Oklahoma § 74-1314.4 - Supplemental health insurance

§ 74-1314.4. Supplemental health insurance

(1) The Oklahoma Employment Security Commission shall provide

supplemental health insurance, in the manner provided in Section

1314.5 of this title for Agency Plan participants. Such

supplemental insurance shall cover material differences between the

Oklahoma Statutes - Title 74. State Government

coverage under the State Plan and the Agency Plan. Material

differences as of the effective date of this act are:

(a) The difference between the Agency Plan and the State

Plan with regard to the amount of the lifetime maximum

benefit;

(b) The difference between the Agency Plan and the State

Plan with regard to the amount of the annual hospital

copayment;

(c) The difference between the Agency Plan and the State

Plan with regard to the amount of the retiree

prescription copayment;

(d) The difference between the Agency Plan and the State

Plan with regard to the allowable cost for a medical

procedure; provided the procedure was not readily

available from a provider under the State Plan.

(2) The Commission may vary the terms of the supplemental

health insurance at such times as there is a material change in the

coverage offered under the State Plan from coverage offered under

the Federal Plan.

(3) The Commission may require participants to share in the

cost of the supplemental health insurance or contribute to

copayments and/or provide for deductibles, if required by the United

States Department of Labor; provided that the cost to the

participant for both the State Plan and the supplemental health

insurance does not exceed the cost to the participant for the Agency

Plan as estimated by the Commission.

Added by Laws 1990, c. 303, § 3, emerg. eff. May 30, 1990. Amended

by Laws 2004, c. 278, § 2, emerg. eff. May 10, 2004.