SECTION 317:45-9-7. Closure

(a)   Employer and employee eligibility are tied together. If the employer is no longer eligible, then the associated employees enrolled under that employer are also ineligible. Employees are mailed a notice 10 days prior to closure of eligibility.

(b)   The employee's certification period may be terminated when:

(1)   termination of employment, either voluntary or involuntary, occurs;

(2)   the employee moves out-of-state;

(3)   the covered employee dies;

(4)   the employer ends its contract with the qualified benefit plan;

(5)   the employer's eligibility ends;

(6)   a review indicates a discrepancy that makes the employee or employer ineligible;

(7)   the employer is terminated from the program;

(8)   the employer fails to pay the premium;

(9)   the qualified benefit plan or carrier no longer meets the requirements set forth in this Chapter;

(10)   the employee becomes eligible for SoonerCare or Medicare;

(11)   the employee or employer reports any change affecting eligibility;

(12)   the employee is no longer listed as a covered person on the employer's benefit plan invoice;

(13)   the employee requests closure; or

(14)   the employee no longer meets the eligibility criteria set forth in this Chapter.

[Source: Added at 23 Ok Reg 278, eff 10-3-05 (emergency); Added at 23 Ok Reg 1407, eff 5-25-06; Amended at 24 Ok Reg 101, eff 8-2-06 (emergency); Amended 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]