Okla. Stat. tit. 36, § 36-6060.12
This is the official text of Okla. Stat. tit. 36, § 36-6060.12, 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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Exempted plans - Calculation of increase in premium
Official statutory text
cost.
Oklahoma Statutes - Title 36. Insurance Page 1110
1. A health benefit plan that, at the end of its base period,
experiences a greater than two percent (2%) increase in premium
costs pursuant to providing benefits for treatment of mental health
and substance use disorders shall be exempt from the provisions of
Section 6060.11 of this title.
2. To calculate base-period-premium costs, the health benefit
plan shall subtract from premium costs incurred during the base
period, both the premium costs incurred during the period
immediately preceding the base period and any premium cost increases
attributable to factors unrelated to benefits for treatment of
mental health and substance use disorders.
3. a. To claim the exemption provided for in paragraph 1 of
this section a health benefit plan shall provide to
the Insurance Commissioner a written request signed by
an actuary stating the reasons and actuarial
assumptions upon which the request is based.
b. The Commissioner shall verify the information provided
and shall approve or disapprove the request within
thirty (30) days of receipt.
c. If, upon investigation, the Commissioner finds that
any statement of fact in the request is found to be
knowingly false, the health benefit plan may be
subject to suspension or loss of license or any other
penalty as determined by the Commissioner with regard
to health maintenance organizations.
Oklahoma Statutes - Title 36. Insurance Page 1110
1. A health benefit plan that, at the end of its base period,
experiences a greater than two percent (2%) increase in premium
costs pursuant to providing benefits for treatment of mental health
and substance use disorders shall be exempt from the provisions of
Section 6060.11 of this title.
2. To calculate base-period-premium costs, the health benefit
plan shall subtract from premium costs incurred during the base
period, both the premium costs incurred during the period
immediately preceding the base period and any premium cost increases
attributable to factors unrelated to benefits for treatment of
mental health and substance use disorders.
3. a. To claim the exemption provided for in paragraph 1 of
this section a health benefit plan shall provide to
the Insurance Commissioner a written request signed by
an actuary stating the reasons and actuarial
assumptions upon which the request is based.
b. The Commissioner shall verify the information provided
and shall approve or disapprove the request within
thirty (30) days of receipt.
c. If, upon investigation, the Commissioner finds that
any statement of fact in the request is found to be
knowingly false, the health benefit plan may be
subject to suspension or loss of license or any other
penalty as determined by the Commissioner with regard
to health maintenance organizations.
Status: in_force · Read it on the official government site
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