Title 36, Title 36 — Insurance

The Commissioner may promulgate and adopt reasonable rules and regulations for the implementation and administration of the provisions of the Reinsurance Intermediary Act. Added by Laws 1992, c. 178, § 33, eff. Sept. 1, 1992.

No insurer or reinsurer shall continue to utilize the services of a reinsurance intermediary on and after September 1, 1992, unless utilization is in compliance with the provisions of the Reinsurance Intermediary Act. Added by Laws 1992, c. 178, § 34, eff. Sept. 1, 1992.

A. Sections 5121 through 5125 of this title shall be known and may be cited as the "Credit for Reinsurance Act". B. The purpose of the Credit for Reinsurance Act is to protect the interest of insureds, claimants, ceding insurers, assuming insurers and the public generally. The Le…

A. Credit for reinsurance shall be allowed a domestic ceding insurer as either an asset or a reduction from liability on account of reinsurance ceded only when the reinsurer meets the requirements of subsection B, C, D, E, F, G or H of this section; provided, further, that the Co…

Security An asset or a reduction from liability for the reinsurance ceded by a domestic insurer to an assuming insurer not meeting the requirements of Section 5122 of this title shall be allowed in an amount not exceeding the liabilities carried by the ceding insurer; provided, f…

A. For purposes of paragraph 3 of Section 5123 of Title 36 of the Oklahoma Statutes, a "qualified United States financial institution" means an institution that: 1. Is organized or, in case of a United States office of a foreign banking organization, licensed under the laws of th…

A. The Insurance Commissioner may promulgate and adopt rules and regulations implementing the provisions of the Credit for Reinsurance Act. B. The Insurance Commissioner is further authorized to adopt rules and regulations applicable to reinsurance arrangements described in parag…

This act shall be known and may be cited as the "340B Nondiscrimination Act". Added by Laws 2025, c. 332, § 1, eff. Nov. 1, 2025.

As used in this act: 1. "340B drug" means a drug that has been subject to any offer for reduced prices by a manufacturer pursuant to Section 256b of Title 42 of the United States Code and is purchased by a covered entity as defined in Section 256b(a)(4) of Title 42 of the United …

A. With respect to reimbursement to a 340B entity for 340B drugs, a health insurance issuer, pharmacy benefits manager, other third-party payor, or its agent shall not: 1. Reimburse a 340B entity for 340B drugs at a rate lower than that paid for the same drug to entities that are…

prohibited. A. A manufacturer shall not deny, restrict, prohibit, or otherwise interfere with, either directly or indirectly, the acquisition of a 340B drug by, or delivery of a 340B drug to a 340B entity, unless such receipt is prohibited by the United States Department of Healt…

A. The Insurance Department is authorized to establish rules and regulations interpreting the provisions of this act concerning health insurers. The Department is responsible for enforcing this act specifically with respect to health insurers. It may levy civil fines ranging from…

A. Nothing in this section is to be construed or applied to be less restrictive than federal law for a person or entity regulated by this act. B. Nothing in this act is to be construed or applied to be in conflict with any of the following: 1. Applicable federal law and related r…

No insurer, admitted or nonadmitted, shall make available through any rating plan or form, property, marine, vehicle, casualty or surety insurance to any firm, corporation, or association of individuals, any preferred rate or premium based upon any fictitious grouping of such fir…

fictitious. A group or combination of persons or risks shall not be considered a fictitious group if the conditions provided in this section are met: 1. The group shall have been in existence for at least two (2) years prior to the purchase of the intended group plan of insurance…

No form or plan of insurance covering any group or combination of persons or risks shall be written or delivered within or outside of this state to cover Oklahoma persons or risks at any preferred rate or form other than that offered to persons not in such group, and the public g…

Nothing in this Act shall apply to life, accident, health and hospitalization policies or annuity contracts. Laws 1959, p. 136, § 3, emerg. eff. May 8, 1959.

A "domestic" insurer is one formed under the laws of Oklahoma. Laws 1957, p. 230, § 601.

A. Any mandated health insurance coverage signed into law after November 1, 2016, for specific health services, benefits, diseases, copay structure, formulary structure or for certain providers of health care services shall also apply to the Oklahoma Employees Health Insurance Pl…

of self-funded or self-insured health care plans. The Insurance Department shall recognize self-funded or self- insured health care plans for the exclusive purpose of participation in the premium assistance program created under Section 1010.1 of Title 56 of the Oklahoma Statutes…

A "foreign" insurer is one formed under the laws of another state or government of the United States. Laws 1957, p. 230, § 602.

An "alien" insurer is one formed under the laws of a country other than the United States. Laws 1957, p. 230, § 603.

of information - Recovery of profits. A. Every person who is directly or indirectly the beneficial owner of more than ten per cent (10%) of any class of equity security of an insurer or who is a director or officer of such insurer shall file in the office of the Insurance Commiss…

domestic life insurance companies. A. Not more than forty-nine percent (49%) of the equity securities of any insurer shall be sold to any person, firm, corporation or trustee or nominee thereof where said insurer has been organized within two (2) years preceding the acquisition o…

It shall be unlawful for any person, firm, or corporation to pay or to receive more than fifteen per cent (15%) of the price received or paid for the equity security of any insurer as compensation for services, fees or commissions related directly or indirectly to the organizatio…

bonus or stock option plans. After the effective date of this act, no equity securities issued by any domestic life insurance company, under any incentive, bonus, "stock option" or similar plan, and no rights to acquire any such equity securities shall, within a period of two (2)…

This act shall be administered and enforced by the Insurance Commissioner. The term "insurer" when used in this act means any domestic life insurance company during the first two (2) years of its existence and the provisions hereof are applicable to any such insurer and to any pe…

This act shall be construed as an independent act. This act shall be construed as cumulative with and supplemental to other laws and acts now in effect or enacted hereafter. Laws 1965, c. 341, § 6, emerg. eff. June 28, 1965.

A. "State" means any state, commonwealth, territory, or district of the United States. B. "United States" includes the states, territories, districts, and commonwealths thereof. Laws 1957, p. 230, § 604.

Payment or each periodic payment not exceeding One Thousand Dollars ($1,000.00) for emergency living expenses made to any policyholder or his or her dependents or beneficiaries under an insurance policy for: 1. Fire insurance; 2. Casualty insurance; 3. Property insurance, includi…

or drug treatment services. Notwithstanding any provision of any individual or group policy, contract, plan or agreement of accident and/or health insurance or any provisions of a policy, contract, plan or agreement for hospital or medical service or indemnity, whenever such poli…

"Charter" means articles of incorporation, of agreement, of association, or other basic constituent document of a corporation, subscribers' agreement and power of attorney of a reciprocal insurer, or underwriters' agreement and power of attorney of a Lloyd's insurer. Laws 1957, p…

subscriptions. All persons, companies, governmental entities or trust authorities operating an ambulance service within this state may sell prepaid or discounted ambulance service membership subscriptions to individuals who reside within its authorized service area in exchange fo…

Act. This act shall be known and may be cited as the “Out-of-Network Ambulance Service Provider Act”. Added by Laws 2024, c. 356, § 1, eff. Jan. 1, 2025.

As used in the Out-of-Network Ambulance Service Provider Act: 1. “Ambulance service provider” means an ambulance service as defined by Section 1-2503 of Title 63 of the Oklahoma Statutes except that, for the purposes of this act, the term shall be limited to an ambulance service …

entity — Default rate — Payment. A. A local governmental entity, or ambulance service provider operating on its behalf, may annually submit to the Insurance Department, in the form and manner prescribed by the Insurance Commissioner, the ambulance service rates set or approved, w…

reimbursement. Notwithstanding any provision of any individual or group policy, contract, plan or agreement of accident and/or health insurance or any provisions of a policy, contract, plan or agreement for hospital or medical service or indemnity, whenever such policy, contract,…

Penalty - Rules. A. Any policy, contract or agreement issued or renewed by an insurer, as defined in Section 6054 of Title 36 of the Oklahoma Statutes, or any contract or agreement issued or renewed for any preferred provider or other provider arrangement or managed care plan, wh…

A. Sections 6053 through 6057 of this title and Sections 6 through 9 of this act shall be known and may be cited as the “Health Care Freedom of Choice Act”. B. The provisions of the Health Care Freedom of Choice Act shall not apply to contracts executed with a preferred provider …

As used in the Health Care Freedom of Choice Act: 1. “Accident and health insurance policy” or “policy” means any policy, certificate, contract, agreement or other instrument that provides accident and health insurance, as defined in Section 703 of this title, to any person in th…

Freedom of choice - Exclusions - Compensation of practitioners - Decisions to authorize or deny emergency services. A. Under any accident and health insurance policy, hereafter renewed or issued for delivery from out of Oklahoma or in Oklahoma by any insurer and covering an Oklah…

Services and procedures covered under an accident and health insurance policy may be performed at any hospital, home care agency or ambulatory surgical center where a practitioner is authorized to practice, doctor's office or clinic, at the choice of the insured, or the insured's…

act. A. Any provision, exclusion or limitation in an accident and health insurance policy which: 1. Denies an insured, or the insured's parent or guardian if the insured is a minor, the free choice of any practitioner or the use of any hospital, home care agency or ambulatory sur…

Attorneys’ fees. A. In order to enforce the provisions of the Health Care Freedom of Choice Act, the Insurance Commissioner may conduct an examination of insurers’ and preferred provider organizations’ claims files pursuant to the procedure set forth in Section 1250.4 of this tit…

For any violation of the Health Care Freedom of Choice Act, the Insurance Commissioner may, after notice and opportunity hearing, subject an insurer or practitioner to an administrative penalty of not less than One Hundred Dollars ($100.00) nor more than Five Thousand Dollars ($5…

Any insurer or practitioner affected by an order of the Insurance Commissioner issued pursuant to the Health Care Freedom of Choice Act may seek judicial review of such order pursuant to Article II of the Administrative Procedures Act. Added by Laws 1999, c. 331, § 8, eff. Nov. 1…

The Insurance Commissioner shall promulgate rules for the implementation and administration of the Health Care Freedom of Choice Act. Added by Laws 1999, c. 331, § 9, eff. Nov. 1, 1999.

members – Meetings – Reimbursement of travel expenses – Recommendations and report. A. There is hereby created to continue until February 1, 2006, the Surgical Patient Choice Task Force. 1. The Task Force shall consist of ten (10) members. 2. Of the ten members: a. three shall be…

A. All individual and group health insurance policies providing coverage on an expense incurred, fixed, or capitated basis, and all individual and group insurance policies, certificates, service or indemnity type contracts issued by insurance companies, health maintenance organiz…

Noncustodial parents. A. Notwithstanding any other provision of law, an insurer shall not deny enrollment of a child under the health plan of the child's parent on the grounds that: 1. The child was born out of wedlock; 2. The child is not claimed as a dependent on the parent's f…