SECTION 810:25-11-17. Third-party administration  


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  • (a)   The association must contract with a third party to provide claims adjusting, underwriting, industrial safety engineering, marketing and accounting functions. More than one organization can be contracted with to provide these services. The company providing the claims adjusting and marketing must be a third-party administrator licensed by the Commission.
    (b)   All copies of contracts between the association and any organization providing services to association shall be filed with the Commission. Any change in contract must be filed with the Commission ten (10) days' before the effective date.
    (c)   Any contract with a TPA for claims adjusting must state the TPA agrees to handle all claims incurred to their conclusion, unless approval to transfer the claims is obtained from the Commission before such transfer.
    (d)   A company providing marketing services to a self-insurance program must be approved by the Commission's Permitting Services Division. The company requesting approval must submit to the Commission's Permitting Services Division all marketing material prior to being utilized by an association.
[Source: Added at 31 Ok Reg 497, eff 2-4-14 (emergency); Added at 32 Ok Reg 1493, eff 8-27-15; Amended at 35 Ok Reg 2312, eff 9-14-18]