{"data":{"id":"us-ok/okla.-stat.-tit.-63-63-2200.32","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 63, § 63-2200.32","heading":"Prohibited actions by health carriers","body":"A. For purposes of this section:\n\n1. \"Covered person\" means a policyholder, subscriber, enrollee,\n\nmember or individual covered by a health benefit plan;\n\n2. \"Health benefit plan\" means a policy, contract, certificate,\n\nor agreement entered into, offered or issued by a health carrier to\n\nprovide, deliver, arrange for, pay for or reimburse any of the costs\n\nof health care services. Health benefit plan shall not include a\n\nplan providing coverage for excepted benefits and short term\n\npolicies that have a term of less than twelve (12) months; and\n\n3. \"Health carrier\" means an entity subject to the insurance\n\nlaws and regulations of this state, or subject to the jurisdiction\n\nof the Insurance Commissioner, that contracts or offers to contract\n\nto provide, deliver, arrange for, pay for or reimburse any of the\n\ncosts of health care services including through a health benefit\n\nplan as defined in this section, and shall include a sickness and\n\naccident insurance company, a health maintenance organization, a\n\npreferred provider organization or any similar entity, or any other\n\nentity providing a plan of health insurance or health benefits.\n\nB. A health carrier that provides coverage for anatomical\n\ngifts, organ transplants or related treatment and services shall\n\nnot:\n\n1. Deny coverage to a covered person solely on the basis of the\n\nperson's disability;\n\n2. Deny to a patient eligibility, or continued eligibility, to\n\nenroll or to renew coverage under the terms of the health benefit\n\nplan, solely for the purpose of avoiding the requirements of this\n\nsection;\n\n3. Penalize or otherwise reduce or limit the reimbursement of\n\nan attending provider, or provide monetary or nonmonetary incentives\n\nto an attending provider, to induce such provider to provide care to\n\nan insured or enrollee in a manner inconsistent with this section;\n\nor\n\n4. Reduce or limit coverage benefits to a patient for the\n\nmedical services or other services related to organ transplantation\n\nperformed pursuant to this section as determined in consultation\n\nwith the attending physician and patient.\n\nC. In the case of a health benefit plan maintained pursuant to\n\none or more collective bargaining agreements between employee\n\nrepresentatives and one or more employers, any plan amendment made\n\npursuant to a collective bargaining agreement relating to the plan\n\nwhich amends the plan solely to conform to any requirement imposed\n\npursuant to this section shall not be treated as a termination of\n\nthe collective bargaining agreement.\n\nD. Nothing in this section shall be construed to require a\n\nhealth carrier to provide coverage for a medically inappropriate\n\norgan transplant.\n\nE. The Insurance Commissioner shall promulgate rules to\n\nimplement the provisions of this section.","path":["OK Code","Title 63"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os63.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"e8c07c6395e0d402f5fe76c2f13b7f30301624d690f0fe5b653f8454acdaec6c","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-63-63-2200.31","next":"us-ok/okla.-stat.-tit.-63-63-2200.3a"},"notice":"GroundRules: Original legal text. Not legal advice."}