§36-4526. Services for members – Contracts with third-party
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/ok/title-36-insurance/36-4526·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
administrators – Information to be disseminated to members – Administrative charges.
A. Each Health Insurance Purchasing Group
(HIPG)may provide administrative services for its members. The services may include, but are not limited to, accounting, billing, enrollment information, and employee coverage status reports.
B. The HIPG may delegate or contract its billing and other administrative duties to a third-party administrator as defined under Article 14B of the Oklahoma Insurance Code.
C. 1. Nothing in this section shall be construed as preventing a HIPG from serving as an administrative service organization to any entity.
2. Each HIPG shall collect and disseminate or arrange for the collection and dissemination of consumer-oriented information on the scope, cost, and enrollee satisfaction of all coverage options offered through the HIPG to its members.
3. The information shall be defined by the HIPG and shall be in a manner appropriate to the type of coverage offered.
4. To the extent practicable, the information shall include information on provider performance, locations, and hours of operation of providers, outcomes, and similar matters.
5. Nothing in this section shall be construed as preventing the dissemination of the information or other information by the HIPG or by the health care insurer through electronic or other means.
D. The contract between a HIPG and a HIPG health carrier shall provide that the HIPG may collect premiums on behalf of the issuer for coverage, less a predetermined administrative charge negotiated by the HIPG and the issuer. Added by Laws 2002, c. 276, § 6, eff. Nov. 1, 2002.