Okla. Stat. tit. 36, § 36-639
This is the official text of Okla. Stat. tit. 36, § 36-639, 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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Annual financial report - Actuarial certification -
Official statutory text
Quarterly financial statements - Penalties.
A. Every MEWA shall, within ninety (90) days after the end of
each fiscal year of the MEWA, or within any such extension of time
that the Insurance Commissioner for good cause grants, file a report
with the Commissioner, on forms acceptable to the Commissioner and
verified by the oath of a member of the board of trustees or chief
executive officer of any governing association and by the
administrator of the MEWA, showing its financial condition on the
last day of the preceding fiscal year. The report shall contain an
Oklahoma Statutes - Title 36. Insurance Page 162
audited financial statement of the MEWA prepared in accordance with
generally accepted accounting principles, including its balance
sheet and a statement of the operations for the preceding fiscal
year certified by an independent accounting firm or independent
individual holding a permit to practice certified public accounting
in this state. The report shall also include an analysis of the
adequacy of reserves and contributions or premiums charged, based on
a review of past and projected claims and expenses.
B. In conjunction with the annual report required in subsection
A of this section, the MEWA shall submit an actuarial certification
prepared by a qualified independent actuary that indicates:
1. The MEWA is actuarially sound, with the certification
considering the rates, benefits, and expenses of, and any other
funds available for the payment of obligations of the MEWA;
2. The rates being charged and to be charged for contracts are
actuarially adequate to the end of the period for which rates have
been guaranteed;
3. The recommended amount of cash reserves the MEWA should
maintain, which shall not be less than the greater of twenty percent
(20%) of the total contributions in the preceding plan year or
twenty percent (20%) of the total estimated contributions for the
current plan year. The cash reserves shall be calculated with
proper actuarial regard for known claims, paid and outstanding, a
history of incurred but not reported claims, claims handling
expenses, unearned premiums, a trend factor, and a margin for error.
Cash reserves required by this section shall be maintained in cash
or federally guaranteed obligations of less than five-year maturity
that have a fixed or recoverable principal amount or such other
investments as the Commissioner may authorize by rule;
4. Whether amounts reserved to cover the cost of health care
benefits are:
a. calculated in accordance with the loss reserving
standards that would be applicable to a private
insurance company writing the same coverage,
b. computed in accordance with accepted loss reserving
standards, including a reserve for Incurred But Not
Reported Claims (IBNR), and
c. fairly stated in accordance with sound loss reserving
standards;
5. The recommended level of specific and aggregate stop-loss
insurance that the MEWA should maintain and whether the MEWA is
funding at the aggregate retention plus all other costs of the MEWA;
and
6. Such other information relating to the performance of the
MEWA that is reasonably required by the Commissioner.
C. The MEWA shall send an annual report to all of the
employers, describing the financial condition of the MEWA as of the
Oklahoma Statutes - Title 36. Insurance Page 163
end of the last fiscal year. The report must be sent at the same
time as the filing of the annual statement of the MEWA.
D. The Commissioner may require a MEWA to file quarterly,
within forty-five (45) days after the end of each of the remaining
fiscal quarters, a financial statement on a form prescribed by the
Commissioner, verified by the oath of a member of the board of
trustees and an administrator of the MEWA, showing its financial
condition on the last day of the preceding quarter and the statement
of a qualified actuary setting forth the actuary's opinion relating
hin forty-five (45) days after the end of each of the remaining
fiscal quarters, a financial statement on a form prescribed by the
Commissioner, verified by the oath of a member of the board of
trustees and an administrator of the MEWA, showing its financial
condition on the last day of the preceding quarter and the statement
of a qualified actuary setting forth the actuary's opinion relating
to the level of cash reserves in accordance with paragraphs 3 and 4
of subsection B of this section.
E. Any MEWA that fails to file a report as required by this
section is subject to Section 311 of this title; and, after notice
and opportunity for hearing, the Commissioner may suspend the MEWA's
authority to enroll new insureds or to do business in this state
while the failure continues.
A. Every MEWA shall, within ninety (90) days after the end of
each fiscal year of the MEWA, or within any such extension of time
that the Insurance Commissioner for good cause grants, file a report
with the Commissioner, on forms acceptable to the Commissioner and
verified by the oath of a member of the board of trustees or chief
executive officer of any governing association and by the
administrator of the MEWA, showing its financial condition on the
last day of the preceding fiscal year. The report shall contain an
Oklahoma Statutes - Title 36. Insurance Page 162
audited financial statement of the MEWA prepared in accordance with
generally accepted accounting principles, including its balance
sheet and a statement of the operations for the preceding fiscal
year certified by an independent accounting firm or independent
individual holding a permit to practice certified public accounting
in this state. The report shall also include an analysis of the
adequacy of reserves and contributions or premiums charged, based on
a review of past and projected claims and expenses.
B. In conjunction with the annual report required in subsection
A of this section, the MEWA shall submit an actuarial certification
prepared by a qualified independent actuary that indicates:
1. The MEWA is actuarially sound, with the certification
considering the rates, benefits, and expenses of, and any other
funds available for the payment of obligations of the MEWA;
2. The rates being charged and to be charged for contracts are
actuarially adequate to the end of the period for which rates have
been guaranteed;
3. The recommended amount of cash reserves the MEWA should
maintain, which shall not be less than the greater of twenty percent
(20%) of the total contributions in the preceding plan year or
twenty percent (20%) of the total estimated contributions for the
current plan year. The cash reserves shall be calculated with
proper actuarial regard for known claims, paid and outstanding, a
history of incurred but not reported claims, claims handling
expenses, unearned premiums, a trend factor, and a margin for error.
Cash reserves required by this section shall be maintained in cash
or federally guaranteed obligations of less than five-year maturity
that have a fixed or recoverable principal amount or such other
investments as the Commissioner may authorize by rule;
4. Whether amounts reserved to cover the cost of health care
benefits are:
a. calculated in accordance with the loss reserving
standards that would be applicable to a private
insurance company writing the same coverage,
b. computed in accordance with accepted loss reserving
standards, including a reserve for Incurred But Not
Reported Claims (IBNR), and
c. fairly stated in accordance with sound loss reserving
standards;
5. The recommended level of specific and aggregate stop-loss
insurance that the MEWA should maintain and whether the MEWA is
funding at the aggregate retention plus all other costs of the MEWA;
and
6. Such other information relating to the performance of the
MEWA that is reasonably required by the Commissioner.
C. The MEWA shall send an annual report to all of the
employers, describing the financial condition of the MEWA as of the
Oklahoma Statutes - Title 36. Insurance Page 163
end of the last fiscal year. The report must be sent at the same
time as the filing of the annual statement of the MEWA.
D. The Commissioner may require a MEWA to file quarterly,
within forty-five (45) days after the end of each of the remaining
fiscal quarters, a financial statement on a form prescribed by the
Commissioner, verified by the oath of a member of the board of
trustees and an administrator of the MEWA, showing its financial
condition on the last day of the preceding quarter and the statement
of a qualified actuary setting forth the actuary's opinion relating
hin forty-five (45) days after the end of each of the remaining
fiscal quarters, a financial statement on a form prescribed by the
Commissioner, verified by the oath of a member of the board of
trustees and an administrator of the MEWA, showing its financial
condition on the last day of the preceding quarter and the statement
of a qualified actuary setting forth the actuary's opinion relating
to the level of cash reserves in accordance with paragraphs 3 and 4
of subsection B of this section.
E. Any MEWA that fails to file a report as required by this
section is subject to Section 311 of this title; and, after notice
and opportunity for hearing, the Commissioner may suspend the MEWA's
authority to enroll new insureds or to do business in this state
while the failure continues.
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