Okla. Stat. tit. 36, § 36-4509.2
This is the official text of Okla. Stat. tit. 36, § 36-4509.2, 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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Acceptance by succeeding carriers - Preexisting
Official statutory text
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 an employer who provides for
health insurance through a group plan, the succeeding group carrier
shall accept the insured individual and dependents of the insured
individual who were covered under the prior coverage and shall not
apply limitations or exclusions based on preexisting conditions or
apply waiting-period requirements for the insured individual or the
dependents of the insured individual beyond the time when any
surviving exclusion or waiting period with the prior carrier would
have been fulfilled. The insured individual and any dependents of
such individual must apply for the new coverage within sixty-three
(63) days following the date of termination of prior creditable
coverage.
B. When an insured individual or dependent who was covered by
individual 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 an employer who provides
for health insurance through a group plan, the succeeding group
carrier shall accept the insured individual and dependents of the
insured individual who were covered under the prior coverage and
shall not apply limitations or exclusions based on preexisting
conditions or apply waiting-period requirements for the insured
individual or the dependents of the insured individual beyond the
time when any surviving exclusion or waiting period with the prior
carrier would have been fulfilled. The insured individual and any
dependents of such individual must apply for the new coverage within
sixty-three (63) days following the date of termination of prior
creditable coverage.
C. Insurance carriers receiving an application for individual
insurance may underwrite the risk or decline coverage based on the
underwriting guidelines of the insurance carrier.
D. When there is a lapse in the coverage of the insured
individual or a dependent of the insured individual provided for by
subsections A, B, and C of this section for any reason other than a
probationary period or similar waiting period imposed pursuant to
personnel policies of an employer, the provisions of subsections A,
B, and C of this section shall not apply to the person whose
coverage lapsed.
E. When an individual employee who was covered under a group
health insurance plan terminates employment with an employer and
gains employment with another employer who provides for health
insurance through a group plan, the carrier of the succeeding
Oklahoma Statutes - Title 36. Insurance Page 990
employer shall not apply preexisting conditions limitations or
exclusions of preexisting conditions or apply waiting-period
requirements for the individual employee or his dependents covered
under the group plan of the previous employer beyond the time when
any surviving exclusion or waiting period with the prior carrier
would have been fulfilled, provided the individual employee applies
for the new coverage within thirty-one (31) days following the date
of eligibility for participation in the plan in accordance with the
employment or personnel policies of the employer of such
participation.
F. When there is a lapse in the coverage of the individual
employee provided for by subsection E of this section for any reason
other than a probationary period or similar waiting period imposed
by the employment or personnel policies of the employer, the
provisions of subsection E of this section shall not apply.
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 an employer who provides for
health insurance through a group plan, the succeeding group carrier
shall accept the insured individual and dependents of the insured
individual who were covered under the prior coverage and shall not
apply limitations or exclusions based on preexisting conditions or
apply waiting-period requirements for the insured individual or the
dependents of the insured individual beyond the time when any
surviving exclusion or waiting period with the prior carrier would
have been fulfilled. The insured individual and any dependents of
such individual must apply for the new coverage within sixty-three
(63) days following the date of termination of prior creditable
coverage.
B. When an insured individual or dependent who was covered by
individual 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 an employer who provides
for health insurance through a group plan, the succeeding group
carrier shall accept the insured individual and dependents of the
insured individual who were covered under the prior coverage and
shall not apply limitations or exclusions based on preexisting
conditions or apply waiting-period requirements for the insured
individual or the dependents of the insured individual beyond the
time when any surviving exclusion or waiting period with the prior
carrier would have been fulfilled. The insured individual and any
dependents of such individual must apply for the new coverage within
sixty-three (63) days following the date of termination of prior
creditable coverage.
C. Insurance carriers receiving an application for individual
insurance may underwrite the risk or decline coverage based on the
underwriting guidelines of the insurance carrier.
D. When there is a lapse in the coverage of the insured
individual or a dependent of the insured individual provided for by
subsections A, B, and C of this section for any reason other than a
probationary period or similar waiting period imposed pursuant to
personnel policies of an employer, the provisions of subsections A,
B, and C of this section shall not apply to the person whose
coverage lapsed.
E. When an individual employee who was covered under a group
health insurance plan terminates employment with an employer and
gains employment with another employer who provides for health
insurance through a group plan, the carrier of the succeeding
Oklahoma Statutes - Title 36. Insurance Page 990
employer shall not apply preexisting conditions limitations or
exclusions of preexisting conditions or apply waiting-period
requirements for the individual employee or his dependents covered
under the group plan of the previous employer beyond the time when
any surviving exclusion or waiting period with the prior carrier
would have been fulfilled, provided the individual employee applies
for the new coverage within thirty-one (31) days following the date
of eligibility for participation in the plan in accordance with the
employment or personnel policies of the employer of such
participation.
F. When there is a lapse in the coverage of the individual
employee provided for by subsection E of this section for any reason
other than a probationary period or similar waiting period imposed
by the employment or personnel policies of the employer, the
provisions of subsection E of this section shall not apply.
Status: in_force · Read it on the official government site
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