Okla. Stat. tit. 36, § 36-6516
This is the official text of Okla. Stat. tit. 36, § 36-6516, 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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Renewability of health benefit plans - Election not to
Official statutory text
renew - Geographic service area.
A. A health benefit plan subject to this act shall be renewable
with respect to all eligible employees and dependents, at the option
of the small employer, except in any of the following cases:
1. Nonpayment of the required premiums;
2. Fraud or misrepresentation of the small employer or, with
respect to coverage of individual insureds, the insureds or their
representatives;
3. Noncompliance with the carrier's minimum group participation
requirements;
Oklahoma Statutes - Title 36. Insurance Page 1282
4. Noncompliance with the carrier's employer contribution
requirements;
5. Repeated misuse of provider network provisions;
6. The small employer carrier elects to nonrenew all of its
health benefit plans issued to small employers in this state. In
such a case the carrier shall:
a. provide advance notice of its decision under this
paragraph to the Insurance Commissioner in each state
in which it is licensed, and
b. provide notice of the decision not to renew coverage
to all affected small employers and to the
Commissioner in each state in which an affected
covered individual is known to reside at least one
hundred eighty (180) days prior to the nonrenewal of
any health benefit plan by the carrier. Notice to the
Commissioner under this subparagraph shall be provided
at least three (3) working days prior to the notice to
the affected small employers; or
7. The Commissioner finds that the continuation of the coverage
would:
a. not be in the best interests of the policyholders or
certificate holders, or
b. impair the carrier's ability to meet its contractual
obligations. In such instance the Commissioner may
assist affected small employers in finding replacement
coverage.
B. A small employer carrier that elects not to renew a health
benefit plan under paragraph 6 of subsection A of this section shall
be prohibited from writing new business in the small employer market
in this state for a period of five (5) years from the date of notice
to the Commissioner.
C. In the case of a small employer carrier doing business in
one established geographic service area of the state, the provisions
of this section shall apply only to the carrier's operations in such
service area.
A. A health benefit plan subject to this act shall be renewable
with respect to all eligible employees and dependents, at the option
of the small employer, except in any of the following cases:
1. Nonpayment of the required premiums;
2. Fraud or misrepresentation of the small employer or, with
respect to coverage of individual insureds, the insureds or their
representatives;
3. Noncompliance with the carrier's minimum group participation
requirements;
Oklahoma Statutes - Title 36. Insurance Page 1282
4. Noncompliance with the carrier's employer contribution
requirements;
5. Repeated misuse of provider network provisions;
6. The small employer carrier elects to nonrenew all of its
health benefit plans issued to small employers in this state. In
such a case the carrier shall:
a. provide advance notice of its decision under this
paragraph to the Insurance Commissioner in each state
in which it is licensed, and
b. provide notice of the decision not to renew coverage
to all affected small employers and to the
Commissioner in each state in which an affected
covered individual is known to reside at least one
hundred eighty (180) days prior to the nonrenewal of
any health benefit plan by the carrier. Notice to the
Commissioner under this subparagraph shall be provided
at least three (3) working days prior to the notice to
the affected small employers; or
7. The Commissioner finds that the continuation of the coverage
would:
a. not be in the best interests of the policyholders or
certificate holders, or
b. impair the carrier's ability to meet its contractual
obligations. In such instance the Commissioner may
assist affected small employers in finding replacement
coverage.
B. A small employer carrier that elects not to renew a health
benefit plan under paragraph 6 of subsection A of this section shall
be prohibited from writing new business in the small employer market
in this state for a period of five (5) years from the date of notice
to the Commissioner.
C. In the case of a small employer carrier doing business in
one established geographic service area of the state, the provisions
of this section shall apply only to the carrier's operations in such
service area.
Status: in_force · Read it on the official government site
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