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 ↗OAC 365:10-OAC 365:10-app-Z Z - Asset Adequacy Test Amounts - Reserves and Liabilities
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Figure 1 Notes Okla. Admin. Code tit. 365, ch. 10, app Z Added at 15 Ok Reg 435, eff 10-9-97 (emergency); Added at 15 Ok Reg 1384, eff 7-1-98; Revoked and reenacted at 23 Ok Reg 2672, eff 7-14-06
OAC 365:10Open chapter PDF ↗OAC 365:10-OAC 365:10-app-ZZ ZZ - Projection Scale G2, Male, Age Nearest Birthday
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AGE G2X AGE G2X AGE G2X AGE G2X 0 0.010 30 0.010 60 0.015 90 0.007 1 0.010 31 0.010 61 0.015 91 0.007 2 0.010 32 0.010 62 0.015 92 0.006 3 0.010 33 0.010 63 0.015 93 0.005 4 0.010 34 0.010 64 0.015 94 0.005 5 0.010 35 0.010 65 0.015 95 0.004 6 0.010 36 0.010 66 0.015 96 0.004 7 0…
OAC 365:10Open chapter PDF ↗OAC 365:15-OAC 365:15-app-A A - Format for Supplemental Data Reporting by Largest Property and Casualty Insurers [Revoked], version 2
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Notes Okla. Admin. Code tit. 365, ch. 15, app A
OAC 365:15Open chapter PDF ↗OAC 365:15-OAC 365:15-app-B B - Oklahoma Workers' Compensation Mandatory Optional Deductible Acceptance/Rejection Form, version 2
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Click to view image Click to view image Notes Okla. Admin. Code tit. 365, ch. 15, app B Added at 11 Ok Reg 1855, eff 5-15-94; Revoked and reenacted at 21 Ok Reg 1659, eff 7-14-04 Adopted by Oklahoma Register, Volume 32, Issue 24, September 1, 2015, eff. 9/15/2015 Adopted by Oklah…
OAC 365:15Open chapter PDF ↗OAC 365:15-OAC 365:15-app-C C - Excess Consent Rate Application, version 2
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Click to view image Notes Okla. Admin. Code tit. 365, ch. 15, app C Added at 19 Ok Reg 1299, eff 7-14-02; Revoked and reenacted at 30 Ok Reg 1787, eff 7-14-13 Adopted by Oklahoma Register, Volume 36, Issue 24, September 3, 2019, eff. 9/15/2019 Adopted by Oklahoma Register, Volume…
OAC 365:15Open chapter PDF ↗OAC 365:15-OAC 365:15-app-D D - Format for Notification to Policyholders of Application for Rate Change, version 2
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Click to view Image Notes Okla. Admin. Code tit. 365, ch. 15, app D Added at 21 Ok Reg 1665, eff 7-14-04; Revoked and reenacted at 23 Ok Reg 2730, eff 7-14-06; Revoked and reenacted at 26 Ok Reg 1643, eff 7-14-09; Revoked and reenacted at 27 Ok Reg 1542, eff 7-14-10 Amended by Ok…
OAC 365:15Open chapter PDF ↗OAC 365:25-OAC 365:25-app-A A - Form A: Oklahoma Insurance Holding Company System Acquisition Statement, version 3
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FORM A Click here to view image. ITEM 1. Insurer and Method of Acquisition State the name and address of the domestic insurer to which this application relates and a brief description of how control is to be acquired. ITEM 2. Identity and Background of the Applicant (a) State the…
OAC 365:25Open chapter PDF ↗OAC 365:25-OAC 365:25-app-AA AA - Form F, version 2
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Click to view image Click to view image Notes Okla. Admin. Code tit. 365, ch. 25, app AA Adopted by Oklahoma Register, Volume 33, Issue 24, September 1, 2016, eff. 9/15/2016
OAC 365:25Open chapter PDF ↗OAC 365:25-OAC 365:25-app-B B - Form B: Oklahoma Insurance Holding Company System Registration Statement, version 3
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Click to view image Click to view image Click to view image Click to view image Notes Okla. Admin. Code tit. 365, ch. 25, app B Amended at 9 Ok Reg 2885, eff 8-24-92 (emergency); Amended at 10 Ok Reg 1487, eff 5-1-93 Adopted by Oklahoma Register, Volume 37, Issue 24, September 1,…
OAC 365:25Open chapter PDF ↗OAC 365:25-OAC 365:25-app-BB BB - Written Confirmation Statement, version 2
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Click to View Image Notes Okla. Admin. Code tit. 365, ch. 25, app BB Adopted by Oklahoma Register, Volume 34, Issue 24, September 1, 2017, eff. 9/15/2017
OAC 365:25Open chapter PDF ↗OAC 365:25-OAC 365:25-app-C C - Prepaid Funeral Benefits Permit Original Application [REVOKED], version 3
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Notes Okla. Admin. Code tit. 365, ch. 25, app C Revoked and reenacted at 10 Ok Reg 1507, eff 5-1-93; Revoked and reenacted at 22 Ok Reg 2045, eff 7-14-05; Revoked at 25 Ok Reg 1660, eff 7-14-08; Added at 27 Ok Reg 165, eff 11-1-09 (emergency); Added at 27 Ok Reg 1551, eff 7-14-10…
OAC 365:25Open chapter PDF ↗OAC 365:25-OAC 365:25-app-CC CC - Certificate of Certified Reinsurer, version 2
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Click to View Image Click to View Image Notes Okla. Admin. Code tit. 365, ch. 25, app CC Adopted by Oklahoma Register, Volume 34, Issue 24, September 1, 2017, eff. 9/15/2017
OAC 365:25Open chapter PDF ↗OAC 365:25-OAC 365:25-app-D D - Fidelity Bond [REVOKED], version 3
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Notes Okla. Admin. Code tit. 365, ch. 25, app D Revoked and reenacted at 10 Ok Reg 1507, eff 5-1-93 Adopted by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/11/2020 Revoked by Oklahoma Register, Volume 39, Issue 24, September 1, 2022, eff. 9/11/2022
OAC 365:25Open chapter PDF ↗OAC 365:25-OAC 365:25-app-DD DD - Annual Reinsurance Review - Property & Casualty Insurers, version 2
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Click to View Image Click to View Image Notes Okla. Admin. Code tit. 365, ch. 25, app DD Adopted by Oklahoma Register, Volume 34, Issue 24, September 1, 2017, eff. 9/15/2017
OAC 365:25Open chapter PDF ↗OAC 365:25-OAC 365:25-app-E E - Application To Withdraw Funds Deposited for Prepaid Funeral Expenses, version 2
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Click to view image Click to view image Notes Okla. Admin. Code tit. 365, ch. 25, app E Revoked and reenacted at 10 Ok Reg 1507, eff 5-1-93 Adopted by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/11/2020
OAC 365:25Open chapter PDF ↗OAC 365:25-OAC 365:25-app-EE EE - Annual Reinsurance Review - Life & Health Insurers, version 2
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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. 25, app EE Adopted by Oklahoma Register, Volume 34, Issue 24, September 1, 2017, eff. 9/15/2017
OAC 365:25Open chapter PDF ↗OAC 365:25-OAC 365:25-app-F F - Buyers Application to Terminate Contract or Withdraw Funds Previously Deposited For Prepaid Funeral Benefits under a Non-specified or Guaranteed Contract, version 2
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Click to view image Click to view image Notes Okla. Admin. Code tit. 365, ch. 25, app F Revoked and reenacted at 10 Ok Reg 1507, eff 5-1-93 Adopted by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/11/2020
OAC 365:25Open chapter PDF ↗