Okla. Stat. tit. 36, § 36-6938
This is the official text of Okla. Stat. tit. 36, § 36-6938, 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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Definitions
Official statutory text
As used in the Risk-based Capital (RBC) for Health Maintenance
Organizations Act of 2003:
1. “Adjusted Risk-based Capital (RBC) report” means an RBC
report which has been adjusted by the Insurance Commissioner in
accordance with the provisions of subsection C of Section 39 of this
act;
2. “Corrective order” means an order issued by the Commissioner
specifying corrective actions which the Insurance Commissioner has
determined are required;
3. “Domestic health maintenance organization” means a health
maintenance organization domiciled in this state;
4. “Foreign health maintenance organization” means a health
maintenance organization that is licensed to do business in this
Oklahoma Statutes - Title 36. Insurance Page 1415
state under the Health Maintenance Organization Act of 2003, but is
not domiciled in this state;
5. “NAIC” means the National Association of Insurance
Commissioners;
6. “Health maintenance organization” means a health maintenance
organization licensed under the Health Maintenance Organization Act
of 2003. This definition does not include an organization that is
licensed as either a life and health insurer or a property and
casualty insurer under Title 36 of the Oklahoma Statutes and that is
otherwise subject to either life or property and casualty RBC
requirements;
7. “RBC instructions” means the RBC report including risk-based
capital instructions adopted by the NAIC, as these RBC instructions
may be amended by the NAIC from time to time in accordance with the
procedures adopted by the NAIC;
8. “RBC level” means a health maintenance organization’s
Company Action Level RBC, Regulatory Action Level RBC, Authorized
Control Level RBC, or Mandatory Control Level RBC where:
a. “Company Action Level RBC” means, with respect to any
health maintenance organization, the product of 2.0
and its Authorized Control Level RBC,
b. “Regulatory Action Level RBC” means the product of 1.5
and its Authorized Control Level RBC,
c. “Authorized Control Level RBC” means the number
determined under the risk-based capital formula in
accordance with the RBC instructions, or
d. “Mandatory Control Level RBC” means the product of .70
and the Authorized Control Level RBC;
9. “RBC plan” means a comprehensive financial plan containing
the elements specified in subsection B of Section 40 of this act.
If the Insurance Commissioner rejects the RBC plan, and it is
revised by the health maintenance organization, with or without the
Insurance Commissioner’s recommendation, the plan shall be called
the “revised RBC plan”;
10. “RBC report” means the report required in Section 39 of
this act; and
11. “Total adjusted capital” means the sum of:
a. a health maintenance organization’s statutory capital
and surplus, or its net worth, as determined in
accordance with the statutory accounting applicable to
the annual financial statements required to be filed
under Section 9 of this act, and
b. such other items, if any, as the RBC instructions may
provide.
Organizations Act of 2003:
1. “Adjusted Risk-based Capital (RBC) report” means an RBC
report which has been adjusted by the Insurance Commissioner in
accordance with the provisions of subsection C of Section 39 of this
act;
2. “Corrective order” means an order issued by the Commissioner
specifying corrective actions which the Insurance Commissioner has
determined are required;
3. “Domestic health maintenance organization” means a health
maintenance organization domiciled in this state;
4. “Foreign health maintenance organization” means a health
maintenance organization that is licensed to do business in this
Oklahoma Statutes - Title 36. Insurance Page 1415
state under the Health Maintenance Organization Act of 2003, but is
not domiciled in this state;
5. “NAIC” means the National Association of Insurance
Commissioners;
6. “Health maintenance organization” means a health maintenance
organization licensed under the Health Maintenance Organization Act
of 2003. This definition does not include an organization that is
licensed as either a life and health insurer or a property and
casualty insurer under Title 36 of the Oklahoma Statutes and that is
otherwise subject to either life or property and casualty RBC
requirements;
7. “RBC instructions” means the RBC report including risk-based
capital instructions adopted by the NAIC, as these RBC instructions
may be amended by the NAIC from time to time in accordance with the
procedures adopted by the NAIC;
8. “RBC level” means a health maintenance organization’s
Company Action Level RBC, Regulatory Action Level RBC, Authorized
Control Level RBC, or Mandatory Control Level RBC where:
a. “Company Action Level RBC” means, with respect to any
health maintenance organization, the product of 2.0
and its Authorized Control Level RBC,
b. “Regulatory Action Level RBC” means the product of 1.5
and its Authorized Control Level RBC,
c. “Authorized Control Level RBC” means the number
determined under the risk-based capital formula in
accordance with the RBC instructions, or
d. “Mandatory Control Level RBC” means the product of .70
and the Authorized Control Level RBC;
9. “RBC plan” means a comprehensive financial plan containing
the elements specified in subsection B of Section 40 of this act.
If the Insurance Commissioner rejects the RBC plan, and it is
revised by the health maintenance organization, with or without the
Insurance Commissioner’s recommendation, the plan shall be called
the “revised RBC plan”;
10. “RBC report” means the report required in Section 39 of
this act; and
11. “Total adjusted capital” means the sum of:
a. a health maintenance organization’s statutory capital
and surplus, or its net worth, as determined in
accordance with the statutory accounting applicable to
the annual financial statements required to be filed
under Section 9 of this act, and
b. such other items, if any, as the RBC instructions may
provide.
Status: in_force · Read it on the official government site
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