SECTION 310:657-13-5. Ownership and control safeguards

  The Plan shall safeguard the fairness and equity of medical and health service delivery if an insurer or an insured:

(1)   Directly participates in the Plan's formation or certification;

(2)   Occupies a position as the Plan's director, governing member, officer, agent, or employee;

(3)   Has any ownership, financial or investment interest in the Plan;

(4)   Has any contract with the Plan that limits the Plan's ability to accept business from any other source; or

(5)   Has any relationship with a Plan, other than a contract for provision of medical and health services under the Act.

[Source: Added at 12 Ok Reg 2977, eff 6-16-95 (emergency); Added at 13 Ok Reg 2127, eff 6-13-96; Amended at 14 Ok Reg 2264, eff 6-12-97]