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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 40. Health Maintenance Organizations (HMO) |
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Subchapter 5. Life, Accident & Health Division and Consumer Assistance and Claims Division Rules |
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Part 21. GEOGRAPHIC SERVICE AREA VARIATIONS |
SECTION 365:40-5-112. Geographic area filings
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- (a) Each HMO shall describe its proposed service area in terms of political boundaries, zip codes, or geographic boundaries.(b) Each HMO shall provide to the Department a map of the complete service area clearly showing the service area boundaries, main traffic arteries, and any physical barriers such as mountains and rivers. The HMO shall show on the map the location of ambulatory and hospital providers. The HMO must mark six equidistant points along the boundary, and calculate mean travel time from those six points to the nearest primary and emergency services sites.(c) The HMO shall provide the information required in this Section in its license application filed pursuant to 36 O.S. § 6903.