Title 36 — Title 36 — Insurance

— Deductible and out of pocket apportionment. A. An enrollee may choose to pay out of pocket for a health care service from a health care provider. If an enrollee obtains a medically necessary health care service covered by his or her health benefit plan and negotiates for a pric…

A. As used in this section: 1. "Biomarker" means a biological molecule found in blood, other body fluids, or tissues that is a sign of a normal or abnormal process, or of a condition or disease. A biomarker may be used to see how well the body responds to a treatment for a diseas…

A. For the purposes of this section: 1. “Clinical utility” means clinical utility as defined pursuant to Section 6060.5a of Title 36 of the Oklahoma Statutes; 2. “Evidence-based cancer imaging” means appropriate preventative screening and imaging supported by evidence; 3. “Geneti…

disabled persons. A. Any health benefit plan that is offered, issued or renewed in this state on or after January 1, 1999, that provides hospitalization benefits shall provide coverage for anesthesia expenses including anesthesia practitioner expenses for the administration of th…

A. 1. Any health benefit plan that is offered, issued, or renewed on or after the effective date of this act shall provide coverage for audiological services and hearing aids for children up to eighteen (18) years of age. 2. Such coverage: a. shall only apply to hearing aids that…

A. Any health benefit plan that is offered, issued or renewed in this state on or after January 1, 2000, that provides coverage to men forty (40) years of age or older in this state shall offer coverage for annual screening for the early detection of prostate cancer in men over t…

A. Any health benefit plan, including the State and Education Employees Group Health Insurance Plan, that is offered, issued or renewed in this state on or after January 1, 2002, which provides medical and surgical benefits, shall offer coverage for colorectal cancer examinations…

Iatrogenic infertility. A. As used in this section: 1. “Health benefit plan” means a health benefit plan as defined pursuant to Section 6060.4 of Title 36 of the Oklahoma Statutes; 2. “Iatrogenic infertility” means an impairment of fertility caused directly or indirectly by surge…

A. Any health benefit plan, including the State and Education Employees Group Health Insurance Plan, that is offered, issued, or renewed in this state on or after January 1, 2001, that provides medical and surgical benefits with respect to the treatment of cancer and other condit…

A. 1. Any health benefit plan that provides coverage and benefits for cancer treatment shall provide coverage of prescribed orally administered anticancer medications on a basis no less favorable than intravenously administered or injected cancer medications. 2. Coverage of orall…

radiation therapy. A. A health benefit plan, as defined in subsection C of Section 6060.4 of Title 36 of the Oklahoma Statutes, that provides coverage for cancer therapy shall be prohibited from holding proton radiation therapy to a higher standard of clinical evidence for medica…

The College of Pharmacy at Southwestern Oklahoma State University shall analyze the effectiveness of the anti-abuse properties of anti-abuse-formulated opioids. In addition, the College of Pharmacy shall analyze the discrepancies between insurance coverage for the anti-abuse-form…

A. Any health benefit plan issued or renewed on or after November 1, 2017, that provides coverage for prescription eyedrops shall not deny coverage for a refill of a prescription if: 1. For a thirty-day supply, the amount of time has passed after which a patient should have used …

contracts - Regulations. A. Any domestic life insurance company may establish one or more separate accounts, and may allocate to such separate account or accounts any amounts including without limitation proceeds applied under optional modes of settlement or under dividend option…

Except for Sections 4003, 4008, 4009, 4010, 4011, 4017, 4021, 4022, 4029, subsection 1 of 4103, 4106 and 4109, and except as otherwise provided in this act, all pertinent provisions of the insurance laws of this state shall apply to separate accounts and contracts relating theret…

A. To qualify for and hold authority to transact insurance in Oklahoma an insurer must be otherwise in compliance with the provisions of the Oklahoma Insurance Code and with its charter powers, and must be an incorporated stock insurer, an incorporated mutual insurer, a mutual be…

reports - Actuarial opinions. A. An entity organized pursuant to the Interlocal Cooperation Act (an "Interlocal Entity") for the purpose of transacting insurance that insures an Oklahoma educational institution shall be considered an insurer for all kinds of insurance that the en…

insurance companies - Restrictions. No life insurance company transacting business in this State shall pay, or contract to pay, directly or indirectly, to its president, vice president, secretary, treasurer, actuary, medical director or other physician charged with the duty of ex…

A. A casualty insurer shall not be authorized to transact workers' compensation insurance in this state without first complying with the applicable provisions of Title 85A of the Oklahoma Statutes. B. A claims adjuster for any insurer duly authorized to transact workers' compensa…

coverage in the voluntary market. A. The Insurance Commissioner shall develop and administer an assigned risk plan to provide workers' compensation insurance coverage to employers who are unable to procure coverage in the voluntary market. In addition to the requirements of subse…

An insurer which otherwise qualifies therefor may be authorized to transact any one kind or combination of kinds of insurance as defined in Section 701 et seq. of this title, except: 1. A life insurer shall not be authorized to transact any other kind of insurance except accident…

No settlement made under a motor vehicle liability insurance policy of a claim against any insured thereunder arising from any accident or other event insured against shall be construed as an admission of liability by the insured, or the insurer's recognition of such liability, w…

coverage. No provision in an automobile liability policy or endorsement for such coverage effective in this state issued by an insurer on and after the effective date of this act which grants the insurer the right of subrogation for payment of benefits under the expenses for the …

A. To qualify for authority to incorporate an insurance company or to transact any one or more kinds of insurance an insurer shall possess and maintain, after the effective date of this act, surplus in regard to policyholders, which is defined as the aggregate of the capital and …

Approval - Rules and regulations. Individual insurance companies transacting business in Oklahoma and engaged in the sale and issuance of accident and health or hospitalization insurance may, and are hereby authorized to form an association for the apportionment among such compan…

36 O.S. § 6103 Repealed by Laws 1994, c. 294, § 25, eff. Sept. 1, 1994

A. The purpose of Sections 11 through 21 of this act is to subject certain persons and insurers to the jurisdiction of: 1. The Insurance Commissioner, including proceedings before the Commissioner; and 2. The courts of this state in suits by or on behalf of this state and insured…

The Insurance Commissioner may promulgate reasonable rules necessary to carry out the provisions of Sections 6103.1 through 6103.11 of this title. Added by Laws 1994, c. 294, § 20, eff. Sept. 1, 1994. Amended by Laws 1997, c. 418, § 111, eff. Nov. 1, 1997.

The Insurance Commissioner may proceed solely under the provisions of Sections 6103.1 through 6103.11 of this title or under said provisions in conjunction with other applicable law. Added by Laws 1994, c. 294, § 21, eff. Sept. 1, 1994. Amended by Laws 1997, c. 418, § 112, eff. N…

this state” defined - Exceptions. A. Unless otherwise indicated, the term "insurer" as used in Sections 6103.1 through 6103.11 of this title includes all legal entities, associations, and individuals engaged as principals in the business of insurance and also includes interinsura…

authorization - Remedies of Insurance Commissioner. A. For the purposes of Sections 6103.1 through 6103.11 of this title, "person" shall include an individual, a partnership, a corporation, a limited liability company, an association, a joint stock company, a trust, an unincorpor…

A. 1. If the Insurance Commissioner has reason to believe or it appears that a person or insurer has violated or is threatening to violate the provisions of Sections 6103.1 through 6103.11 of this title or a rule promulgated pursuant thereto, or that a person or insurer acting in…

issuance. The Insurance Commissioner may issue a cease and desist order, ex parte, if: 1. The Commissioner believes: a. an unauthorized person is engaging in the business of insurance in violation of Section 6103.2 of this title or in violation of a rule promulgated pursuant to S…

A. On issuance of an emergency cease and desist order under Section 6103.5 of this title, the Insurance Commissioner shall serve on the person affected by the order, by registered or certified mail, return receipt requested, to the person's last-known address, or by other lawful …

A. 1. If the Insurance Commissioner reasonably believes that a person has violated a cease and desist order issued under Sections 6103.1 through 6103.11 of this title, the Commissioner may: a. initiate individual proceedings under this section pursuant to the Administrative Proce…

If a person fails to pay a penalty assessed under the provisions of Sections 6103.1 through 6103.11 of this title, the Insurance Commissioner may: 1. Institute in the district court of Oklahoma County a civil suit to recover the civil penalty; or 2. Pursuant to the Administrative…

A. 1. Service of process on a person as defined in Section 6103.3 of this title in a civil suit for injunctive relief under Section 6103.3 of this title or to recover a civil penalty under Section 6103.7 of this title shall be made by serving the Secretary of State as agent of th…

36 O.S. § 611 Repealed by Laws 2003, c. 150, § 8, eff. Nov. 1, 2003

A. An insurance company which incorporates or is authorized initially to transact the business of insurance in Oklahoma after the effective date of this act may transact all kinds of insurance with no additional capital or surplus requirements. B. An insurance company which incor…

No insurer organized or authorized to write or issue noncancelable or guaranteed renewable accident and health policies in any state shall be, or continue to be, licensed to do business in this state unless the insurer possesses and maintains a surplus as regards policyholders in…

surplus. After November 1, 1987, no insurer who requests to write workers' compensation insurance in this state shall be permitted to transact the business of workers' compensation insurance in this state unless the insurer possesses and maintains a surplus as regards policyholde…

A. Any organization which shall offer for sale, accept money or anything of value, or contract for prearranged or prepaid funeral services, or funeral service merchandise as defined in the Funeral Services Licensing Act, or for any contract providing future funeral services or fu…

Nothing in Sections 6121 through 6135 of this title shall apply to religious or benevolent organizations, operating in this state as a burial association; or to the sale of lands or interests therein as grave lots, or grave spaces; burial or interment rights; delivered or install…

Sections 6121 through 6136.18 of this title shall be administered by the Insurance Commissioner. The Insurance Commissioner is authorized to prescribe reasonable rules and regulations concerning keeping and inspection of records, the filing of contracts and reports, and all other…

A. Applications for a permit shall be filed electronically with the Insurance Commissioner, in the manner and form prescribed by the Insurance Commissioner, and shall at the time of filing include a filing fee of Fifty Dollars ($50.00) along with any transaction or other applicab…

Notification – Application. A. No prepaid funeral benefit permit shall be transferable from one organization to another except as provided in this section. The selling organization shall notify the Insurance Commissioner at least forty-five (45) days prior to transfer of ownershi…

benefit permit holder. A. No organization shall change the name under which it sells prepaid funeral benefits except as provided in this section. The organization shall obtain approval from the Insurance Commissioner at least thirty (30) days prior to changing the name of the per…

Types of contracts – Net value of contract – Interest - Withdrawal of funds – Disbursement statement – Bond – Administrative fee – Acceptance of funds – Violations. A. 1. The organization may retain from the first funds collected, the first ten percent (10%) of the purchase price…

pursuant to insurance contract. A. The maximum amount of principal which an organization may legally receive from any one individual pursuant to a contract establishing a fund for prepaid funeral benefits pursuant to paragraph 2 of subsection B of Section 6125 of this title shall…

fixed annuity proceeds. A. Contracts for prepaid funeral benefits provided for pursuant to Section 6125 of this title may be funded by assignments of proceeds from either a standard life or accident insurance policy or an individual or group fixed annuity to the contracting organ…