{"data":{"id":"us-ok/okla.-stat.-tit.-36-36-6148","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 36, § 36-6148","heading":"Policy for membership coverage","body":"A. Every member in a prepaid dental plan shall be issued a\n\nmembership coverage policy by the prepaid dental plan organization.\n\nB. No policy for membership coverage or amendment to said\n\npolicy shall be issued or delivered to any person in this state\n\nuntil a copy of the policy for membership coverage or amendment to\n\nsaid policy has been filed with and approved by the Commissioner.\n\nC. A policy for membership coverage shall contain a statement\n\nof:\n\n1. The prepaid dental services or other benefits to which the\n\nmember is entitled under the prepaid dental plan; and\n\n2. Any limitations of the services or benefits to be provided,\n\nincluding any deductible or co-payment feature; and\n\n3. Information as to how services may be obtained; and\n\n4. The obligation of the member for charges for the prepaid\n\ndental plan.\n\nD. Any member in a prepaid dental plan shall be free to select\n\nany licensed dental practitioner to provide dental services and\n\nprepayment or reimbursement determinations shall be made without\n\nregard to whether the provider is a participating or\n\nnonparticipating member of the plan. This provision shall be\n\nprinted on the policy for membership coverage.\n\nE. Membership coverage shall contain no provisions or\n\nstatements which are unjust, unfair, untrue, inequitable,\n\nmisleading, deceptive, or which encourage misrepresentation as\n\ndetermined by the Commissioner.\n\nF. The Commissioner shall approve any policy of membership\n\ncoverage if the requirements of this section are complied with and\n\nthe prepaid dental plan, in the judgment of the Commissioner, is\n\nable to meet its financial obligations for the membership coverage.\n\nIt shall be unlawful for a prepaid dental plan organization to issue\n\na policy until approved. If the Commissioner does not disapprove\n\nany such policy within thirty (30) days after filing, said policy\n\nshall be deemed approved. If the Commissioner disapproves a policy\n\nof membership coverage, the Commissioner shall notify the prepaid\n\ndental plan organization, specifying the reasons for disapproval.\n\nThe Commissioner shall grant a hearing on such disapproval within\n\nthirty (30) days after a request in writing for a hearing is\n\nreceived by the Commissioner from the prepaid dental plan\n\norganization.","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":"c7c1a257aa68a13d95aee39a65e760994f3880060939c100ce039a7bae0ffc48","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-36-36-6147","next":"us-ok/okla.-stat.-tit.-36-36-6149"},"notice":"GroundRules: Original legal text. Not legal advice."}