Oklahoma Administrative Code (Last Updated: March 11, 2021) |
TITLE 317. Oklahoma Health Care Authority |
Chapter 45. Insure Oklahoma |
Subchapter 11. Insure Oklahoma IP |
Part 5. INSURE OKLAHOMA IP MEMBER ELIGIBILITY |
SECTION 317:45-11-23. Member eligibility period
Latest version.
- (a) The rules in this subsection apply to member's eligibility according to OAC 317:45-11-20(a) through (e).(1) The member's eligibility period begins only after approval of the application and receipt of the premium payment.(A) If the application is approved and the premium payment is made by the last day of the same month, eligibility will begin the first day of the next month.(B) If the application is approved and the premium payment is made between the first and 15th day of the next month, eligibility will begin the first day of the second consecutive month.(C) If the application is approved and the premium payment is not made within 45 days, eligibility will not begin.(2) Employee eligibility is contingent upon the employer meeting the program guidelines.(3) The employee's eligibility is determined using the eligibility requirements listed in OAC 317:45-9-1 or OAC 317:45-11-20 (a) through (e).(4) If the employee is determined eligible for Insure Oklahoma IP, he/she is approved for a period not greater than 12 months.(b) The rules in this subsection apply to applicants eligible according to OAC 317:45-11-20(a) through (c) and OAC 317:45-11-20(f) through (h).(1) The applicant's eligibility is determined using the eligibility requirements listed in OAC 317:45-11-20(a) through (c) and OAC 317:45-11-20(f) through (h).(2) If the applicant is determined eligible for Insure Oklahoma IP, he/she is approved for a period not greater than twelve (12) months.(3) The applicant's eligibility period begins only after receipt of the premium payment.
[Source: Added at 24 Ok Reg 101, eff 8-2-06 (emergency); Added at 24 Ok Reg 963, eff 5-11-07; Amended at 26 Ok Reg 2169, eff 6-25-09; Amended at 27 Ok Reg 2391, eff 7-1-10 (emergency); Amended at 28 Ok Reg 1574, eff 6-25-11; Amended at 33 Ok Reg 916, eff 9-1-16; Amended at 34 Ok Reg 760, eff 9-1-17; Amended at 35 Ok Reg 1503, eff 9-14-18]