SECTION 810:25-11-22. Miscellaneous operating guidelines  


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  • (a)   The assets of a group self-insurance association and control thereof are property of the members under the direction of its supervisory board members.
    (b)   The association's standard premium by the end of its first fiscal year and for all subsequent fiscal years shall not be less than One Million Dollars ($1,000,000.00);
    (c)   Any change in the bylaws and/or contracts with the association must be filed promptly with the Commission.
    (d)   Any false or misleading solicitation of membership in the group self-insurance association may be cause for cancellation of approval of the TPA, marketing organization, and the group self-insurance association as a whole.
    (e)   Any recalculation of premium, due to experience modification, cannot be retroactive more than one hundred eighty (180) days.
    (f)   A cancellation short rate penalty may not be charged if the member has been a member of the association at least twelve (12) months before the cancellation.
    (g)   Any trade membership dues must be collected separate from the group self-insurance association. Services provided by the trade association must be fully explained to members joining the trade association.
    (h)   A separate safety program may not be sold to a member by a marketer of the association.
    (i)   At least ninety percent (90%) of all expense constant fees collected shall be deposited directly into the association's general revenues. No portion of these fees may be paid to any group or individual contracted with the association in an amount greater than that of the normal sales commission allowed.
    (j)   All billing and receiving will be supervised and reviewed by the TPA and the administrator of the association. All monies must be deposited promptly in the association's designated Oklahoma depository account.
    (k)   Wrongfully changing employee classification codes or rates are grounds for immediate revocation of the approval of the TPA, marketing organization, and the group self-insurance association as a whole.
    (l)   The members' supervisory board can be reimbursed its travel and incidental expenses incurred during its services as a member of the board. Board members may not be paid a salary. A group self-insurance association shall comply with Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA), including all MMSEA workers' compensation reporting requirements, to the extent and as provided by Federal law.
    (m)   A group self-insurance association shall comply with Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA), including all MMSEA workers' compensation reporting requirements, to the extent, and as provided by, federal law.
[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]