Oklahoma Administrative Code
Title 317 - Oklahoma Health Care Authority
Chapter 45 - Insure Oklahoma
Subchapter 5 - Insure Oklahoma Qualified Benefit Plans
Section 317:45-5-2 - Closure criteria for benefit plans
Current through Vol. 41, No. 13, March 15, 2024
Eligibility for the carrier's benefit plans ends when:
(1) changes are made to the design of the benefit plan such that it no longer meets the requirements to be considered a qualified benefit plan. Carriers are required to report to OHCA any changes in health plans potentially affecting their qualification for participation in the program not less than 90 days prior to the effective date of such change(s).
(2) the carrier no longer meets the definition set forth in 317:45-1-3.
(3) the benefit plan is no longer an available product in the Oklahoma market.
(4) the benefit plan fails to meet or comply with all requirements for a qualified benefit plan as defined in 317:45-5-1.
Added at 23 Ok Reg 278, eff 10-3-05 (emergency); Added at 23 Ok Reg 1407, eff 5-25-06; Amended at 26 Ok Reg 2169, eff 6-25-09; Amended at 27 Ok Reg 2391, eff 7-1-10 (emergency); Amended at 28 Ok Reg 1574, eff 6-25-11
