Okla. Stat. tit. 36, § 36-6811
This is the official text of Okla. Stat. tit. 36, § 36-6811, 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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Time for filing closed claim report
Official statutory text
A. The Insurance Commissioner may require that an insuring
entity or self-insured entity shall file a closed claim report.
These reports shall be filed within thirty (30) days after the
Commissioner's request and shall include data for all claims closed
in the preceding calendar year and other information required by the
Commissioner.
B. Any violation by an insurer of the Medical Professional
Liability Insurance Closed Claim Reports Act shall subject the
insurer to discipline including a civil penalty of not less than
Five Thousand Dollars ($5,000.00).
C. A closed claim that is covered under a primary policy and
one or more excess policies shall be reported only by the insuring
entity that issued the primary policy. The insuring entity that
issued the primary policy shall report the total amount, if any,
paid with respect to the closed claim, including any amount paid
under an excess policy, any amount paid by the facility or provider,
and any amount paid by any other person on behalf of the facility or
provider.
D. If a claim is not covered by an insuring entity or self-
insurer, the facility or provider named in the claim shall report it
to the Commissioner after a final claim disposition has occurred due
to a court proceeding or a settlement by the parties. Instances in
which a claim may not be covered by an insuring entity or self-
insurer include situations in which:
1. The facility or provider did not buy insurance or maintained
a self-insured retention that was larger than the final judgment or
settlement;
2. The claim was denied by an insuring entity or self-insurer
because it did not fall within the scope of the insurance coverage
agreement; or
Oklahoma Statutes - Title 36. Insurance Page 1370
3. The annual aggregate coverage limits had been exhausted by
other claim payments.
E. If a claim is covered by an insuring entity or self-insurer
that fails to report the claim to the Commissioner, the facility or
provider named in the claim shall report it to the Commissioner
after a final claim disposition has occurred due to a court
proceeding or a settlement by the parties.
1. If a facility or provider is insured by a risk retention
group and the risk retention group refuses to report closed claims
and asserts that the federal Liability Risk Retention Act (95 Stat.
949; 15 U.S.C. Sec. 3901 et seq.) preempts state law, the facility
or provider shall report all data required by the Medical
Professional Liability Insurance Closed Claim Reports Act on behalf
of the risk retention group.
2. If a facility or provider is insured by an unauthorized
insurer and the unauthorized insurer refuses to report closed claims
and asserts a federal exemption or other jurisdictional preemption,
the facility or provider shall report all data required by the
Medical Professional Liability Insurance Closed Claim Reports Act on
behalf of the unauthorized insurer.
3. If a facility or provider is insured by a captive insurer
and the captive insurer refuses to report closed claims and asserts
a federal exemption or other jurisdictional preemption, the facility
or provider shall report all data required by the Medical
Professional Liability Insurance Closed Claim Reports Act on behalf
of the captive insurer.
entity or self-insured entity shall file a closed claim report.
These reports shall be filed within thirty (30) days after the
Commissioner's request and shall include data for all claims closed
in the preceding calendar year and other information required by the
Commissioner.
B. Any violation by an insurer of the Medical Professional
Liability Insurance Closed Claim Reports Act shall subject the
insurer to discipline including a civil penalty of not less than
Five Thousand Dollars ($5,000.00).
C. A closed claim that is covered under a primary policy and
one or more excess policies shall be reported only by the insuring
entity that issued the primary policy. The insuring entity that
issued the primary policy shall report the total amount, if any,
paid with respect to the closed claim, including any amount paid
under an excess policy, any amount paid by the facility or provider,
and any amount paid by any other person on behalf of the facility or
provider.
D. If a claim is not covered by an insuring entity or self-
insurer, the facility or provider named in the claim shall report it
to the Commissioner after a final claim disposition has occurred due
to a court proceeding or a settlement by the parties. Instances in
which a claim may not be covered by an insuring entity or self-
insurer include situations in which:
1. The facility or provider did not buy insurance or maintained
a self-insured retention that was larger than the final judgment or
settlement;
2. The claim was denied by an insuring entity or self-insurer
because it did not fall within the scope of the insurance coverage
agreement; or
Oklahoma Statutes - Title 36. Insurance Page 1370
3. The annual aggregate coverage limits had been exhausted by
other claim payments.
E. If a claim is covered by an insuring entity or self-insurer
that fails to report the claim to the Commissioner, the facility or
provider named in the claim shall report it to the Commissioner
after a final claim disposition has occurred due to a court
proceeding or a settlement by the parties.
1. If a facility or provider is insured by a risk retention
group and the risk retention group refuses to report closed claims
and asserts that the federal Liability Risk Retention Act (95 Stat.
949; 15 U.S.C. Sec. 3901 et seq.) preempts state law, the facility
or provider shall report all data required by the Medical
Professional Liability Insurance Closed Claim Reports Act on behalf
of the risk retention group.
2. If a facility or provider is insured by an unauthorized
insurer and the unauthorized insurer refuses to report closed claims
and asserts a federal exemption or other jurisdictional preemption,
the facility or provider shall report all data required by the
Medical Professional Liability Insurance Closed Claim Reports Act on
behalf of the unauthorized insurer.
3. If a facility or provider is insured by a captive insurer
and the captive insurer refuses to report closed claims and asserts
a federal exemption or other jurisdictional preemption, the facility
or provider shall report all data required by the Medical
Professional Liability Insurance Closed Claim Reports Act on behalf
of the captive insurer.
Status: in_force · Read it on the official government site
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