Okla. Stat. tit. 36, § 36-1162
This is the official text of Okla. Stat. tit. 36, § 36-1162, part of Oklahoma’s Stat. tit. 36, — part of the compiled statutory law of Oklahoma, published by the state as "Stat. tit. 36,." Browse the sections below, each linked to its official government source.
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Reinstatement into individual health plan coverage -
Official statutory text
Right to request - Time - Written notice.
A. No Oklahoma resident activated for military service, and no
spouse or any dependents of such a resident who become eligible for
a federal government-sponsored health insurance program as a result
of such activation, shall be denied reinstatement into the same
individual coverage with the same health plan that such resident
lapsed as a result of activation or becoming covered by the federal
government-sponsored health insurance program. Such resident will
have the right to reinstatement in the same individual coverage
without medical underwriting and in the same rating tier that the
resident held prior to activation or becoming covered under the
federal government-sponsored health insurance program, subject to
payment of the current premium charged to other persons of the same
age and gender that are covered under the same individual coverage.
Except in the case of birth or adoptions that occur during the
period of activation, reinstatement must be into the same membership
type, or a membership type covering fewer persons, as such resident
held prior to lapsing the individual coverage, and at the same or
higher deductible level. The reinstatement rights shall not be
available to an insured or dependents if the activated person is
discharged from the military under other than honorable conditions.
B. The health plan with which the reinstatement is being
requested must receive a request for such reinstatement no later
than thirty (30) days following the later of deactivation or loss of
coverage under the federal government-sponsored health insurance
program. The health plan may request proof of loss and the timing
of the loss of such government-funded coverage in order to determine
eligibility for reinstatement into the individual coverage. The
effective date of the individual coverage will be the first of the
month following receipt of the notice requesting reinstatement.
C. All health plans must provide written notice to the
policyholder of individual coverage of the rights described in
subsection A of this section and amendments thereto. In lieu of the
Oklahoma Statutes - Title 36. Insurance Page 269
inclusion of such notice in the individual coverage policy, an
insurance company will satisfy the notification requirement by
providing a single written notice either:
1. To a policyholder enrolling into the individual coverage
initially after the effective date of this act, in conjunction with
the enrollment process; or
2. By mailing written notice to policyholders whose coverage
was effective prior to the effective date of this act no later than
ninety (90) days following the effective date of this act.
A. No Oklahoma resident activated for military service, and no
spouse or any dependents of such a resident who become eligible for
a federal government-sponsored health insurance program as a result
of such activation, shall be denied reinstatement into the same
individual coverage with the same health plan that such resident
lapsed as a result of activation or becoming covered by the federal
government-sponsored health insurance program. Such resident will
have the right to reinstatement in the same individual coverage
without medical underwriting and in the same rating tier that the
resident held prior to activation or becoming covered under the
federal government-sponsored health insurance program, subject to
payment of the current premium charged to other persons of the same
age and gender that are covered under the same individual coverage.
Except in the case of birth or adoptions that occur during the
period of activation, reinstatement must be into the same membership
type, or a membership type covering fewer persons, as such resident
held prior to lapsing the individual coverage, and at the same or
higher deductible level. The reinstatement rights shall not be
available to an insured or dependents if the activated person is
discharged from the military under other than honorable conditions.
B. The health plan with which the reinstatement is being
requested must receive a request for such reinstatement no later
than thirty (30) days following the later of deactivation or loss of
coverage under the federal government-sponsored health insurance
program. The health plan may request proof of loss and the timing
of the loss of such government-funded coverage in order to determine
eligibility for reinstatement into the individual coverage. The
effective date of the individual coverage will be the first of the
month following receipt of the notice requesting reinstatement.
C. All health plans must provide written notice to the
policyholder of individual coverage of the rights described in
subsection A of this section and amendments thereto. In lieu of the
Oklahoma Statutes - Title 36. Insurance Page 269
inclusion of such notice in the individual coverage policy, an
insurance company will satisfy the notification requirement by
providing a single written notice either:
1. To a policyholder enrolling into the individual coverage
initially after the effective date of this act, in conjunction with
the enrollment process; or
2. By mailing written notice to policyholders whose coverage
was effective prior to the effective date of this act no later than
ninety (90) days following the effective date of this act.
Status: in_force · Read it on the official government site
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