0 chapters · 2,025 sections in this title.
36 O.S. § 4502 Provisions of group accident and health policies
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A. Each group accident and health policy shall contain in substance the following provisions: 1. A provision that, in the absence of fraud, all statements made by the policyholder or by any insured person shall be deemed representations and not warranties, and that no statement m…
36 O.S. § 4502.1 Conversion privilege
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A. A health insurance policy delivered or issued for delivery in this state that provides for conversion to an individual policy by an insured on termination of membership in or employment with the group shall provide a conversion privilege to an individual policy to the spouse o…
36 O.S. § 4503 Direct payment of hospital, medical services
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Any group accident and health policy may provide that subject to any written direction of the insured in the application or otherwise, all or any portion of any indemnities provided by any such policy on account of hospital, nursing, medical or surgical services may, at the insur…
36 O.S. § 4504 Blanket accident and health insurance
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A. Blanket accident and health insurance is hereby declared to be that form of accident and health insurance covering special groups of persons as enumerated in one of the following paragraphs (1) to (7) inclusive: 1. Under a policy or contract issued to any common carrier, which…
36 O.S. § 4505 Group and blanket accident and health policy provisions
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The provisions of Article 44 (Individual Accident and Health Insurance) shall not apply to group accident and health or blanket accident and health insurance policies, but no such policy of group or blanket accident and health insurance shall contain any provision relative to not…
36 O.S. § 4506 Misrepresentation prohibited
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No insurance company, authorized to issue accident and health contracts in this state, and no officer, director, agent, employee, solicitor, or other representative thereof, or any other person, shall make, issue, circulate or cause or permit to be made, issued or circulated, any…
36 O.S. § 4507 Rules and regulations
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The Insurance Commissioner may make and promulgate written rules and regulations reasonable, necessary and incidental to the enforcement and administration of the provisions of this article. Laws 1957, p. 400, § 4507.
36 O.S. § 4508 Selection of licensed psychologist or licensed and
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certified clinical social worker - Definitions. A. If the terms of any group or blanket accident and health insurance policy cover services within the lawful scope of practice of a licensed psychologist or licensed and certified clinical social worker then: 1. Such services may b…
36 O.S. § 4509 Extension and termination of coverage under group
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accident and health policy and contracts of hospital or medical service or indemnity. A. When an insured employee or a dependent whose group insurance coverage is terminated and the coverage is subject to the provisions of the Consolidated Omnibus Budget Reconciliation Act of 198…
36 O.S. § 4509.1 Liability of prior carrier - Eligibility under
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succeeding carrier - Determination of benefits - Election of coverage. A. This section applies to determination of the liability of a carrier pursuant to a group or blanket accident or health insurance plan in those instances in which the contract of one carrier replaces a plan o…
36 O.S. § 4509.2 Acceptance by succeeding carriers - Preexisting
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conditions limitations or waiting requirements. A. When an insured individual or a dependent who was covered by group insurance pursuant to the provisions of the Health Insurance Portability and Accountability Act of 1996, 29 U.S.C.A., Section 1181 et seq., gains employment with …
36 O.S. § 4509.3 Rules
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The Insurance Commissioner shall adopt and promulgate rules for the provisions of Sections 4501 and 4509.1 of Title 36 of the Oklahoma Statutes and Section 3 of this act. Added by Laws 1992, c. 304, § 4, eff. Jan. 1, 1993.
36 O.S. § 4510 Repealed by Laws 1995, c. 356, § 4, eff. Nov. 1, 1995
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36 O.S. § 4510 Repealed by Laws 1995, c. 356, § 4, eff. Nov. 1, 1995
36 O.S. § 4511 Employer health care programs - Pharmacy services -
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Violation. A. No employer providing pharmacy services including prescription drugs to any employee or retiree of said employer, as part of a health care program, shall knowingly require the employee or retiree of said employer to obtain drugs from a mail order pharmacy as a condi…
36 O.S. § 4512 Insured employer health benefit plans - 20 or more
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employees. A. This section applies to an insured employer health benefit plan providing health insurance to employees of employers employing twenty (20) or more full-time or full-time-equivalent employees. B. An employer carrier, on written request from an insured employer covere…
36 O.S. § 4513 Disclosure of patient insurance coverage and benefit
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information to medical service providers, health plans or health plan sponsors. A. All entities providing health insurance or health care coverage to individuals residing within the state shall provide such information on coverage and benefits as may be required by any health car…
36 O.S. § 4521 Short title
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Sections 1 through 9 of this act shall be known and may be cited as the "Employer Health Insurance Purchasing Group Act". Added by Laws 2002, c. 276, § 1, eff. Nov. 1, 2002.
36 O.S. § 4522 Definitions
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As used in the Employer Health Insurance Purchasing Group Act: 1. "Commissioner" means the Oklahoma Insurance Commissioner; 2. "Eligible employee" means an employee or individual who works the number of hours per week designated by the employer as full-time employment and is qual…
36 O.S. § 4523 Each group to be nonprofit corporation – Size
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requirements – Purchase contracts – Enrollment by eligible employees – Filing of reports. A. Each Health Insurance Purchasing Group (HIPG) shall be a nonprofit corporation operated under the direction of a board of directors, which is composed of five (5) representatives of eligi…
36 O.S. § 4524 Rates – Choice of plans – Benefits not required to
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contain state-mandated benefits – Plan requirements – Premium discounts and modification of copayments or deductibles. A. Each Health Insurance Purchasing Group (HIPG), in conjunction with a HIPG health carrier, shall make available a health benefits plan in the manner described …
36 O.S. § 4525 Filing of forms and plan – Notice required on face page
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of policy and certificate. A. Each Health Insurance Purchasing Group (HIPG) shall file forms as may be described by rules and regulations of the Commissioner. B. Each HIPG health carrier shall file the health benefits plan to be issued to a HIPG pursuant to Article 36 of the Okla…
36 O.S. § 4526 Services for members – Contracts with third-party
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administrators – Information to be disseminated to members – Administrative charges. A. Each Health Insurance Purchasing Group (HIPG) may provide administrative services for its members. The services may include, but are not limited to, accounting, billing, enrollment information…
36 O.S. § 4527 Members of boards of directors – Conflict of interest –
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Definition of “affiliated”. A. A member of a board of directors of a Health Insurance Purchasing Group (HIPG) shall not serve as an employee or paid consultant to the HIPG, but may receive reasonable reimbursement for travel expenses for purposes of attending meetings of the boar…
36 O.S. § 4528 Areas served – Services and plans permitted to be offered
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by single administrative organization – Rating characteristics. A. Nothing in this act shall be construed as preventing one or more Health Insurance Purchasing Groups (HIPG) from serving different areas, whether or not contiguous, by providing for some or all of the following thr…
36 O.S. § 4529 Rules
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The Commissioner may promulgate rules necessary to implement the provisions of this act. Added by Laws 2002, c. 276, § 9, eff. Nov. 1, 2002.
36 O.S. § 4601 Short title
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This act shall be known and may be cited as the “Health Care for Oklahomans Act". Added by Laws 2009, c. 128, § 1, eff. Nov. 1, 2009.
36 O.S. § 4602 Duties of Insurance Commissioner, State Board of Health
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and Health Care for Uninsured Board. A. The Insurance Commissioner in collaboration with the Oklahoma Health Care Authority shall advise and aid the Health Care for the Uninsured Board (HUB) in its duties. The Insurance Commissioner is hereby authorized to promulgate such reasona…
36 O.S. § 4603 Enrollment in health insurance programs of uninsured
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individuals and individuals not covered by Medicaid. A. The Insurance Commissioner in collaboration with the Oklahoma Health Care Authority shall initiate a program to encourage enrollment of individuals, not covered by insurance or Medicaid in health insurance programs. B. Upon …
36 O.S. § 4604 Direct primary care membership agreement
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A. This act shall be known and may be cited as the "Health Care Empowerment Act". B. Nothing in state law shall be construed as prohibiting a patient or legal representative from seeking care outside of an insurance plan, or outside of the Medicaid or Medicare program, and paying…
36 O.S. § 4605 Direct primary care membership agreement
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A. As used in this section, "direct primary care membership agreement" means a contractual agreement between a primary care provider and an individual patient, or his or her legal representative, in which: 1. The provider agrees to provide primary care services to the individual …
36 O.S. § 4606 State-based Exchange — Authority to create and operate
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A. The Oklahoma Insurance Commissioner shall have the authority to implement, establish, create, administer, or otherwise operate an exchange, promulgate rules, and apply to the United States Secretary of Health and Human Services for a waiver pursuant to Section 1332 of the Pati…
36 O.S. § 4606.1 State-based Exchange Revolving Fund
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A. There is hereby created in the State Treasury a revolving fund for the Insurance Department, to be designated the "State-based Exchange Revolving Fund". The fund shall be a continuing fund, not subject to fiscal year limitations, and shall consist of any monies deposited to th…
36 O.S. § 4801 Scope of article
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A. This article shall not apply to vehicle insurance, casualty insurance or inland marine insurance, nor to reinsurance. B. The standard fire insurance policy provided for herein shall not be required for (1) vehicle insurance, (2) casualty insurance, (3) inland marine insurance,…
36 O.S. § 4802 "Fire insurance" defined
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"Fire insurance" is insurance against the perils of fire or lightning as written under the Oklahoma standard fire insurance policy. Laws 1957, p. 401, § 4802.
36 O.S. § 4803 Standard policy provisions - Permissible variations
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A. The printed form of a policy of fire insurance as set forth in subsection G of this section shall be known and designated as the standard fire insurance policy to be used in the State of Oklahoma. B. Except as provided in subsection F of this section, no policy or contract of …
36 O.S. § 4803.1 Fire insurance policies - Time of expiration
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All fire insurance policies, as defined by Section 4802 of Title 36 of the Oklahoma Statutes, shall expire at 12:01 a.m. Standard Time on the expiration date stated in the policy. This section shall apply to all fire insurance policies on the first policy renewal date after Decem…
36 O.S. § 4804 Policy limited – Liability - Excess premiums reimbursed
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No insurance company shall, knowingly, issue any fire insurance policy upon property within this state for an amount which, with any existing insurance thereon, exceeds the fair value of the property. If buildings insured against loss by fire, and situated within this state, are …
36 O.S. § 4805 Proofs of loss - Conditions of enforcement of limitation
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of time. When any insurance policy subject to the provisions of this article contains a provision that the insured must render a written sworn proof of loss within sixty (60) days from the date of fire or loss to the insurer, or the same is required by law to be so rendered, the …
36 O.S. § 4806 Exclusion of loss caused by nuclear reaction, nuclear
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radiation or radioactive contamination. Insurers issuing the standard form of fire insurance policy provided in Section 4803, Article 48, Title 36, Oklahoma Session Laws 1957, page 401 (36 O.S. Supp.1959, Section 4803), are authorized to affix thereto or include therein a written…
36 O.S. § 4808 Homeowner's policies - Automatic increase in coverage
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No homeowner's policy shall automatically increase coverage for replacement of a home of an insured unless the insured or his designated representative has been notified of the amount of increased replacement coverage not less than thirty (30) days prior to the renewal date. The …
36 O.S. § 4809 Reduced rates to persons failing or refusing to pay
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assessments - Violation – Penalties. A. Except as otherwise provided in this subsection, no property or casualty insurance company shall give any special or reduced rate for fire insurance on any risk because it is located in a rural fire protection district or in an area protect…
36 O.S. § 4901 Sole surety on official bonds
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Whenever any bond, recognizance, or undertaking is required or permitted to be made for the security or protection of any person or municipality, the state, or any department thereof, or organization, conditioned for the doing or not doing of anything therein specified, any such …
36 O.S. § 4902 Venue of actions against surety insurers
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Any surety insurer may be sued in respect of any surety bond by it issued in the county where such bond, recognizance, stipulation or undertaking was made or guaranteed, or in the county where the principal office of such insurer in this state is located, and for the purposes her…
36 O.S. § 4903 Bail bond surety companies - Reserve funds
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All surety companies which execute undertakings of bail shall keep any moneys collected from agents licensed pursuant to Section 1303 of Title 59 of the Oklahoma Statutes as buildup or reserve funds in segregated interest-bearing trust accounts within this state in an entity whic…
36 O.S. § 4904 Bail bond insurers - Financial statement - Reports
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A. Each insurer writing bail bonds in this state shall file in the Office of the Insurance Commissioner quarterly statements which shall exhibit the financial condition of the insurer. The statements shall be in such general form and content as approved by the National Associatio…
36 O.S. § 5001 Certificates of authority — Persons not deemed title
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insurers — Issuance of policies. A. Any foreign or domestic stock insurer authorized by its corporate charter to engage in business as a title insurer shall be entitled to the issuance of a certificate of authority as a title insurer in this state upon meeting the applicable requ…
36 O.S. § 5002 Investments of title insurers
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A. A domestic title insurer shall invest its capital accumulations, up to the sum of One Hundred Thousand Dollars ($100,000.00), in capital investments as defined in Section 1606 of Article 16 (Investments), but subject to the exception in subsection B of this section, below. B. …
36 O.S. § 5003 Additional powers of title insurers
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A title insurer may engage in such other business not inconsistent with the business of issuing title insurance policies as may be authorized by its corporate charter. Laws 1957, p. 408, § 5003.
36 O.S. § 5004 "Title insurance policy" and "aircraft title insurance
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policy" - Definitions. A. A "title insurance policy" is any written instrument purporting to show the title to real or personal property or any interest therein or encumbrance thereon, or to furnish such information relative to real property, which written instrument in express t…
36 O.S. § 5005 Exemptions and application of other laws
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A. Title insurers shall be governed by this article and, to the extent not modified by or inconsistent with the provisions of this article or the provisions of this code made applicable to such insurers, by the general laws of this state governing corporations organized for profi…