Okla. Stat. tit. 74, § 74-1374
This is the official text of Okla. Stat. tit. 74, § 74-1374, 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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Vision plans
Official statutory text
A. For the plan year beginning January 1, 2017, and for each
year thereafter, it shall be the responsibility of the Office of
Management and Enterprise Services to offer vision plans to
participants during the open enrollment period. Providers of plans
eligible for selection shall submit information requested by the
Office of Management and Enterprise Services. For the plan year
beginning January 1, 2022, and for each year thereafter, the Office
of Management and Enterprise Services shall have the authority to
renew vision plan contracts with plan providers for succeeding one-
year terms if the provider had a contract for the immediately
preceding year. The Office of Management and Enterprise Services
may, at its discretion, require the provider to submit information
including, but not limited to, rate schedules, contact information
for the plan, policy limits and applicable deductibles and billing
practices of the plan prior to the renewal. Plans eligible for
selection shall meet or exceed the following criteria:
1. Has in place a statewide network of at least one hundred
fifty providers. "Providers", for purposes of this section, means
Optometrists (OD), Ophthalmologists (MD), and Ophthalmologists (DO)
which shall be counted once regardless of the number of locations
where they may practice. Optical shops and retail optical locations
shall not be listed as providers. The company offering the vision
plan must have a direct relationship with each provider on its
panel, and may not lease, borrow, or otherwise obtain use of a
provider panel from another company. This would not prevent a
company from offering its plan through one corporate entity and
administering the plan or provider panel through another legal
entity of the same organization so long as the entity receiving
premiums remains legally responsible for the payment of benefits.
Providers must be actively engaged in providing the services offered
under the vision plan they represent;
Oklahoma Statutes - Title 74. State Government Page 855
2. Has operated in Oklahoma for at least five (5) years;
provided, that an immediately prior operation in Oklahoma of a
nonsurviving corporation that merges into an affiliated corporation
shall be counted in determining whether the surviving corporation
has operated a plan in Oklahoma for five (5) years;
3. Is properly licensed, registered, certified or authorized to
operate its business in this state by the Insurance Department.
Vision plans must be offered by the company administering the plan,
not by an agent or third party. A company shall offer only one
vision plan and rate schedule for each plan year;
4. Presents accurate product information in a reproducible
format not to exceed two pages; and
5. Vision plans must provide an examination, frames and lenses,
and/or contact lenses and some form of indemnified payment to the
contracted providers for each component of the benefits, i.e., the
exam, frames and lenses and/or contact lenses. This does not
eliminate discounted supplementary benefits under a qualified plan,
so long as such benefits pertain to vision care.
B. Any administrative fees imposed by the Office of Management
and Enterprise Services shall be applied equally to all qualified
vision plans. There shall be no additional requirements imposed on
a vision plan other than the proper licensing, certification or
authorization to operate its business by the Oklahoma Insurance
Department.
C. No more than two Oklahoma-based vision care benefits
companies that meet the criteria as specified in subsection A of
this section and no more than two out-of-state vision care benefits
companies that meet the criteria as specified in subsection A of
this section shall be offered as vendors for enrollment in any state
employee benefit offering. For purposes of this subsection, an
"Oklahoma-based vision care benefits company" shall be defined as
follows:
that meet the criteria as specified in subsection A of
this section and no more than two out-of-state vision care benefits
companies that meet the criteria as specified in subsection A of
this section shall be offered as vendors for enrollment in any state
employee benefit offering. For purposes of this subsection, an
"Oklahoma-based vision care benefits company" shall be defined as
follows:
1. A vision care benefits company that has a home office,
customer service and administration located within the State of
Oklahoma and is subject to Oklahoma state income taxes; or
2. A vision care benefits company that has a majority of
ownership interest held either directly or indirectly by residents
of the State of Oklahoma and is subject to Oklahoma state income
taxes.
D. In the event the number of vision companies submitting
offerings exceeds the amount permitted under subsection C of this
section, the Office of Management and Enterprise Services shall have
the authority to reject excess offerings based upon failures to meet
bid requirements or for providing lesser value for the State of
Oklahoma.
year thereafter, it shall be the responsibility of the Office of
Management and Enterprise Services to offer vision plans to
participants during the open enrollment period. Providers of plans
eligible for selection shall submit information requested by the
Office of Management and Enterprise Services. For the plan year
beginning January 1, 2022, and for each year thereafter, the Office
of Management and Enterprise Services shall have the authority to
renew vision plan contracts with plan providers for succeeding one-
year terms if the provider had a contract for the immediately
preceding year. The Office of Management and Enterprise Services
may, at its discretion, require the provider to submit information
including, but not limited to, rate schedules, contact information
for the plan, policy limits and applicable deductibles and billing
practices of the plan prior to the renewal. Plans eligible for
selection shall meet or exceed the following criteria:
1. Has in place a statewide network of at least one hundred
fifty providers. "Providers", for purposes of this section, means
Optometrists (OD), Ophthalmologists (MD), and Ophthalmologists (DO)
which shall be counted once regardless of the number of locations
where they may practice. Optical shops and retail optical locations
shall not be listed as providers. The company offering the vision
plan must have a direct relationship with each provider on its
panel, and may not lease, borrow, or otherwise obtain use of a
provider panel from another company. This would not prevent a
company from offering its plan through one corporate entity and
administering the plan or provider panel through another legal
entity of the same organization so long as the entity receiving
premiums remains legally responsible for the payment of benefits.
Providers must be actively engaged in providing the services offered
under the vision plan they represent;
Oklahoma Statutes - Title 74. State Government Page 855
2. Has operated in Oklahoma for at least five (5) years;
provided, that an immediately prior operation in Oklahoma of a
nonsurviving corporation that merges into an affiliated corporation
shall be counted in determining whether the surviving corporation
has operated a plan in Oklahoma for five (5) years;
3. Is properly licensed, registered, certified or authorized to
operate its business in this state by the Insurance Department.
Vision plans must be offered by the company administering the plan,
not by an agent or third party. A company shall offer only one
vision plan and rate schedule for each plan year;
4. Presents accurate product information in a reproducible
format not to exceed two pages; and
5. Vision plans must provide an examination, frames and lenses,
and/or contact lenses and some form of indemnified payment to the
contracted providers for each component of the benefits, i.e., the
exam, frames and lenses and/or contact lenses. This does not
eliminate discounted supplementary benefits under a qualified plan,
so long as such benefits pertain to vision care.
B. Any administrative fees imposed by the Office of Management
and Enterprise Services shall be applied equally to all qualified
vision plans. There shall be no additional requirements imposed on
a vision plan other than the proper licensing, certification or
authorization to operate its business by the Oklahoma Insurance
Department.
C. No more than two Oklahoma-based vision care benefits
companies that meet the criteria as specified in subsection A of
this section and no more than two out-of-state vision care benefits
companies that meet the criteria as specified in subsection A of
this section shall be offered as vendors for enrollment in any state
employee benefit offering. For purposes of this subsection, an
"Oklahoma-based vision care benefits company" shall be defined as
follows:
that meet the criteria as specified in subsection A of
this section and no more than two out-of-state vision care benefits
companies that meet the criteria as specified in subsection A of
this section shall be offered as vendors for enrollment in any state
employee benefit offering. For purposes of this subsection, an
"Oklahoma-based vision care benefits company" shall be defined as
follows:
1. A vision care benefits company that has a home office,
customer service and administration located within the State of
Oklahoma and is subject to Oklahoma state income taxes; or
2. A vision care benefits company that has a majority of
ownership interest held either directly or indirectly by residents
of the State of Oklahoma and is subject to Oklahoma state income
taxes.
D. In the event the number of vision companies submitting
offerings exceeds the amount permitted under subsection C of this
section, the Office of Management and Enterprise Services shall have
the authority to reject excess offerings based upon failures to meet
bid requirements or for providing lesser value for the State of
Oklahoma.
Status: in_force · Read it on the official government site
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