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§ 6904. Certification by Insurance Commissioner--Issuance of certificate

Oklahoma Statutes AnnotatedTitle 36. InsuranceEffective: May 12, 2021

Oklahoma Statutes Annotated
Title 36. Insurance (Refs & Annos)
Chapter 2. Miscellaneous Provisions
Health Maintenance Organization Act of 2003
Effective: May 12, 2021
36 Okl.St.Ann. § 6904
§ 6904. Certification by Insurance Commissioner--Issuance of certificate
A. Upon receipt of an application for issuance of a certificate of authority, the Insurance Commissioner shall
within forty-five (45) days determine whether the applicant, with respect to health care services to be furnished, has complied with the provisions of Section 6907 of this title.
B. The Insurance Commissioner shall, within forty-five (45) days of determining compliance or deficiency, issue a certificate of authority to a person filing a completed application upon receipt of the prescribed fees and upon the Insurance Commissioner's being satisfied that:
1. The persons responsible for the conduct of the affairs of the applicant are competent and trustworthy, and possess good reputations;
2. Any deficiency identified has been corrected and the Insurance Commissioner has determined that the health maintenance organization's proposed plan of operation meets the requirements of Section 6907 of this title;
3. The health maintenance organization will effectively provide or arrange for the provision of basic health care services on a prepaid basis, through insurance or otherwise, except to the extent of reasonable requirements for copayments or deductibles, or both; and
4. The health maintenance organization is in compliance with the provisions of Sections 6913 and 6915 of this title.
C. A certificate of authority shall be denied only after the Insurance Commissioner complies with the requirements of Section 6920 of this act title. No other criteria may be used to deny a certificate of authority.

Credits

Laws 2003, c. 197, § 4, eff. Nov. 1, 2003; Laws 2021, c. 478, § 36, emerg. eff. May 12, 2021.
36 Okl. St. Ann. § 6904, OK ST T. 36 § 6904
Current with emergency effective legislation through Chapter 257 of the Second Regular Session of the 59th Legislature (2024). Some sections may be more current, see credits for details.
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