Okla. Stat. tit. 36, § 36-4509
This is the official text of Okla. Stat. tit. 36, § 36-4509, 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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Extension and termination of coverage under group
Official statutory text
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
1985 (COBRA), Pub. L. 99-272, April 7, 1986, 100 Stat. 82, neither
subsection B or C of this section applies.
B. In the case of an employee whose insurance is terminated for
any reason other than termination of the group plan or termination
for gross misconduct under a group policy providing hospital,
medical or surgical, or Christian Science care and treatment expense
benefits; or contract of hospital or medical service or indemnity;
or prepaid health plan or health maintenance organization subscriber
contract, such employee and the dependents of the employee shall be
offered continuation of coverage under the group policy or contract
for a period of at least sixty-three (63) days after such
termination. The carrier shall notify the terminated employee of
the availability of this continuation of coverage option in writing
within thirty (30) days of receiving notice from the plan sponsor of
the employee’s termination of coverage. The terminated employee
shall request in writing the continuation of group coverage not
later than the thirty-first day after the date the terminated
employee is given notification of the availability of this
continuation of coverage option. Premiums may be charged for the
continuation of coverage period. The premiums charged shall be the
premiums which would have been charged for the coverage provided
Oklahoma Statutes - Title 36. Insurance Page 987
under the group policy or contract had termination not occurred.
Continuation of coverage pursuant to this section may be terminated:
1. For employee’s failure to make timely premium payments;
2. On the date the group coverage terminates in its entirety if
the group coverage terminates in its entirety during the
continuation of coverage period; or
3. If the employee and the dependents of the employee otherwise
become entitled to similar insurance from some other source during
the continuation of the coverage period.
C. If an employee has been covered for at least six (6) months
under any group accident and health insurance policy delivered in
this state, providing hospital, medical or surgical, or Christian
Science care and treatment expense benefits, or under a contract of
hospital or medical service or indemnity, and the individual
employee has had his employment terminated or the group itself is
terminated, then the termination shall not affect coverage of the
insured or his dependents for any continuous loss which commenced
while the insurance was in force. The extension of benefits beyond
the period the insurance was in force may be predicated upon the
continuous total disability of the person insured or his or her
dependents or the expenses incurred in connection with a plan of
surgical treatment, which shall include maternity care and delivery
expenses, which commenced prior to the termination. The coverage
for the extension of benefits shall be for the maximum benefits
under the terminated policy or for a time period of not less than
three (3) months in the case of basic coverage or six (6) months in
the case of major medical coverage. Premium monies may be charged
for the period of the extension of benefits. The premiums charged
shall be the premiums which would have been charged for the coverage
provided under the group policy or contract had termination not
occurred.
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
1985 (COBRA), Pub. L. 99-272, April 7, 1986, 100 Stat. 82, neither
subsection B or C of this section applies.
B. In the case of an employee whose insurance is terminated for
any reason other than termination of the group plan or termination
for gross misconduct under a group policy providing hospital,
medical or surgical, or Christian Science care and treatment expense
benefits; or contract of hospital or medical service or indemnity;
or prepaid health plan or health maintenance organization subscriber
contract, such employee and the dependents of the employee shall be
offered continuation of coverage under the group policy or contract
for a period of at least sixty-three (63) days after such
termination. The carrier shall notify the terminated employee of
the availability of this continuation of coverage option in writing
within thirty (30) days of receiving notice from the plan sponsor of
the employee’s termination of coverage. The terminated employee
shall request in writing the continuation of group coverage not
later than the thirty-first day after the date the terminated
employee is given notification of the availability of this
continuation of coverage option. Premiums may be charged for the
continuation of coverage period. The premiums charged shall be the
premiums which would have been charged for the coverage provided
Oklahoma Statutes - Title 36. Insurance Page 987
under the group policy or contract had termination not occurred.
Continuation of coverage pursuant to this section may be terminated:
1. For employee’s failure to make timely premium payments;
2. On the date the group coverage terminates in its entirety if
the group coverage terminates in its entirety during the
continuation of coverage period; or
3. If the employee and the dependents of the employee otherwise
become entitled to similar insurance from some other source during
the continuation of the coverage period.
C. If an employee has been covered for at least six (6) months
under any group accident and health insurance policy delivered in
this state, providing hospital, medical or surgical, or Christian
Science care and treatment expense benefits, or under a contract of
hospital or medical service or indemnity, and the individual
employee has had his employment terminated or the group itself is
terminated, then the termination shall not affect coverage of the
insured or his dependents for any continuous loss which commenced
while the insurance was in force. The extension of benefits beyond
the period the insurance was in force may be predicated upon the
continuous total disability of the person insured or his or her
dependents or the expenses incurred in connection with a plan of
surgical treatment, which shall include maternity care and delivery
expenses, which commenced prior to the termination. The coverage
for the extension of benefits shall be for the maximum benefits
under the terminated policy or for a time period of not less than
three (3) months in the case of basic coverage or six (6) months in
the case of major medical coverage. Premium monies may be charged
for the period of the extension of benefits. The premiums charged
shall be the premiums which would have been charged for the coverage
provided under the group policy or contract had termination not
occurred.
Status: in_force · Read it on the official government site
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