Oklahoma § 36-4501 - Eligible groups

§ 36-4501. Eligible groups

Group accident and health insurance is hereby declared to be

that form of accident and health insurance covering groups of

persons as defined below, with or without one or more members of

their families or one or more of their dependents, or covering one

or more members of the families or one or more dependents of persons

in such groups, and issued upon the following basis:

1. Under a policy issued to an association, which has been in

existence for at least twelve (12) months, including a labor union,

which shall have a constitution and bylaws and which has been

organized and is maintained in good faith for purposes other than

that of obtaining insurance, insuring at least ten members,

employees, or employees of members of the association for the

benefit of persons other than the association or its officers or

trustees. The term "employees" as used herein shall be deemed to

include retired employees;

2. Under a policy issued to the trustees of a fund established

by two or more employers or by one or more labor unions or by one or

more employers and one or more labor unions, which trustees shall be

deemed the policyholder, to insure employees of the employers or

members of the unions for the benefit of persons other than the

employers or the unions. The term "employees" as used herein shall

be deemed to include the officers, managers and employees of the

employer, and the individual proprietor or partners if the employer

is an individual proprietor or partnership. The term "employees" as

used herein shall be deemed to include retired employees. The

policy may provide that the term "employees" shall include the

trustees or their employees, or both, if their duties are

principally connected with such trusteeship;

3. Under a policy issued to any persons or organizations to

which a policy of group life insurance may be delivered in this

state, to insure any class or classes of individuals that could be

insured under such group life policy;

4. Under a health insurance policy issued to an employer or

trustees of a fund established by an employer, who shall be deemed

the policyholder insuring at least one employee of such employer for

the benefit of persons other than the employer. The term "employee"

as used herein shall be deemed to include the officers, managers,

and employees of the employer, the individual proprietor or partners

if the employer is an individual proprietor or partnership, the

officers, managers, and employees of subsidiary or affiliated

Oklahoma Statutes - Title 36. Insurance

corporations, the individual proprietors, partners and employees of

individuals and firms, if the business of the employer and such

individual or firm is under common control through stock ownership,

contract, or otherwise. The term "employee" as used herein shall be

deemed to include retired employees and their dependents and the

dependents of employees eligible for Medicare. A policy issued to

insure employees of a public body may provide that the term

"employees" shall include elected or appointed officials;

5. Under a policy issued to cover any other substantially

similar group which, in the discretion of the Insurance

Commissioner, may be subject to the issuance of a group accident and

health policy or contract; and

6. Nothing in this article validates any charge or practice

illegal under any rule of law or regulation governing usury, small

loans, retail installment sales, or the like, or extends the

application of any such rule of law or regulation to any transaction

not otherwise subject thereto.

Added by Laws 1957, p. 398, § 4501. Amended by Laws 1990, c. 114, §

1, eff. Sept. 1, 1990; Laws 1992, c. 304, § 1, eff. Jan. 1, 1993;

Laws 1994, c. 294, § 9, eff. Sept. 1, 1994; Laws 2008, c. 184, § 20,

eff. July 1, 2008.