Okla. Stat. tit. 74, § 74-1321v1
This is the official text of Okla. Stat. tit. 74, § 74-1321v1, part of Oklahoma’s Stat. tit. 74, — part of the compiled statutory law of Oklahoma, published by the state as "Stat. tit. 74,." Browse the sections below, each linked to its official government source.
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Determination of rates, benefits, and premiums
Official statutory text
A. The Oklahoma Health Care Authority shall have the authority
to determine all rates and life, dental and health benefits for
state-sponsored plans. All rates shall be compiled in a
comprehensive Schedule of Benefits. The Schedule of Benefits shall
be available for inspection during regular business hours at the
Authority. The Authority shall have the authority to annually
adjust the rates and benefits based on claim experience.
B. The premiums for such insurance plans offered for the next
plan year shall be established as follows:
1. For active employees and their dependents, the Authority’s
premium determination shall be made no later than the bid submission
date for health maintenance organizations set by the Oklahoma
Employees Insurance and Benefits Board, which shall be set in August
no later than the third Friday of that month; and
2. For all other covered members and dependents, the
Authority’s and the health maintenance organizations’ premium
determinations shall be no later than the fourth Friday of
September.
C. The Office may approve a mid-year adjustment requested by
the Authority provided the need for an adjustment is substantiated
by an actuarial determination or more current experience rating.
The only publication or notice requirements that shall apply to the
Schedule of Benefits shall be those requirements provided in the
Oklahoma Open Meeting Act and within this section. It is the intent
of the Legislature that the benefits provided not include cosmetic
dental procedures except for certain orthodontic procedures as
adopted by the Chief Executive Officer of the Authority.
to determine all rates and life, dental and health benefits for
state-sponsored plans. All rates shall be compiled in a
comprehensive Schedule of Benefits. The Schedule of Benefits shall
be available for inspection during regular business hours at the
Authority. The Authority shall have the authority to annually
adjust the rates and benefits based on claim experience.
B. The premiums for such insurance plans offered for the next
plan year shall be established as follows:
1. For active employees and their dependents, the Authority’s
premium determination shall be made no later than the bid submission
date for health maintenance organizations set by the Oklahoma
Employees Insurance and Benefits Board, which shall be set in August
no later than the third Friday of that month; and
2. For all other covered members and dependents, the
Authority’s and the health maintenance organizations’ premium
determinations shall be no later than the fourth Friday of
September.
C. The Office may approve a mid-year adjustment requested by
the Authority provided the need for an adjustment is substantiated
by an actuarial determination or more current experience rating.
The only publication or notice requirements that shall apply to the
Schedule of Benefits shall be those requirements provided in the
Oklahoma Open Meeting Act and within this section. It is the intent
of the Legislature that the benefits provided not include cosmetic
dental procedures except for certain orthodontic procedures as
adopted by the Chief Executive Officer of the Authority.
Status: in_force · Read it on the official government site
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