Oklahoma § 36-6981 - Policy of coverage — Issuance to enrollees — Filing and

§ 36-6981. Policy of coverage — Issuance to enrollees — Filing and

approval — Requirements.

A. Every enrollee of a prepaid vision plan shall be issued a

coverage policy by the prepaid vision plan organization. No policy

for coverage or amendment to the policy shall be issued or delivered

to any person in this state until a copy of the policy for coverage

or amendment to the policy has been filed with and approved by the

Insurance Commissioner.

B. A policy for coverage shall contain a statement of:

1. The prepaid vision services or other benefits to which the

enrollee is entitled under the prepaid vision plan;

Oklahoma Statutes - Title 36. Insurance

2. Any limitations of the services or benefits to which the

enrollee is entitled under the prepaid vision plan;

3. Information as to how services may be obtained; and

4. The obligation of the enrollee for charges for the prepaid

vision plan.

C. The Commissioner shall approve any policy of coverage if the

requirements of this section are complied with and the prepaid

vision plan, in the judgment of the Commissioner, is able to meet

its financial obligations for the membership coverage. It shall be

unlawful for a prepaid vision plan organization to issue a policy

until it is approved by the Commissioner.

D. 1. If the Commissioner does not disapprove any policy

within thirty (30) days after filing, the policy shall be deemed

approved.

2. If the Commissioner disapproves a policy of membership

coverage, the Commissioner shall notify the prepaid vision plan

organization, specifying the reasons for disapproval. The

Commissioner shall grant a hearing on any disapproval within thirty

(30) days after a request in writing for a hearing is received by

the Commissioner from the prepaid vision plan organization.

Added by Laws 2024, c. 360, § 10, emerg. eff. May 30, 2024.