SECTION 365:25-29-15. Examinations of PBMs and health insurers


Latest version.
  • (a)   Pursuant to 36 O.S. § 6965, the Commissioner may examine PBMs for compliance with the 59 O.S §§ 357-360 and 36 O.S. §§ 6958-6968.
    (b)   Pursuant to 36 O.S. § 309.1 through 309.7, the Commissioner may examine health insurers for compliance with 36 O.S. §§ 6958-6968.
    (c)   Any examination permitted under 36 O.S.§ 6965 will follow the examination procedures and requirements applicable to insurers under 36 O.S. §§309.1 through 309.7.
    (d)   The Commissioner shall not be required to regularly examine a PBM under the same time constraints, as required under 36 O.S. §§ 309.1 through 309.7, applicable to insurers, however, the Commissioner may examine the PBM, pursuant to 36 O.S. § 6965, at any time, in which he or she believes it reasonably necessary to ensure compliance with 59 O.S §§ 357-360 and 36 O.S. §§ 6958-6968 or provisions of this subchapter.
[Source: Added at 37 Ok Reg 135, eff 11-1-19 (emergency); Added at 37 Ok Reg 1926, eff 9-11-20]