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Oklahoma Administrative Code (Last Updated: March 11, 2021) |
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TITLE 365. Insurance Department |
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Chapter 10. Life, Accident and Health |
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Subchapter 19. Health Insurance Purchasing Groups |
SECTION 365:10-19-7. Filing requirements
Latest version.
- (a) Prior to the formation on a HIPG the HIPG shall provide the following documents to the Oklahoma Insurance Department for review and approval:(1) All HIPG documents.(2) Contracts between the HIPG and HIPG health carrier.(3) All administrative agreements.(4) Plan of Operations.(5) Marketing methods to be used.(6) Constitutions and/or bylaws.(7) Names of five representatives of eligible employers.(8) Employer eligibility requirements(9) Requirements for membership and disclosure requirements.(b) HIPG contracts shall contain a termination provision that shall provide for the following:(1) Basis for HIPG employer to terminate participation in the HIPG.(2) Provisions for a refund of all deposits collected upon termination.(3) Reasons for termination, including but not limited to failure of the HIPG to perform pursuant to the HIPG documents.(c) Plan documents shall be written by the HIPG insurance carrier(d) Contracts that provide for the automatic renewal after the initial twelve month period shall allow employers to exit the HIPG without penalty after the initial twelve months have expired.(e) Contracts that include additional contract periods shall provide for the termination of the contracts at the discretion of the employer during said additional twelve month periods.(f) The HIPG contract that extends for additional periods of time may be terminated by written notice of termination by the employer. Such notice shall be given no later than thirty days prior to the expiration of the current contract period.(g) The documents submitted shall not be used by the HIPG until approved by the Oklahoma Insurance Department.