Okla. Stat. tit. 36, § 36-6060.22
This is the official text of Okla. Stat. tit. 36, § 36-6060.22, 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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Exemption for health benefit plans from autism
Official statutory text
spectrum disorder coverage.
A. 1. A health benefit plan that, at the end of its base
period, experiences a greater than one percent (1%) increase in
premium costs pursuant to providing applied behavior analysis for
treatment of autism spectrum disorders shall be exempt from the
provisions of this act.
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
Oklahoma Statutes - Title 36. Insurance Page 1118
attributable to factors unrelated to benefits for treatment of
autism spectrum disorders.
3. a. To claim the exemption provided for in subsection A 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, or the
State Commissioner of Health with regard to health
maintenance organizations.
A. 1. A health benefit plan that, at the end of its base
period, experiences a greater than one percent (1%) increase in
premium costs pursuant to providing applied behavior analysis for
treatment of autism spectrum disorders shall be exempt from the
provisions of this act.
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
Oklahoma Statutes - Title 36. Insurance Page 1118
attributable to factors unrelated to benefits for treatment of
autism spectrum disorders.
3. a. To claim the exemption provided for in subsection A 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, or the
State Commissioner of Health with regard to health
maintenance organizations.
Status: in_force · Read it on the official government site
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