Okla. Stat. tit. 36, § 36-4528
This is the official text of Okla. Stat. tit. 36, § 36-4528, 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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Areas served – Services and plans permitted to be offered
Official statutory text
by single administrative organization – Rating characteristics.
A. Nothing in this act shall be construed as preventing one or
more Health Insurance Purchasing Groups (HIPG) from serving
different areas, whether or not contiguous, by providing for some or
all of the following through a single administrative organization or
otherwise:
Oklahoma Statutes - Title 36. Insurance Page 1000
1. Coordinating the offering of the same or similar health
benefits coverage in different areas served by the different HIPG;
or
2. Providing for crediting of deductibles and other cost-
sharing for individuals who are provided a health benefits plan
through the HIPG or affiliated HIPG after:
a. a change of eligible employers through which the
coverage is provided, or
b. a change in place of employment to an area not served
by the previous HIPG.
B. No HIPG health carrier shall be required to offer HIPG
health benefits plans, or health benefits plans not subject to
state-mandated health benefits, to non-HIPG organizations,
associations, or employer groups, including but not limited to the
small employer health insurance group marketplace in this state.
C. Nothing in this act shall be construed as precluding a HIPG
from providing for adjustments in amounts distributed among the HIPG
health carriers offering a health benefits plan through the HIPG,
based on factors such as the relative health care risk of members
enrolled under the coverage offered by the different issuers.
D. Nothing in this act shall be construed as precluding a HIPG
from establishing minimum participation and contribution rules for
eligible employers that apply to become purchasers in the HIPG, so
long as the rules are applied uniformly for all HIPG health
carriers.
E. The HIPG may determine what rating characteristics it will
allow in the health benefit plan including, but not limited to, age,
sex, industry, geography, or health.
F. If health is used as a rating characteristic, then the rates
for the groups having two through fifty members will be subject to
the small employer group rating law as required in the Small
Employer Health Insurance Reform Act but may be considered separate
from any small groups sold outside the HIPG.
A. Nothing in this act shall be construed as preventing one or
more Health Insurance Purchasing Groups (HIPG) from serving
different areas, whether or not contiguous, by providing for some or
all of the following through a single administrative organization or
otherwise:
Oklahoma Statutes - Title 36. Insurance Page 1000
1. Coordinating the offering of the same or similar health
benefits coverage in different areas served by the different HIPG;
or
2. Providing for crediting of deductibles and other cost-
sharing for individuals who are provided a health benefits plan
through the HIPG or affiliated HIPG after:
a. a change of eligible employers through which the
coverage is provided, or
b. a change in place of employment to an area not served
by the previous HIPG.
B. No HIPG health carrier shall be required to offer HIPG
health benefits plans, or health benefits plans not subject to
state-mandated health benefits, to non-HIPG organizations,
associations, or employer groups, including but not limited to the
small employer health insurance group marketplace in this state.
C. Nothing in this act shall be construed as precluding a HIPG
from providing for adjustments in amounts distributed among the HIPG
health carriers offering a health benefits plan through the HIPG,
based on factors such as the relative health care risk of members
enrolled under the coverage offered by the different issuers.
D. Nothing in this act shall be construed as precluding a HIPG
from establishing minimum participation and contribution rules for
eligible employers that apply to become purchasers in the HIPG, so
long as the rules are applied uniformly for all HIPG health
carriers.
E. The HIPG may determine what rating characteristics it will
allow in the health benefit plan including, but not limited to, age,
sex, industry, geography, or health.
F. If health is used as a rating characteristic, then the rates
for the groups having two through fifty members will be subject to
the small employer group rating law as required in the Small
Employer Health Insurance Reform Act but may be considered separate
from any small groups sold outside the HIPG.
Status: in_force · Read it on the official government site
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