Okla. Stat. tit. 36, § 36-6530
This is the official text of Okla. Stat. tit. 36, § 36-6530, 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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Bona fide association health plans
Official statutory text
A. "Bona fide association" means any association that has a
current form M-1 filed with and accepted by the United States
Department of Labor showing Oklahoma as the state of operation and:
1. Is formed under a pathway established in accordance with the
applicable provisions of 29 CFR 2510; or
2. Was previously established or is newly formed under federal
regulatory guidance effective prior to August 20, 2018.
B. "Bona fide association health plan" means a health benefit
plan that is sponsored by a bona fide association as defined in
subsection A of this section.
C. The provisions of the Small Employer Health Insurance Reform
Act shall not apply to a health benefit plan issued to a bona fide
association health plan.
D. Each bona fide association health plan that meets the
requirements of this section shall be considered a large group for
purposes of application of the Oklahoma Insurance Code.
E. A bona fide association health plan shall be subject to the
following requirements:
1. The bona fide association health plan shall be delivered or
issued for delivery to a bona fide association in a form that meets
the requirements of Section 4502 of Title 36 of the Oklahoma
Statutes;
2. The bona fide association health plan shall comply with any
federal nondiscrimination requirement applicable to the association
health plan;
3. Small employer groups that have two (2) or more eligible
employees and that are members of the association may not be
excluded from the association health plan;
4. a. Except as provided in subparagraph b of this
paragraph, the association health plan shall maintain
an eighty percent (80%) retention rate.
b. The eighty percent (80%) retention rate specified in
subparagraph a of this paragraph shall not include
employer groups or working owners that:
Oklahoma Statutes - Title 36. Insurance Page 1291
(1) go out of business, whether through merger,
acquisition or any other reason,
(2) no longer meet eligibility requirements for
membership in the association,
(3) no longer meet participation requirements for
employers that are set forth in the plan
documents, or
(4) fail to pay premiums.
c. A bona fide association health plan that fails to
maintain the eighty percent (80%) retention rate
during any year may have twelve (12) months to correct
the retention level before being required to become
subject to the requirements of the Small Employer
Health Insurance Reform Act.
d. A bona fide association health plan may not require a
contract under this subsection between the bona fide
association health plan and the member to be effective
for a period of longer than two (2) years. This
provision shall not be construed to prevent a contract
from being extended for additional two-year periods or
preventing the member from voluntarily electing a
contract period of longer than two (2) years; and
5. Each bona fide association health plan shall be available to
be marketed and sold by all licensed agents and brokers of the
health carrier, at the health carrier's standard commission and/or
fee schedule for the calendar year.
current form M-1 filed with and accepted by the United States
Department of Labor showing Oklahoma as the state of operation and:
1. Is formed under a pathway established in accordance with the
applicable provisions of 29 CFR 2510; or
2. Was previously established or is newly formed under federal
regulatory guidance effective prior to August 20, 2018.
B. "Bona fide association health plan" means a health benefit
plan that is sponsored by a bona fide association as defined in
subsection A of this section.
C. The provisions of the Small Employer Health Insurance Reform
Act shall not apply to a health benefit plan issued to a bona fide
association health plan.
D. Each bona fide association health plan that meets the
requirements of this section shall be considered a large group for
purposes of application of the Oklahoma Insurance Code.
E. A bona fide association health plan shall be subject to the
following requirements:
1. The bona fide association health plan shall be delivered or
issued for delivery to a bona fide association in a form that meets
the requirements of Section 4502 of Title 36 of the Oklahoma
Statutes;
2. The bona fide association health plan shall comply with any
federal nondiscrimination requirement applicable to the association
health plan;
3. Small employer groups that have two (2) or more eligible
employees and that are members of the association may not be
excluded from the association health plan;
4. a. Except as provided in subparagraph b of this
paragraph, the association health plan shall maintain
an eighty percent (80%) retention rate.
b. The eighty percent (80%) retention rate specified in
subparagraph a of this paragraph shall not include
employer groups or working owners that:
Oklahoma Statutes - Title 36. Insurance Page 1291
(1) go out of business, whether through merger,
acquisition or any other reason,
(2) no longer meet eligibility requirements for
membership in the association,
(3) no longer meet participation requirements for
employers that are set forth in the plan
documents, or
(4) fail to pay premiums.
c. A bona fide association health plan that fails to
maintain the eighty percent (80%) retention rate
during any year may have twelve (12) months to correct
the retention level before being required to become
subject to the requirements of the Small Employer
Health Insurance Reform Act.
d. A bona fide association health plan may not require a
contract under this subsection between the bona fide
association health plan and the member to be effective
for a period of longer than two (2) years. This
provision shall not be construed to prevent a contract
from being extended for additional two-year periods or
preventing the member from voluntarily electing a
contract period of longer than two (2) years; and
5. Each bona fide association health plan shall be available to
be marketed and sold by all licensed agents and brokers of the
health carrier, at the health carrier's standard commission and/or
fee schedule for the calendar year.
Status: in_force · Read it on the official government site
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