§36-6835. Definitions.
366 words·~2 min read·
/ok/title-36-insurance/36-6835·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
As used in this act:
1. "Insurance compliance audit" means a voluntary internal evaluation, review, assessment, audit, or investigation for the purpose of identifying or preventing noncompliance with, or promoting compliance with, laws, regulations, orders, or industry or professional standards, which is conducted by or on behalf of a company licensed or regulated under the Oklahoma Insurance Code, or which involves an activity regulated under this Code. Once initiated, an audit shall be completed within a reasonable period of time. Nothing in this section shall be construed to authorize uninterrupted or continuous auditing; and
2. "Insurance compliance self-evaluative audit document" means documents prepared as a result of or in connection with an insurance compliance audit. An insurance compliance self-evaluative audit document may include, but is not limited to, as applicable, field notes and records of observations, findings, opinions, suggestions, conclusions, drafts, memoranda, drawings, photographs, exhibits, computer-generated or electronically recorded information, phone records, maps, charts, graphs, and surveys; provided, this supporting information is collected or developed for the primary purpose and in the course of an insurance compliance audit.
An insurance compliance self-evaluative audit document also includes, but is not limited to, any of the following:
a.
an insurance compliance audit report prepared by an
auditor, who may be an employee of the company or an
independent contractor, which may include the scope of
the audit, the information gained in the audit, and
conclusions and recommendations, with exhibits and
appendices,
b. memoranda and documents analyzing portions or all of
the insurance compliance audit report and discussing
potential implementation issues,
c. an implementation plan that addresses correcting past
noncompliance, improving current compliance, and
preventing future noncompliance, or
d. analytic data generated in the course of conducting
the insurance compliance audit.
Documents, communications, data, reports or other information which are created as a result of a claim involving personal injury, property damage or workers’ compensation made against an insurance policy are not insurance compliance self-evaluative audit documents and are admissible as evidence in civil, criminal or administrative proceedings as otherwise provided by applicable rules of evidence or civil procedure, subject to any applicable statutory or common-law privilege. Added by Laws 2012, c. 257, § 6, eff. Nov. 1, 2012.