Oklahoma § 74-1321

Full text of Oklahoma Oklahoma Statutes § 74-1321, with citation guidance and answers to common questions.

§ 74-1321.

See the following versions:

Oklahoma Statutes - Title 74. State Government

OS 74-1321v1 (SB 1310, Laws 2024, c. 123, § 5)

OS 74-1321v2 (HB 2108, Laws 2025, c. 379, § 29)

§74-1321v1. Determination of rates, benefits, and premiums.

A. The Oklahoma Health Care Authority shall have the authority

to determine all rates and life, dental and health benefits for

state-sponsored plans. All rates shall be compiled in a

comprehensive Schedule of Benefits. The Schedule of Benefits shall

be available for inspection during regular business hours at the

Authority. The Authority shall have the authority to annually

adjust the rates and benefits based on claim experience.

B. The premiums for such insurance plans offered for the next

plan year shall be established as follows:

1. For active employees and their dependents, the Authority’s

premium determination shall be made no later than the bid submission

date for health maintenance organizations set by the Oklahoma

Employees Insurance and Benefits Board, which shall be set in August

no later than the third Friday of that month; and

2. For all other covered members and dependents, the

Authority’s and the health maintenance organizations’ premium

determinations shall be no later than the fourth Friday of

September.

C. The Office may approve a mid-year adjustment requested by

the Authority provided the need for an adjustment is substantiated

by an actuarial determination or more current experience rating.

The only publication or notice requirements that shall apply to the

Schedule of Benefits shall be those requirements provided in the

Oklahoma Open Meeting Act and within this section. It is the intent

of the Legislature that the benefits provided not include cosmetic

dental procedures except for certain orthodontic procedures as

adopted by the Chief Executive Officer of the Authority.

Added by Laws 1977, c. 261, § 14, emerg. eff. June 17, 1977.

Amended by Laws 1982, c. 333, § 16, emerg. eff. June 1, 1982; Laws

1985, c. 230, § 7, emerg. eff. July 8, 1985; Laws 1986, c. 150, §

18, emerg. eff. April 29, 1986; Laws 1988, c. 165, § 23, operative

July 1, 1988; Laws 1997, c. 362, § 2; Laws 1999, c. 255, § 4, eff.

Nov. 1, 1999; Laws 2001, c. 197, § 7, emerg. eff. May 7, 2001; Laws

2002, c. 439, § 8, eff. July 1, 2002; Laws 2005, c. 198, § 4, emerg.

eff. May 18, 2005; Laws 2006, c. 231, § 5, eff. July 1, 2006; Laws

2012, c. 304, § 966; Laws 2024, c. 123, § 5, eff. July 1, 2024.

§74-1321v2. Determination of rates, benefits, and premiums.

A. The Oklahoma Health Care Authority shall have the authority

to determine all rates and life, dental and health benefits. All

rates shall be compiled in a comprehensive Schedule of Benefits.

The Schedule of Benefits shall be available for inspection during

regular business hours at the Oklahoma Health Care Authority. The

Oklahoma Statutes - Title 74. State Government

Authority shall have the authority to annually adjust the rates and

benefits based on claim experience.

B. The premiums for such insurance plans offered for the next

plan year shall be established as follows:

1. For active employees and their dependents, the Authority's

premium determination shall be made no later than the bid submission

date for health maintenance organizations set by the Oklahoma

Employees Insurance and Benefits Board, which shall be set in August

no later than the third Friday of that month; and

2. For all other covered members and dependents, the

Authority's and the health maintenance organizations' premium

determinations shall be no later than the fourth Friday of

September.

C. The CEO of the Authority shall review for approval all rates

and life, dental, and health benefits for the state sponsored plans

recommended by the Oklahoma Employees Insurance and Benefits Board.

If approved by the CEO of the Authority, those rates and benefits

along with the final health maintenance organizations’ rates and

benefits shall be sent to the Director of the Office of Management

and Enterprise Services for final approval.

D. The Office may approve a mid-year adjustment requested by