Okla. Stat. tit. 36, § 36-4522: Definitions

As used in the Employer Health Insurance Purchasing Group Act:

1. "Commissioner" means the Oklahoma Insurance Commissioner;

2. "Eligible employee" means an employee or individual who

works the number of hours per week designated by the employer as

full-time employment and is qualified to enroll in a health benefit

plan offered through a HIPG;

3. "Eligible employer" means an employer employing no more than

one hundred eligible employees;

4. "Employer", "employee", and "dependent", unless otherwise

defined in this section, shall have the meaning applied to the terms

with respect to the coverage under the laws of the state relating to

the coverage and the issuer;

5. "Full time" shall be defined by the employer, but in no

event shall it be less than twenty-four (24) hours per week;

6. "Health benefits plan" means a group plan, group policy, or

group contract for health care services, issued or delivered by a

HIPG health carrier, excluding plans, policies, or contracts

providing health care benefits or health care services pursuant to

the Workers’ Compensation Laws and mandatory liability laws;

7. "Health insurer" means any entity which provides health

insurance in this state. For the purposes of the Employer Health

Insurance Purchasing Group Act, “health insurer” includes a licensed

insurance company, not-for-profit hospital service or medical

indemnity corporation, or a health maintenance organization;

8. "HIPG" means a Health Insurance Purchasing Group meeting the

requirements of this act;

9. "HIPG health carrier" means a health insurer as defined in

this act;

10. "Large group" means a combination of two or more eligible

employers belonging to a HIPG;

11. "Limited benefit contract" means, for the purposes of this

act, a policy or certificate that does not contain state-mandated

health benefits;

12. "Member" means an individual enrolled for health benefits

coverage in a HIPG;

13. "Purchaser" means an eligible employer that has contracted

with a HIPG for the purchase of health benefits coverage;

14. a. "State-mandated health benefits" means coverages for

health care services or benefits, required by state

law or state regulations, requiring the reimbursement

or utilization related to a specific illness, injury,

or condition of the covered person, or inclusion of a

specific category of licensed health care practitioner

to be provided to the covered person in a health

benefits plan for a health-related condition of a

covered person. Provided, that for the purposes of

the options provided by this act, state-mandated

health benefits which may be excluded in whole or in

part shall not include any health care services or

benefits which were mandated by federal law, and

b. "State-mandated health benefits" does not mean

standard provisions or rights required to be present

in a health benefit plan pursuant to state law or

state regulations unrelated to a specific illness,

injury or condition of the insured, including, but not

limited to, those related to continuation of benefits

found in Article 45 of the Oklahoma Insurance Code;

and

15. "Total eligible employees" means two hundred or more

eligible employees.