Oklahoma § 36-6909 - Reports and statements

§ 36-6909. Reports and statements

A. Every health maintenance organization shall annually, on or

before the first day of March, file a report verified by at least

two principal officers with the Insurance Commissioner covering the

preceding calendar year. The report shall be on forms and shall

include all forms prescribed by the National Association of

Insurance Commissioners (NAIC). The report shall be filed with the

NAIC in electronic format, as approved by the NAIC, along with

applicable fees. In addition, the health maintenance organization

shall file with the Insurance Commissioner via electronic format and

a paper copy by the first day of March, unless otherwise stated:

1. Audited financial statements on or before June 1;

2. An actuarial opinion prepared and signed by a qualified

actuary;

3. A list of the providers who have executed a contract that

complies with the provisions of paragraph 1 of subsection D of

Section 13 of this act; and

4.

a.

a description of the grievance procedures, and

b.

the total number of grievances handled through these

procedures, a compilation of the causes underlying

those grievances, and a summary of the final

disposition of those grievances.

B. Domestic health maintenance organizations shall file

quarterly financial statements with the Insurance Commissioner on or

before the forty-fifth day following the end of each calendar

quarter other than the fourth quarter of each year. The report

shall be on forms and shall include all forms prescribed by the

NAIC. The report shall be filed with the NAIC in electronic format,

as approved by the NAIC, along with applicable fees.

C. The Insurance Commissioner may require additional reports

deemed necessary and appropriate to enable the Insurance

Commissioner to carry out his or her duties under this act.

Added by Laws 2003, c. 197, § 9, eff. Nov. 1, 2003.

Oklahoma Statutes - Title 36. Insurance