Oklahoma § 36-4526 - Services for members – Contracts with third-party

§ 36-4526. Services for members – Contracts with third-party

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.

Oklahoma Statutes - Title 36. Insurance

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.