Okla. Stat. tit. 36, § 36-6931
This is the official text of Okla. Stat. tit. 36, § 36-6931, 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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Coordination of benefits provisions
Official statutory text
A. A health maintenance organization is permitted, but not
required, to adopt coordination of benefits provisions to avoid over
insurance and to provide for the orderly payment of claims when an
enrollee is covered by two or more group health insurance or health
care plans.
Oklahoma Statutes - Title 36. Insurance Page 1412
B. If a health maintenance organization adopts coordination of
benefits, the provisions thereof shall be consistent with the
coordination of benefits provisions that are in general use in the
state for coordinating coverage between two or more group health
insurance or health care plans.
C. To the extent necessary for a health maintenance
organization to meet its obligations as a secondary carrier under
the rules for coordination, a health maintenance organization may
make payments for services that are:
1. Received from nonparticipating providers;
2. Provided outside its service areas; or
3. Not covered under the terms of its group contract or
evidence of coverage.
required, to adopt coordination of benefits provisions to avoid over
insurance and to provide for the orderly payment of claims when an
enrollee is covered by two or more group health insurance or health
care plans.
Oklahoma Statutes - Title 36. Insurance Page 1412
B. If a health maintenance organization adopts coordination of
benefits, the provisions thereof shall be consistent with the
coordination of benefits provisions that are in general use in the
state for coordinating coverage between two or more group health
insurance or health care plans.
C. To the extent necessary for a health maintenance
organization to meet its obligations as a secondary carrier under
the rules for coordination, a health maintenance organization may
make payments for services that are:
1. Received from nonparticipating providers;
2. Provided outside its service areas; or
3. Not covered under the terms of its group contract or
evidence of coverage.
Status: in_force · Read it on the official government site
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