{"data":{"id":"us-ok/okla.-stat.-tit.-36-36-4522","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 36, § 36-4522","heading":"Definitions","body":"As used in the Employer Health Insurance Purchasing Group Act:\n\n1. \"Commissioner\" means the Oklahoma Insurance Commissioner;\n\n2. \"Eligible employee\" means an employee or individual who\n\nworks the number of hours per week designated by the employer as\n\nfull-time employment and is qualified to enroll in a health benefit\n\nplan offered through a HIPG;\n\n3. \"Eligible employer\" means an employer employing no more than\n\none hundred eligible employees;\n\n4. \"Employer\", \"employee\", and \"dependent\", unless otherwise\n\ndefined in this section, shall have the meaning applied to the terms\n\nwith respect to the coverage under the laws of the state relating to\n\nthe coverage and the issuer;\n\n5. \"Full time\" shall be defined by the employer, but in no\n\nevent shall it be less than twenty-four (24) hours per week;\n\n6. \"Health benefits plan\" means a group plan, group policy, or\n\ngroup contract for health care services, issued or delivered by a\n\nHIPG health carrier, excluding plans, policies, or contracts\n\nproviding health care benefits or health care services pursuant to\n\nthe Workers’ Compensation Laws and mandatory liability laws;\n\n7. \"Health insurer\" means any entity which provides health\n\ninsurance in this state. For the purposes of the Employer Health\n\nInsurance Purchasing Group Act, “health insurer” includes a licensed\n\ninsurance company, not-for-profit hospital service or medical\n\nindemnity corporation, or a health maintenance organization;\n\n8. \"HIPG\" means a Health Insurance Purchasing Group meeting the\n\nrequirements of this act;\n\n9. \"HIPG health carrier\" means a health insurer as defined in\n\nthis act;\n\n10. \"Large group\" means a combination of two or more eligible\n\nemployers belonging to a HIPG;\n\n11. \"Limited benefit contract\" means, for the purposes of this\n\nact, a policy or certificate that does not contain state-mandated\n\nhealth benefits;\n\n12. \"Member\" means an individual enrolled for health benefits\n\ncoverage in a HIPG;\n\n13. \"Purchaser\" means an eligible employer that has contracted\n\nwith a HIPG for the purchase of health benefits coverage;\n\n14. a. \"State-mandated health benefits\" means coverages for\n\nhealth care services or benefits, required by state\n\nlaw or state regulations, requiring the reimbursement\n\nor utilization related to a specific illness, injury,\n\nor condition of the covered person, or inclusion of a\n\nspecific category of licensed health care practitioner\n\nto be provided to the covered person in a health\n\nbenefits plan for a health-related condition of a\n\ncovered person. Provided, that for the purposes of\n\nthe options provided by this act, state-mandated\n\nhealth benefits which may be excluded in whole or in\n\npart shall not include any health care services or\n\nbenefits which were mandated by federal law, and\n\nb. \"State-mandated health benefits\" does not mean\n\nstandard provisions or rights required to be present\n\nin a health benefit plan pursuant to state law or\n\nstate regulations unrelated to a specific illness,\n\ninjury or condition of the insured, including, but not\n\nlimited to, those related to continuation of benefits\n\nfound in Article 45 of the Oklahoma Insurance Code;\n\nand\n\n15. \"Total eligible employees\" means two hundred or more\n\neligible employees.","path":["OK Code","Title 36"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os36.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"f8477115a93b541c59edf5489119220681cd5c84018e619925cafe6dd73b499c","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-36-36-4521","next":"us-ok/okla.-stat.-tit.-36-36-4523"},"notice":"GroundRules: Original legal text. Not legal advice."}