SECTION 310:657-25-1. Conditions to revoke or suspend

  The Commissioner may revoke or suspend a certificate issued to a Plan, or take such other steps as appropriate, if the Plan:

(1)   Is not in compliance with the Act or OAC 310:657;

(2)   Violated its health service contracts;

(3)   Is unable to fulfill its obligations under outstanding contracts for the benefit of employees;

(4)   Attempted to merchandise its services in such a manner as to misrepresent its services or capacity for service or has engaged in deceptive, misleading, or unfair practices in advertising, merchandising or promoting towards providers, employees, insurers or insureds;

(5)   Did not correct an impairment as required under OAC 310:657-15-6; or

(6)   Knowingly uses or has knowingly used a provider who does not have a license, certificate or other authority to practice or furnish medical or health services.

[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; Amended at 23 Ok Reg 2404, eff 6-25-06]