OAC 310:657-17-2

Contents of the insurers' or insureds' contract

Year: 2026Length: 108 wordsOfficial source

Cite as Okla. Admin. Code ยง 310:657-17-2

Each contract shall contain a clear statement of the following: (1) Plan's name and address; (2) Eligibility requirements; (3) Medical and health services in the area; (4) Emergency care services and procedures for authorizing emergency services by non-Plan providers; (5) Out of area services; (6) Limits and excluded items; (7) Employee termination; (8) Employee reinstatement; (9) Claims procedures, if any; (10) Dispute resolution and grievance procedures; (11) Continuing coverage; (12) Extension of benefits; (13) Substitution of creditors; (14) Geographic service area; (15) Entire contract provision; (16) Term of coverage; (17) Renewing contract; (18) Canceling contract; (19) Reinstatement of contract; (20) Grace period; and (21) Conformity with state law.
OAC 310:657-17-2: Contents of the insurers' or insureds' contract | Justis AI