Oklahoma § 36-6060.13 - Incremental impact on premium costs - Analysis and

§ 36-6060.13. Incremental impact on premium costs - Analysis and

report by Commissioner.

A. The Insurance Commissioner shall analyze any direct

incremental impact on premium costs pursuant to the requirements of

Section 6060.11 of this title. The Commissioner shall submit a

report of all preliminary data and findings to the Governor, the

President Pro Tempore of the Senate and the Speaker of the House of

Representatives by May 1, 2000, with subsequent updates submitted by

November 1, 2000; May 1, 2001; November 1, 2001; May 1, 2002, and

November 1, 2002.

B. 1. The Commissioner shall submit a final report to the

Governor, the President Pro Tempore of the Senate and the Speaker of

the House of Representatives by December 1, 2002, which shall

include, but not be limited to, the collection and analysis of data

provided by health benefit plans including, but not limited to:

a.

a determination of the average premium increase

directly attributable to providing benefits for

treatment of mental health and substance use disorders

Oklahoma Statutes - Title 36. Insurance

pursuant to the provisions of Section 6060.11 of this

title by health benefit plans in this state incurred

during the first year of implementation of Section

6060.10 et seq. of this title, and any additional

premium increases incurred during the second and third

year of implementation,

b.

information on the number of claims filed and the

total amount expended on those claims for benefits for

treatment of mental health and substance use

disorders,

c.

information on the utilization of services listed in

subsection C of Section 6060.11 of this title, and

d.

actuarial assumptions used in determining premium

costs for providing the required benefits.

2. The final report shall also include, to the extent possible,

an analysis of any other direct or indirect benefit of requiring

benefits for treatment of mental health and substance use disorders.

C. 1. All health benefit plans shall provide the data required

by this subsection in such form and at such time as the Commissioner

shall prescribe.

2. The Commissioner shall compile and report the data provided

by the health benefit plans in such a way as to keep individual plan

information confidential, unless the plan gives explicit permission

to release such identifiable information.

D. If the report required by subsection A of this section shows

that the cumulative average premium increase incurred during the

first three (3) years of implementation of Section 6060.10 et seq.

of this title that is directly attributable to the provision of

benefits for treatment of mental health and substance use disorders

is greater than six percent (6%), the requirements of Section 2 of

this act shall terminate May 1, 2003, and any agreement, contract or

policy issued after May 1, 2003, shall not be required to provide

benefits for treatment of mental health and substance use disorders.

Added by Laws 1999, c. 153, § 4, eff. Jan. 1, 2000. Amended by Laws

2020, c. 75, § 4, eff. Nov. 1, 2020.