Oklahoma § 36-6910 - Information to be provided to subscribers

§ 36-6910. Information to be provided to subscribers

Every health maintenance organization (HMO) shall:

1. Provide to its subscribers electronically or in paper copy a

list of providers upon enrollment and make such list available

electronically or in paper copy upon reenrollment; provided, a

subscriber has submitted written assurances that the subscriber can

view and print such electronic copy;

2. Provide to its subscribers notice of any material change in

the operation of the organization that will affect them directly, no

later than thirty (30) days after such change;

3. Immediately notify an enrollee in writing of the termination

of the enrollee’s primary care provider and shall provide assistance

to the enrollee in transferring to another participating primary

care provider; and

4. Provide to subscribers, electronically or in paper copy,

information on:

a.

how to obtain services,

b.

where to obtain additional information on access to

services, and

c.

how to contact the HMO at no cost to the enrollee.

Added by Laws 2003, c. 197, § 10, eff. Nov. 1, 2003.