Okla. Stat. tit. 74, § 74-1321v2: Determination of rates, benefits, and premiums

A. The Oklahoma Health Care Authority shall have the authority

to determine all rates and life, dental and health benefits. All

rates shall be compiled in a comprehensive Schedule of Benefits.

The Schedule of Benefits shall be available for inspection during

regular business hours at the Oklahoma Health Care Authority. The

Authority shall have the authority to annually adjust the rates and

benefits based on claim experience.

B. The premiums for such insurance plans offered for the next

plan year shall be established as follows:

1. For active employees and their dependents, the Authority's

premium determination shall be made no later than the bid submission

date for health maintenance organizations set by the Oklahoma

Employees Insurance and Benefits Board, which shall be set in August

no later than the third Friday of that month; and

2. For all other covered members and dependents, the

Authority's and the health maintenance organizations' premium

determinations shall be no later than the fourth Friday of

September.

C. The CEO of the Authority shall review for approval all rates

and life, dental, and health benefits for the state sponsored plans

recommended by the Oklahoma Employees Insurance and Benefits Board.

If approved by the CEO of the Authority, those rates and benefits

along with the final health maintenance organizations’ rates and

benefits shall be sent to the Director of the Office of Management

and Enterprise Services for final approval.

D. The Office may approve a mid-year adjustment requested by

the Authority provided the need for an adjustment is substantiated

by an actuarial determination or more current experience rating.

The only publication or notice requirements that shall apply to the

Schedule of Benefits shall be those requirements provided in the

Oklahoma Open Meeting Act and within this section. It is the intent

of the Legislature that the benefits provided not include cosmetic

dental procedures except for certain orthodontic procedures as

adopted by the Chief Executive Officer of the Authority.