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Oklahoma · Snapshot open-us-law v2026.08, retrieved 2026-09-14

Okla. Stat. tit. 36, § 36-6060.12: Exempted plans - Calculation of increase in premium

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Where this section sits in the code
  1. OK Code
  2. Title 36

cost.

1. A health benefit plan that, at the end of its base period,

experiences a greater than two percent (2%) increase in premium

costs pursuant to providing benefits for treatment of mental health

and substance use disorders shall be exempt from the provisions of

Section 6060.11 of this title.

2. To calculate base-period-premium costs, the health benefit

plan shall subtract from premium costs incurred during the base

period, both the premium costs incurred during the period

immediately preceding the base period and any premium cost increases

attributable to factors unrelated to benefits for treatment of

mental health and substance use disorders.

3. a. To claim the exemption provided for in paragraph 1 of

this section a health benefit plan shall provide to

the Insurance Commissioner a written request signed by

an actuary stating the reasons and actuarial

assumptions upon which the request is based.

b. The Commissioner shall verify the information provided

and shall approve or disapprove the request within

thirty (30) days of receipt.

c. If, upon investigation, the Commissioner finds that

any statement of fact in the request is found to be

knowingly false, the health benefit plan may be

subject to suspension or loss of license or any other

penalty as determined by the Commissioner with regard

to health maintenance organizations.

Collected 2026-09-14T18:32:36Z. Source file · JSON

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