reglab/housing_qa huggingface dataset:
36 OK Stat § 36-6001.1 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6001.1. Conditions under which groups not considered fictitious.

|A group or combination of persons or risks shall not be considered a fictitious group if the conditions provided in this section are met: |1. The group shall have been in existence for at least two (2) years prior to the purchase of the intended group plan of insurance or conclusive proof submitted to the Insurance Commissioner that such group was not organized primarily for the purpose of purchasing insurance;2. The group shall have a highly reasonable degree of homogeneity;3. Eligible members of the group shall be persons in good standing in the group. In the case of employees, such employees should be engaged in active employment of the employer of the group for not less than thirty (30) hours each week, or shall be on a pension with that respective employer or be the surviving spouse of a deceased pensioner;4. Group underwriting standards shall be applied consistently throughout the group;5. Coverage shall be available to all eligible members and the individual members of their family, who are members of their immediate household; but no prospective employee or employee already employed shall be required to participate as a condition of employment;6. The experience of other similar groups within the state and insured by the same carrier shall not be combined for the purpose of determining rates;7. Policies issued to members of such groups shall provide no more restrictive insuring agreements and conditions than those of policies available to the individual purchaser from the same insurer, and such groups shall be provided with the option to select a policy with such limits of coverage as are available to individual purchasers from the same insurer;8. Any insurer offering such a group plan shall also be required to provide insurance on an individual basis to the general public of the state and shall not be permitted to enter in this state an insurance company solely for the purpose of mass marketing or grouping of auto insurance policies for any group;9. The insurer shall be required to offer to a member a conversion to a standard plan of insurance offered by the same insurer to the general public of the state in which the group operates in the event of separation of the member from the group through termination of employment for any reason;10. Individual policies of insurance shall be issued to each member of the group and the premiums shall be paid to the insurer periodically by the group or member, with or without payroll deductions; and11. With regard to automobile insurance, unless the insurance for the entire group is canceled concurrently, no policy of insurance issued to a member shall be canceled except as otherwise provided by law.Added by Laws 1996, c. 70, § 1, eff. Nov. 1, 1996.
36 OK Stat § 36-6002 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6002. Approval by Insurance Commissioner.

|No form or plan of insurance covering any group or combination of persons or risks shall be written or delivered within or outside of this state to cover Oklahoma persons or risks at any preferred rate or form other than that offered to persons not in such group, and the public generally, unless such form, plan or policy and the rates or premiums to be charged therefor have been submitted to and filed or approved by the Insurance Commissioner. |Added by Laws 1959, p. 135, § 2, emerg. eff. May 8, 1959. Amended by Laws 1997, c. 418, § 100, eff. Nov. 1, 1997; Laws 2006, c. 264, § 62, eff. July 1, 2006.
36 OK Stat § 36-6003 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6003. Exceptions.

|Nothing in this Act shall apply to life, accident, health and hospitalization policies or annuity contracts. |Laws 1959, p. 136, § 3, emerg. eff. May 8, 1959.
36 OK Stat § 36-6011 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6011. Application to Oklahoma Employees Health Insurance Plan.

|A. Any mandated health insurance coverage signed into law after November 1, 2016, for specific health services, benefits, diseases, copay structure, formulary structure or for certain providers of health care services shall also apply to the Oklahoma Employees Health Insurance Plan. |B. As used in this section, "Oklahoma Employees Health Insurance Plan" shall have the same meaning as "health insurance plan" as defined in Section 1303 of Title 74 of the Oklahoma Statutes.Added by Laws 2016, c. 92, § 1, eff. Nov. 1, 2016.
36 OK Stat § 36-6031 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6031. Report of holdings and change in ownership - Unfair use of information - Recovery of profits.

|A. Every person who is directly or indirectly the beneficial owner of more than ten per cent (10%) of any class of equity security of an insurer or who is a director or officer of such insurer shall file in the office of the Insurance Commissioner within (10) ten days after becoming such beneficial owner, director or officer a statement, in such form and detail and subject to such rules as the Insurance Commissioner may prescribe, of the amount of all equity securities of such insurer of which he or she is the beneficial owner, director or officer within ten (10) days after the close of each calendar month thereafter, if there has been a change in such ownership during such month, shall file in the office of the Insurance Commissioner a statement, in such form and detail and subject to such rules as the Insurance Commissioner may prescribe, indicating his or her ownership at the close of the calendar month and such changes in his or her ownership as have occurred during such calendar month. |B. For the purpose of preventing the unfair use of information which may have been obtained by such beneficial owner, director or officer by reason of his or her relationship to such insurer, any profit realized by him or her from any purchase and sale or any sale and purchase, of any equity security of such insurer within any period of less than two (2) years subsequent to the incorporation of the insurer, shall inure to and be recoverable by the insurer, unless such equity security was acquired in good faith in connection with a debt previously contracted, irrespective of any intention on the part of such beneficial owner, director or officer in entering into such transaction.C. Suit to recover such profit may be instituted at law or in equity in any court of competent jurisdiction by the insurer or by the owner of any equity security of the insurer in the name and in behalf of the insurer if the insurer shall fail or refuse to bring such suit within sixty (60) days after request or shall fail diligently to prosecute the same thereafter. If no suit to recover such profit is so filed within six (6) months following the date such profit was realized or accrued or if at any time such suit is not diligently prosecuted, the Insurance Commissioner may file or prosecute such suit for and on behalf of the insurer at the expense of the insurer.Added by Laws 1965, c. 341, § 1, emerg. eff. June 28, 1965. Amended by Laws 1997, c. 418, § 101, eff. Nov. 1, 1997.
36 OK Stat § 36-6032 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6032. Limitation on sales of equity securities of certain domestic life insurance companies.

|A. Not more than forty-nine percent (49%) of the equity securities of any insurer shall be sold to any person, firm, corporation or trustee or nominee thereof where said insurer has been organized within two (2) years preceding the acquisition of such equity securities, unless the stock so sold or acquired shall have been at a price not less than the highest market value of such stock during two (2) years subsequent to incorporation or the highest price at which such stock is offered to the public during two (2) years subsequent to incorporation, whichever sum is the greater. Should more than forty-nine percent (49%) of the equity securities of any insurer be sold to any person, firm, corporation or trustee or nominee thereof at a price less than the highest market price or the highest price such stock is offered to the public during the first two (2) years subsequent to incorporation, such excess between the purchase price and such highest market or highest offering price shall inure to and be recoverable by the insurer, unless such equity security was acquired in good faith in connection with a debt previously contracted, irrespective of any intention on the part of such purchaser in entering into such transaction. |B. Suit to recover such profit may be instituted at law or in equity in any court of competent jurisdiction by the insurer or by the owner of any equity security of the insurer in the name of and in behalf of the insurer if the insurer shall fail or refuse to bring suit within sixty (60) days after request or shall fail to diligently prosecute the same thereafter. If no suit to recover the difference between the purchase price and such highest market or highest offered price is filed within six (6) months after the realization of such profit or after the expiration of two (2) years subsequent to the incorporation of the insurer, or if at any time such suit is not diligently prosecuted, the Insurance Commissioner may file or prosecute such suit for and on behalf of the insurer at the expense of the insurer.C. If the Insurance Commissioner shall find from substantial evidence submitted that for the best interest of the policyholders or creditors of an insurer the Commissioner should approve some plan of merger, consolidation, rehabilitation or sale of such insurer but is prevented or hindered from doing so because of the provisions of this section, the Commissioner may order that said transaction be exempt from the provisions of this section.Added by Laws 1965, c. 341, § 2, emerg. eff. June 28, 1965. Amended by Laws 1997, c. 418, § 102, eff. Nov. 1, 1997.
36 OK Stat § 36-6033 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6033. Limitation on compensation, fees or commissions.

|It shall be unlawful for any person, firm, or corporation to pay or to receive more than fifteen per cent (15%) of the price received or paid for the equity security of any insurer as compensation for services, fees or commissions related directly or indirectly to the organization and promotion of the insurer and for the issuance or sale of the equity security of the insurer. In addition to any other penalty which may be applicable thereto, either under the Insurance Code or otherwise, violation of this section shall constitute a misdemeanor and shall be punishable as such where no greater penalty is provided therefor. In addition thereto, any person, firm or corporation that pays or receives in excess of the said fifteen per cent (15%) for such purposes shall be liable to the insurer for an amount double such excess. Suit to recover such excess may be instituted at law or in equity in any court of competent jurisdiction by the insurer or by the owner of any equity security of the insurer in the name and in behalf of the insurer if the insurer shall fail or refuse to bring such suit within sixty days after request or shall fail diligently to prosecute the same thereafter. If no suit to recover such profit is so filed within six months following the date such profit was realized or accrued or if at any time such suit is not diligently prosecuted, the Insurance Commissioner may file or prosecute such suit for and on behalf of the insurer at the expense of the insurer. |Laws 1965, c. 341, § 3, emerg. eff. June 28, 1965.
36 OK Stat § 36-6034 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6034. Sale or transfer of securities issued under incentive, bonus or stock option plans.

|After the effective date of this act, no equity securities issued by any domestic life insurance company, under any incentive, bonus, "stock option" or similar plan, and no rights to acquire any such equity securities shall, within a period of two years after the date of original allotment by the issuer thereof be sold, or be transferred for value, or be exchanged, for a consideration exceeding one hundred fifteen per cent (115%) of the net proceeds received by the issuer thereof for such securities or rights at the time of allotment, provided, however, that the limitations in this Section set forth shall not be applicable to any such securities or rights originally issued or allotted at a price or value equal to the market price of such securities or rights on the date of issue or allotment, or to any such securities or rights allotted or issued by the issurer thereof for eighty-five per cent (85%) or more of the price or value at which such securities or rights were offered by such issuer to the public on the date of allotment or issue thereof, whichever is the greater, or to any such securities or rights which were deposited and held in escrow for at least two years from date of issue or allotment in compliance with a rule promulgated or an order issued by the Administrator, Oklahoma Securities Commission, under the Oklahoma Securities Act, Title 71, O.S.1961. It shall be unlawful for any person to sell, transfer or exchange any such equity securities in contravention of this section. |Laws 1965, c. 341, § 4, emerg. eff. June 28, 1965.
36 OK Stat § 36-6035 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6035. Enforcement of act - Definitions.

|This act shall be administered and enforced by the Insurance Commissioner. The term "insurer" when used in this act means any domestic life insurance company during the first two years of its existence and the provisions hereof are applicable to any such insurer and to any person, firm or corporation that holds, sells or deals in equity securities or options therefor of any domestic life insurance company during the first two years of existence or prior thereto. Provided, however, the provisions of this act shall not apply after a period of two years subsequent to the latest registration for public offering under the Oklahoma Securities Act. The term "equity securities" when used herein includes options therefor. This act applies to domestic life insurance companies during the first two years of existence and to every person, firm or corporation that holds, sells, or deals in equity securities, or options therefor, of any domestic life insurance company during the first two years of the existence of a domestic life insurance company or prior thereto or which engages in the formation, organization or promotion of a domestic life insurance company. |Laws 1965, c. 341, § 5, emerg. eff. June 28, 1965.
36 OK Stat § 36-6036 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6036. Construction.

|This act shall be construed as an independent act. This act shall be construed as cumulative with and supplemental to other laws and acts now in effect or enacted hereafter. |Laws 1965, c. 341, § 6, emerg. eff. June 28, 1965.
36 OK Stat § 36-6041 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6041. Payments - How made.

|Payment or each periodic payment not exceeding One Thousand Dollars ($1,000.00) for emergency living expenses made to any policyholder or his or her dependents or beneficiaries under an insurance policy for: |1. Fire insurance;2. Casualty insurance;3. Property insurance, including what may be termed a homeowner's policy; or4. Any other type of policy that insures against personal loss as a consequence of loss of or damage to real or personal property; which provides for payment or periodic payments for emergency living expenses; and payments made under workers' compensation or employers' liability insurance as defined in Section 707 of this title, shall be made through the use of United States legal tender, or through a means acceptable to the recipient of the payment including, but not limited to, electronic funds transfer, prepaid cards, negotiable instruments payable on demand or negotiable drafts.Added by Laws 1981, c. 230, § 1, emerg. eff. June 22, 1981. Amended by Laws 2015, c. 298, § 12, eff. Nov. 1, 2015.
36 OK Stat § 36-6045 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6045. Reimbursement for mental or behavioral health or alcohol or drug treatment services.

|Notwithstanding any provision of any individual or group policy, contract, plan or agreement of accident and/or health insurance or any provisions of a policy, contract, plan or agreement for hospital or medical service or indemnity, whenever such policy, contract, plan or agreement provides for reimbursement for any mental or behavioral health or alcohol and drug treatment service which is within the lawful scope of practice of a duly licensed physician, physician assistant, licensed clinical social worker, licensed professional counselor, licensed marriage and family therapist, licensed alcohol and drug counselor, licensed behavioral practitioner, licensed psychologist, or advance practice registered nurse, the person entitled to benefits, or the person performing services, under such policy, contract, plan or agreement shall be entitled to reimbursement on an equitable basis for such service at a rate commensurate with the requirements for their licensure. |Added by Laws 2008, c. 165, § 1, eff. Nov. 1, 2008.
36 OK Stat § 36-6050 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6050. Prepaid or discounted ambulance service membership subscriptions.

|All persons, companies, governmental entities or trust authorities operating an ambulance service within this state may sell prepaid or discounted ambulance service membership subscriptions to individuals who reside within its authorized service area in exchange for payment of an annual membership fee. The agreement between the ambulance service and an individual shall not be deemed to be insurance and shall expressly provide for the assignment of insurance benefits directly to the ambulance service. Under such assignment, the insurer shall be obligated directly to the ambulance service for the lesser of the full and customary charge by the ambulance service or the designated or allowable amount set forth by the insurance policy for any services actually rendered to the individual by the ambulance service during the membership year less any applicable deductible or copayment. |Added by Laws 2002, c. 307, § 34, eff. Nov. 1, 2002.
36 OK Stat § 36-6051 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6051. Free choice of practitioner and profession - Equal reimbursement.

|Notwithstanding any provision of any individual or group policy, contract, plan or agreement of accident and/or health insurance or any provisions of a policy, contract, plan or agreement for hospital or medical service or indemnity, whenever such policy, contract, plan or agreement provides for reimbursement for any visual or optometric service which is within the lawful scope of practice of a duly licensed optometrist, the person entitled to benefits, or person performing services, under such policy, contract, plan or agreement shall be entitled to reimbursement on an equal basis for such service, whether the said service is performed by a physician licensed under 59 O.S.1961, Sections 481 through 518, inclusive, or by an optometrist licensed under 59 O.S.1961, Sections 581 through 606, inclusive. Optometric services shall include eye and/or visual examination or a correction of any vision or muscular anomaly and the supplying of ophthalmic materials, including contact lenses and subnormal vision aids. Unless such policy, contract, plan or agreement shall otherwise provide, there shall be no reimbursement for ophthalmic materials, lenses, contact lenses, spectacles, eyeglasses, and/or appurtenances thereto. |Laws 1967, c. 17, § 1, emerg. eff. Feb. 21, 1967.
36 OK Stat § 36-6052 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6052. Copayment requirements - Disclosure of calculations - Penalty - Rules.

|A. Any policy, contract or agreement issued or renewed by an insurer, as defined in Section 6054 of Title 36 of the Oklahoma Statutes, or any contract or agreement issued or renewed for any preferred provider or other provider arrangement or managed care plan, which requires the insured or enrollee to make a copayment when benefits are provided, shall disclose to the insured or enrollee the calculation for the copayment. In no case shall the copayment be based on a higher figure than either the amount billed or the amount paid, whichever is less. This subsection shall apply to any health insurance plan offered through the State and Education Employees Group Insurance Act. |B. Any insurer, hospital or licensed health care provider determined to be in violation of subsection A of this section by the Insurance Commissioner, the State Board of Health or the appropriate health care professional licensing entity, after notice, shall be subject to an administrative fine of not less than One Thousand Dollars ($1,000.00) or more than Five Thousand Dollars ($5,000.00) for each violation. Notice under this section shall include a statement of violations on which the fine is based and notice of the opportunity for a hearing.C. The Insurance Commissioner, the State Board of Health or the appropriate health care professional licensing entity shall promulgate rules providing for enforcement of the provisions of this act. In addition, each entity may promulgate rules providing for suspension or revocation of a license for substantial failure to comply with the provisions of this act. Such rules shall provide for notice and a hearing prior to the suspension or revocation of a license.Added by Laws 1996, c. 335, § 1, eff. Nov. 1, 1996.
36 OK Stat § 36-6053 (2021)
2021 Oklahoma Statutes|Title 36. Insurance|§36-6053. Short title and application.

|A. Sections 6053 through 6057 of this title and Sections 6 through 9 of this act shall be known and may be cited as the “Health Care Freedom of Choice Act”. |B. The provisions of the Health Care Freedom of Choice Act shall not apply to contracts executed with a preferred provider organization to provide health care services for employer-sponsored self-funded plans covered by the federal Employee Retirement Income Security Act (ERISA).Added by Laws 1994, c. 342, § 18, eff. Sept. 1, 1994. Amended by Laws 1999, c. 331, § 1, eff. Nov. 1, 1999.