Title 36 — Title 36 — Insurance

0 chapters · 2,025 sections in this title.

2,025 sectionsFiltered byTitle 36

36 O.S. § 6570.9 Treatment of chronic conditions — Validity period for
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prior authorization of inpatient and non-inpatient care. A. If a prior authorization is required for a health care service, other than for inpatient care, for the treatment of a chronic condition of an enrollee, then the prior authorization shall remain valid for at least six (6)…
36 O.S. § 6571 Determination of average area or customary and reasonable
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charges - Disclosure to health care provider of information used. A. As used in this section: 1. "Health care provider" means any person, firm, corporation or other legal entity that is licensed, certified or otherwise authorized by the laws of this state to provide health care s…
36 O.S. § 6581 Uniform health claim forms - Uniform billing forms -
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Rules. A. On or before January 1, 1994, the Insurance Commissioner shall develop and adopt: 1. Uniform health care claim forms for use by all health care providers and carriers in the state; and 2. Uniform standards and procedures for processing such claim forms in electronic and…
36 O.S. § 6591 Short title - Declaration of necessity
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A. Sections 1 through 6 of this act shall be known and may be cited as the "Managed Health Care Reform and Accountability Act". B. The Legislature hereby declares that the public good and the general welfare of the citizens of this state require the enactment of this measure unde…
36 O.S. § 6592 Definitions
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For purposes of this act: 1. "Enrollee" means an individual who is enrolled in a health care plan, including covered dependents; 2. "Health care plan" means any arrangement whereby any person undertakes to provide, arrange for, pay for, or reimburse any part of the costs of any h…
36 O.S. § 6593 Duty of health care entity to exercise ordinary care -
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Liability for damages - Application of act. A. A health insurance carrier, health maintenance organization, or other managed care entity for a health care plan has the duty to exercise ordinary care when making health care treatment decisions and shall be liable for damages for h…
36 O.S. § 6594 Prerequisites to maintaining cause of action - Exhaustion
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of appeal and review process and all applicable remedies - Notice. A. A person may not maintain a cause of action under this act against a health insurance carrier, health maintenance organization, or other managed care entity unless the affected enrollee or the representative of…
36 O.S. § 6595 Class action
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No cause of action brought pursuant to this act shall be certified as a class action. Added by Laws 2000, c. 163, § 5, eff. July 1, 2000.
36 O.S. § 6596 Application of Section 9.1 of Title 23 to cause of action
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brought under act. Subparagraph c of paragraph 2 of subsection C of Section 9.1 of Title 23 of the Oklahoma Statutes shall not apply to any cause of action brought under the Managed Health Care Reform and Accountability Act. Added by Laws 2000, c. 163, § 6, eff. July 1, 2000.
36 O.S. § 660.1 Definitions
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As used in this act, unless the context otherwise requires: 1. "Board" means the board of directors of a converting mutual insurer; 2. "Conversion" means a process by which a domestic mutual insurer is converted to a domestic stock insurer as part of a reorganization; 3. "Convert…
36 O.S. § 660.10 Organization of mutual holding company — Requirements
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A mutual holding company that results from the reorganization of a domestic mutual insurance company organized under this act must be organized in accordance with Title 18 of the Oklahoma Statutes. The articles of incorporation, and any amendments to those articles, of the mutual…
36 O.S. § 660.11 Policyholder membership interests
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A. The membership interests of the policyholders of the resulting company become membership interests in the mutual holding company. Eligible members of the converting company become members of the mutual holding company in accordance with the articles of incorporation and bylaws…
36 O.S. § 660.12 Initial shares — Majority of voting shares
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A. As used in this section: 1. "Intermediate holding company" means a holding company that: a. is a subsidiary of a mutual holding company formed to reorganize a mutual insurance company, and b. directly or through a subsidiary intermediate holding company, owns the resulting com…
36 O.S. § 660.13 Foreign mutual insurance company — Reorganization
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requirements. A. On the approval of the Oklahoma Insurance Commissioner, a foreign mutual insurance company may reorganize in compliance with the requirements of any law or regulation applicable to the foreign mutual insurance company by: 1. Transferring its members' membership i…
36 O.S. § 660.2 Effect of conversion
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A. On the effective date of a plan of reorganization, all of the following occur: 1. The converting mutual insurer becomes a converted stock insurer. The amended or restated articles of incorporation and bylaws of the converting mutual insurer shall be filed with the Oklahoma Ins…
36 O.S. § 660.3 Reorganization — Filing of documents — Approval by
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Commissioner. A. A domestic mutual insurer may engage in a conversion as part of a reorganization as a mutual holding company, only if the board passes a resolution that the reorganization is fair and equitable to the policyholders and adopts a plan that meets the requirements of…
36 O.S. § 660.4 Reorganization plan — requirements
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A plan of reorganization of a domestic mutual insurer shall include all of the following: 1. A statement of the reasons for the proposed action; 2. A description of how the plan will be carried out, including any transaction included within the plan and a description of any mutua…
36 O.S. § 660.5 Commissioner review
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A. The Oklahoma Insurance Commissioner shall review a plan of reorganization that is submitted to the Commissioner. On review, the Commissioner shall approve the plan if the Commissioner finds all of the following: 1. The applicable provisions of this act, and other applicable pr…
36 O.S. § 660.6 Mutual holding company — Jurisdiction — Member rights
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and obligations. A. A mutual holding company is not an insurer for the purposes of this act. B. A mutual holding company may not dissolve or liquidate without approval by the Oklahoma Insurance Commissioner or unless required by judicial order. The Commissioner retains jurisdicti…
36 O.S. § 660.7 Multiple mutual insurers — Joint application and plan
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The concurrent reorganization of a domestic mutual insurer with one or more mutual insurers, domestic or foreign, into a single mutual insurance holding company, whether domestic or foreign, may be accomplished by a joint application and a joint plan of reorganization and may be …
36 O.S. § 660.8 Converting insurer — Holding company formation — Rights
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and obligations. A. A converting company, on approval by the Oklahoma Insurance Commissioner, may reorganize by forming a holding company based on a mutual plan and continuing the corporate existence of the converting company as a stock insurance company. B. A mutual holding comp…
36 O.S. § 660.9 Proposed reorganization plan — Commissioner review as
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alternate conversion plan. A. The Oklahoma Insurance Commissioner shall review the proposed plan of reorganization as an alternate conversion plan. The Commissioner may require as a condition of approval modifications of the proposed plan of reorganization that the Commissioner d…
36 O.S. § 6601 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6601 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6602 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6602 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6603 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6603 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6604 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6604 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6605 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6605 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6606 Repealed by Laws 2008, c. 353, § 29, eff. July 1, 2009
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36 O.S. § 6606 Repealed by Laws 2008, c. 353, § 29, eff. July 1, 2009
36 O.S. § 6607 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6607 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6608 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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NOTE: Prior to repeal, this section was amended by Laws 2012, c. 44, § 17 to read as follows: A. An application for license as a service warranty association shall be made to, and filed with, the Insurance Commissioner on printed forms as prescribed and furnished by the Insurance…
36 O.S. § 6609 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6609 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6610 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6610 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6611 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6611 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6612 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6612 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6613 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6613 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6614 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6614 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6615 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6615 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6616 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6616 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6617 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6617 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6618 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6618 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6619 Repealed by Laws 2009, c. 189, § 10, eff. July 1, 2009
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36 O.S. § 6619 Repealed by Laws 2009, c. 189, § 10, eff. July 1, 2009
36 O.S. § 6620 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6620 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6621 Repealed by Laws 2002, c. 460, § 45, eff. Nov. 1, 2002
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36 O.S. § 6621 Repealed by Laws 2002, c. 460, § 45, eff. Nov. 1, 2002
36 O.S. § 6622 Repealed by Laws 2009, c. 189, § 10, eff. July 1, 2009
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36 O.S. § 6622 Repealed by Laws 2009, c. 189, § 10, eff. July 1, 2009
36 O.S. § 6623 Repealed by Laws 2009, c. 189, § 10, eff. July 1, 2009
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36 O.S. § 6623 Repealed by Laws 2009, c. 189, § 10, eff. July 1, 2009
36 O.S. § 6624 Repealed by Laws 2009, c. 189, § 10, eff. July 1, 2009
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36 O.S. § 6624 Repealed by Laws 2009, c. 189, § 10, eff. July 1, 2009
36 O.S. § 6625 Repealed by Laws 2009, c. 189, § 10, eff. July 1, 2009
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36 O.S. § 6625 Repealed by Laws 2009, c. 189, § 10, eff. July 1, 2009
36 O.S. § 6626 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6626 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6627 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6627 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
36 O.S. § 6628 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012
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36 O.S. § 6628 Repealed by Laws 2012, c. 150, § 39, eff. Nov. 1, 2012