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§ 6060.41. Definitions

Oklahoma Statutes AnnotatedTitle 36. InsuranceEffective: August 26, 2022

Oklahoma Statutes Annotated
Title 36. Insurance (Refs & Annos)
Chapter 2. Miscellaneous Provisions
Oklahoma Right to Shop Act
Effective: August 26, 2022
36 Okl.St.Ann. § 6060.41
§ 6060.41. Definitions
As used in the Oklahoma Right to Shop Act:
1. “Allowed amount” means the contractually agreed-upon amount paid by a carrier to a health care entity participating in the network of the carrier;
2. “Comparable health care service” means any covered nonemergency health care service or bundle of services. The Insurance Commissioner may limit what is considered a comparable health care service if an insurance carrier can demonstrate allowed amount variation among network providers is less than Fifty Dollars ($50.00);
3. “Health benefit plan” means any plan as defined in subsection C of Section 6060.4 of Title 36 of the Oklahoma Statutes;
4. “Insurance carrier” or “carrier” means an insurance company that issues policies of accident and health insurance and is licensed to sell insurance in this state;
5. “Shared savings incentive” means a voluntary and optional financial incentive that an insurance carrier may provide to an enrollee for choosing certain health care services under a shared savings incentive program; and
6. “Shared savings incentive program” means a voluntary and optional incentive program established by an insurance carrier pursuant to this act.

Credits

Laws 2022, c. 151, § 2.
36 Okl. St. Ann. § 6060.41, OK ST T. 36 § 6060.41
Current with emergency effective legislation through Chapter 295 of the Second Regular Session of the 59th Legislature (2024). Some sections may be more current, see credits for details.
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