Okla. Stat. tit. 36, § 36-6059
This is the official text of Okla. Stat. tit. 36, § 36-6059, 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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Adopted children - Coverage
Official statutory text
A. All individual and group health insurance policies providing
coverage on an expense incurred, fixed, or capitated basis, and all
individual and group insurance policies, certificates, service or
indemnity type contracts issued by insurance companies, health
maintenance organizations, nonprofit corporations, charitable and
benevolent corporations established for the purposes of operating a
nonprofit hospital service or indemnity plan and/or a nonprofit
medical or indemnity, fixed, or capitated plan, and all self-
insurers which provide coverage for a family member of the insured
or subscriber shall, as to such family member's coverage, also
provide that the health insurance benefits applicable for any
natural child of the insured or subscriber shall be payable with
respect to any adopted child of the insured or subscriber from the
date of placement of the child in the custody of the insured or
subscriber, provided the insurer is notified within thirty-one (31)
days in writing. Coverage shall include the necessary care and
treatment of medical conditions existing prior to the date of
placement of the child in the custody of the insured or subscriber.
Nothing in this section shall be construed to require coverage of
costs incurred for such medical conditions prior to the date of
placement of the child in the custody of the insured or subscriber.
B. Subject to the terms and conditions of the policy, contract
or agreement, coverage shall also include the actual and documented
medical costs associated with the birth of an adopted child who is
eighteen (18) months of age or younger. If requested, the insured
shall provide copies of medical bills and records associated with
the birth of the adopted child and proof that the insured paid or is
responsible for payment of the medical bills associated with the
birth and that the cost of the birth was not covered by another
health care plan including Medicaid. Any reference to the name of
the natural parents of the adopted child shall be deleted from the
records so provided. The coverage required by this subsection shall
be subject to the same annual deductibles and coinsurance as may be
deemed appropriate and as are consistent with those established for
other covered benefits. The coverage shall also be subject to the
terms of the insurers contract, if any, with hospitals and
physicians.
C. As used in this section, "placement" means the assumption by
the insured or subscriber of the physical custody of the adopted
Oklahoma Statutes - Title 36. Insurance Page 1082
child and the financial responsibility for the support and care of
the adopted child.
D. For purposes of this section, a child who is in the custody
of the insured, pursuant to an interlocutory decree issued under
Section 7505-6.1 of Title 10 of the Oklahoma Statutes vesting
temporary care of the child in the insured, is an adopted child
during the pendency of the adoption proceeding, regardless of
whether a final decree of adoption is ultimately issued.
coverage on an expense incurred, fixed, or capitated basis, and all
individual and group insurance policies, certificates, service or
indemnity type contracts issued by insurance companies, health
maintenance organizations, nonprofit corporations, charitable and
benevolent corporations established for the purposes of operating a
nonprofit hospital service or indemnity plan and/or a nonprofit
medical or indemnity, fixed, or capitated plan, and all self-
insurers which provide coverage for a family member of the insured
or subscriber shall, as to such family member's coverage, also
provide that the health insurance benefits applicable for any
natural child of the insured or subscriber shall be payable with
respect to any adopted child of the insured or subscriber from the
date of placement of the child in the custody of the insured or
subscriber, provided the insurer is notified within thirty-one (31)
days in writing. Coverage shall include the necessary care and
treatment of medical conditions existing prior to the date of
placement of the child in the custody of the insured or subscriber.
Nothing in this section shall be construed to require coverage of
costs incurred for such medical conditions prior to the date of
placement of the child in the custody of the insured or subscriber.
B. Subject to the terms and conditions of the policy, contract
or agreement, coverage shall also include the actual and documented
medical costs associated with the birth of an adopted child who is
eighteen (18) months of age or younger. If requested, the insured
shall provide copies of medical bills and records associated with
the birth of the adopted child and proof that the insured paid or is
responsible for payment of the medical bills associated with the
birth and that the cost of the birth was not covered by another
health care plan including Medicaid. Any reference to the name of
the natural parents of the adopted child shall be deleted from the
records so provided. The coverage required by this subsection shall
be subject to the same annual deductibles and coinsurance as may be
deemed appropriate and as are consistent with those established for
other covered benefits. The coverage shall also be subject to the
terms of the insurers contract, if any, with hospitals and
physicians.
C. As used in this section, "placement" means the assumption by
the insured or subscriber of the physical custody of the adopted
Oklahoma Statutes - Title 36. Insurance Page 1082
child and the financial responsibility for the support and care of
the adopted child.
D. For purposes of this section, a child who is in the custody
of the insured, pursuant to an interlocutory decree issued under
Section 7505-6.1 of Title 10 of the Oklahoma Statutes vesting
temporary care of the child in the insured, is an adopted child
during the pendency of the adoption proceeding, regardless of
whether a final decree of adoption is ultimately issued.
Status: in_force · Read it on the official government site
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