§36-6975. Agreement between provider and insurer or organization —
228 words·~1 min read·
/ok/title-36-insurance/36-6975·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Changes to agreement.
A. An insurer or prepaid vision plan organization shall not change or alter an agreement entered into with a vision care provider unless the insurer or organization:
1. Provides notice of any proposed change to the provider through a certified letter or an electronic communication requiring an electronic signature proving receipt detailing proposed changes to the vision care provider. A face-to-face or virtual meeting shall be conducted if requested by the provider. If the changes in the contract are not agreed to by the vision care provider within ninety
(90)days of the date of the provided notice, the agreement shall terminate; and
2. Supplies the vision care provider with an explanation of benefits and an explanation of payment for services and materials rendered by the provider upon request, regardless of the provider’s network status with the vision plan.
B. 1. A new agreement is required to be established and agreed upon after three or more material changes are made to an existing agreement from an insurer, vision plan, or vision care discount plan.
2. Any amendment to a proposed contract that is being reviewed by a provider prior to its execution and any amendment to an existing contract with a service provider shall be underlined to clearly indicate the contract modification. Added by Laws 2024, c. 360, § 4, emerg. eff. May 30, 2024.