§36-6919. Examination of affairs, programs, books, and records -
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/ok/title-36-insurance/36-6919·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Payment of expenses.
A. The Insurance Commissioner may make an examination of the affairs of any health maintenance organization, producers and providers with whom the organization has contracts, agreements or other arrangements pursuant to the provisions of Sections 309.1 through 309.7 of this title.
B. The Insurance Commissioner may require a health maintenance organization to contract for an examination concerning the quality assurance program of the health maintenance organization and of any providers with whom the organization has contracts, agreements or other arrangements as often as is reasonably necessary for the protection of the interests of the people of this state, but not less frequently than once every three
(3)years.
C. Every health maintenance organization and provider shall submit its books and records for examination and in every way facilitate the completion of an examination. For the purpose of an examination, the Insurance Commissioner may administer oaths to, and examine the officers and agents of the health maintenance organization and the principals of the providers concerning their business.
D. Any health maintenance organization examined shall pay the proper charges incurred in such examination, including the actual expense of the Insurance Commissioner or the expenses and compensation of any authorized representative and the expense and compensation of assistants and examiners employed therein. All expenses incurred in such examination shall be verified by affidavit and a copy shall be filed in the office of the Insurance Commissioner.
E. In lieu of an examination, the Insurance Commissioner may accept the report of an examination made by the health maintenance organization regulatory entity of another state. Added by Laws 2003, c. 197, § 19, eff. Nov. 1, 2003. Amended by Laws 2021, c. 478, § 39, emerg. eff. May 12, 2021.