reglab/housing_qa huggingface dataset:
74 OK Stat § 74-1312 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§74-1312. Health and Dental Insurance Reserve Fund.

|(1) Except as otherwise provided by law, all employee and employer contributions, appropriations and dividend payments related to the health and dental plans administered by the Director of the Office of Management and Enterprise Services shall be deposited in a fund in the State Treasury which is hereby created and which shall be known as the Health and Dental Insurance Reserve Fund. The money in such fund shall be invested by the Oklahoma Employees Insurance and Benefits Board in the manner specified in Section 1305.1 of this title. Investment income of the fund shall be added to the fund. Money payable to the claims administrator and all expenses in connection with the plans shall be paid from the fund. The Board shall have responsibility for management of the fund. |(2) All monies in the Health and Dental Insurance Reserve Fund that are reserves for the life insurance plan administered by the Office shall be transferred to the Life Insurance Reserve Fund on July 1, 1989.Added by Laws 1967, c. 374, § 12, emerg. eff. May 23, 1967. Amended by Laws 1970, c. 70, § 10, emerg. eff. March 17, 1970; Laws 1971, c. 297, § 1, operative July 1, 1971; Laws 1977, c. 261, § 8, emerg. eff. June 17, 1977; Laws 1982, c. 263, § 4, emerg. eff. May 14, 1982; Laws 1982, c. 333, § 11, emerg. eff. June 1, 1982; Laws 1986, c. 150, § 8, emerg. eff. April 29, 1986; Laws 1988, c. 165, § 11, operative July 1, 1988; Laws 1989, c. 318, § 9, operative July 1, 1989; Laws 1991, c. 263, § 9, operative July 1, 1991; Laws 2012, c. 304, § 953.
74 OK Stat § 74-1312.1 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§74-1312.1. Revolving fund.

|There is hereby created in the State Treasury a Revolving Fund for the Oklahoma Employees Insurance and Benefits Plan. The revolving fund shall consist of funds transferred from the Health and Dental Insurance Reserve Fund and the Life Insurance Reserve Fund for operational expenses of the State Health and Life Insurance Plan and monies assessed from or collected for and due a Health Maintenance Organization (HMO) as approved by the Office of Management and Enterprise Services. Expenditures from said funds shall be made pursuant to the laws of the state and statutes relating to the Plan. This revolving fund shall be a continuing fund, not subject to fiscal year limitations, and shall be under the control and management of the Office. |Added by Laws 1982, c. 263, § 6, emerg. eff. May 14, 1982. Amended by Laws 1985, c. 230, § 6, emerg. eff. July 8, 1985; Laws 1986, c. 150, § 9, emerg. eff. April 29, 1986; Laws 1988, c. 165, § 12, operative July 1, 1988; Laws 1989, c. 318, § 10, operative July 1, 1989; Laws 2012, c. 304, § 954.
74 OK Stat § 74-1312.2 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§74-1312.2. Life Insurance Reserve Fund.

|(1) There is hereby created in the State Treasury, the Life Insurance Reserve Fund. Except as otherwise provided by law, all contributions, appropriations, transfers, dividend payments, and investment income of the fund received from or for the benefit of the life insurance plan administered by the Office of Management and Enterprise Services shall be deposited in the reserve fund. |The monies in said reserve fund shall be invested by the Oklahoma Employees Insurance and Benefits Board in the manner specified in Section 1305.1 of this title. The Board shall have responsibility for management of the fund.Money payable to the claims administrator and all expenses in connection with the life insurance plan shall be paid from the reserve fund.(2) All monies in the Life Insurance Reserve Fund that are reserves for the health and dental plans administered by the Office of Management and Enterprise Services shall be transferred to the Health and Dental Insurance Reserve Fund on July 1, 1989.Added by Laws 1988, c. 165, § 13, operative July 1, 1988. Amended by Laws 1989, c. 318, § 11, operative July 1, 1989; Laws 1991, c. 263, § 10, operative July 1, 1991; Laws 2012, c. 304, § 955.
74 OK Stat § 74-1312.3 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§74-1312.3. Oklahoma Employees Insurance and Benefits Clearing Fund.

|There is hereby created in the State Treasury, the Oklahoma Employees Insurance and Benefits Clearing Fund. The monies paid to the Oklahoma Employees Insurance and Benefits Clearing Fund pursuant to Section 1310 of this title shall be distributed as follows: |1. The first Thirty-one Million Five Hundred Thousand Dollars ($31,500,000.00) received after the effective date of this act during the fiscal year beginning July 1, 1996, shall be distributed to the Oklahoma State Regents for Higher Education; and2. The balance thereof shall be distributed to and deposited in the appropriate reserve fund as directed by the Office of Management and Enterprise Services.Added by Laws 1991, c. 263, § 11, operative July 1, 1991. Amended by Laws 1996, c. 275, § 2, eff. Sept. 1, 1996; Laws 2012, c. 304, § 956.
74 OK Stat § 74-1314 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§74-1314. Officers and employees exempt - Options.

|Except as provided in Section 483 of Title 40 of the Oklahoma Statutes, the provisions of the State and Education Employees Group Insurance Act, Section 1301 et seq. of this title, shall not apply to the employees and officers of The Oklahoma State System of Higher Education nor to the Commissioners of the State Department of Transportation nor to any member of an administrative board or commission of any agency, board, authority or commission of the State of Oklahoma unless such member is a full-time salaried employee; provided, however, that any state system or institution of higher education may elect to come under the provisions of said act. |Amended by Laws 1982, c. 333, § 13, emerg. eff. June 1, 1982; Laws 1986, c. 150, § 11, emerg. eff. April 29, 1986; Laws 1988, c. 165, § 15, operative July 1, 1988; Laws 1989, c. 313, § 13, operative July 1, 1989; Laws 1990, c. 303, § 6, eff. Jan. 1, 1991.
74 OK Stat § 74-1314.1 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§74-1314.1. Employment Security Commission - System of Higher Education - Participation - Payroll deductions.

|The Oklahoma Employment Security Commission and the Oklahoma State System of Higher Education have provided and may continue to provide hospital and medical benefits, accident, health, and life insurance, or any of the aforesaid, in any company authorized to do business in the State of Oklahoma, for any or all of its officers or employees, and said Commission and the Oklahoma State System of Higher Education may pay a portion or all of said premiums from any of the Commission's or the Oklahoma State System of Higher Education's general funds, and may deduct from the wages or salary of any such officer or employee, upon written authority signed by the officer or employee, amounts for the payment of all or any portion of the monthly premium for same. |Laws 1971, c. 301, § 2, emerg. eff. June 25, 1971.
74 OK Stat § 74-1314.2 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§74-1314.2. Definitions.

|As used in Sections 1 through 5 of this act: |(a) "Agency Plan" means the health insurance program offered by the Oklahoma Employment Security Commission to its employees as of the effective date of this act. The Agency Plan presently conforms to the Federal Plan;(b) "State Plan" means the health insurance program provided for state employees pursuant to the State and Education Employees Group Insurance Act;(c) "Federal Plan" means the health insurance program provided for federal employees upon which the Agency Plan is based, and is more specifically defined in 5 CFR Ch.1, PART 890--FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM, as may be amended from time to time, and represents the standard against which the State Plan is to be measured to determine material differences for purposes of securing the supplemental health insurance for which provision is made in this act; and(d) "Commission" means the Oklahoma Employment Security Commission.Added by Laws 1990, c. 303, § 1, emerg. eff. May 30, 1990.
74 OK Stat § 74-1314.4 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§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 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.
74 OK Stat § 74-1314.5 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§74-1314.5. Procurement of supplemental health insurance - Self-insurance.

|A. The Oklahoma Employment Security Commission shall attempt to obtain the supplemental health insurance described in Section 1314.4 of this title through competitive procurement under The Central Purchasing Act. If the Commission does not obtain such supplemental health insurance in this manner, it shall contract with the Office of Management and Enterprise Services for such coverage or the Commission may provide the supplemental health insurance through a self-insurance program. |B. If the Commission decides to contract with the Office for the supplemental health insurance coverage, the Office is expressly authorized and directed to enter into such a contract and administer the supplemental benefit in such manner to cause the least disruption to its systems and daily operations. The supplemental benefit does not have to be offered as a supplemental plan but can be combined with the state plan to be administered and actuarially rated as a single plan. If this option is chosen, all dependents of employees or former employees currently eligible for the supplemental health insurance shall be included in the plan, regardless of whether or not the dependents were previously included in the plan, and this subsection will prevail over the provisions of Section 1314.3 of this title. The Commission shall pay the full actuarial cost to be determined by the Office and all reasonable administrative costs for such coverage, if provided by or through the Office. The Office may consider the utilization experience of the group participating in the benefit when calculating the rate for providing the benefit. The Office shall maintain separate reserves for said coverage.C. If the Commission decides to provide supplemental health insurance through a self-insurance program, the Commission shall be authorized to contract with a private company to provide claims adjusting services for the supplemental health insurance claims adjusting and processing.Added by Laws 1990, c. 303, § 4, emerg. eff. May 30, 1990. Amended by Laws 2004, c. 278, § 3, emerg. eff. May 10, 2004; Laws 2012, c. 304, § 958.
74 OK Stat § 74-1315.1 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§74-1315.1. Participation by county election board secretaries.

|Upon election and application by the secretary of a county election board and subject to any underwriting criteria that may be established by the Office of Management and Enterprise Services, the Office shall extend the benefits of the Oklahoma Employees Insurance and Benefits Plans to the secretary of each county election board, if the county in which the secretary serves is not participating in such plans. |Added by Laws 2002, c. 71, § 1, eff. Nov. 1, 2002. Amended by Laws 2012, c. 304, § 960.
74 OK Stat § 74-1317 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§74-1317. Blind vending stand operators and managing operators - Eligibility.

|Any legally blind person who is licensed by the Department of Rehabilitation Services as a vending stand operator or managing operator shall be eligible for membership in the Health Insurance Plan, Dental Insurance Plan and Life Insurance Plan referred to in the Oklahoma Employees Insurance and Benefits Act. Enrollment in the Plan shall be optional with each operator pursuant to the rules prescribed by the Office of Management and Enterprise Services. Any payments required to be made for enrollees in the Plan shall be payable by the operator in such manner as may be determined by the Department of Rehabilitation Services; provided, that the Department may, in its discretion, make all or a part of such payments. |Added by Laws 1971, c. 166, § 1, emerg. eff. May 27, 1971. Amended by Laws 1982, c. 333, § 15, emerg. eff. June 1, 1982; Laws 1986, c. 150, § 15, emerg. eff. April 29, 1986; Laws 1988, c. 165, § 19, operative July 1, 1988; Laws 1998, c. 107, § 7, eff. July 1, 1998; Laws 2012, c. 304, § 964.
74 OK Stat § 74-1318 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§74-1318. Maximum for which reemployed former employee may be insured.

|No former employee who is reemployed by a participating entity within twenty-four (24) months after the date of termination of previous employment shall be enrolled in the Oklahoma Employees Insurance and Benefits Plan authorized by Sections 1301 through 1329.1 of this title, for a greater amount of life insurance or life benefit than the amount for which the life of the former employee was insured under the plan at the date of termination of employment, except upon the former employee furnishing evidence of insurability, satisfactory to the Office of Management and Enterprise Services, and any greater amount of benefit or insurance provided the employee shall be at the former employee's cost. |Added by Laws 1972, c. 201, § 1, emerg. eff. April 7, 1972. Amended by Laws 1977, c. 261, § 12, emerg. eff. June 17, 1977; Laws 1986, c. 150, § 16, emerg. eff. April 29, 1986; Laws 1988, c. 165, § 20, operative July 1, 1988; Laws 2001, c. 197, § 6, emerg. eff. May 7, 2001; Laws 2012, c. 304, § 965.
74 OK Stat § 74-1320 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§74-1320. Employment of administrator, director of internal audit, attorneys, and other personnel - Service contracts.

|A. For purposes of administering the Oklahoma Employees Insurance and Benefits Act, the Director of the Office of Management and Enterprise Services is authorized to hire and appoint an Administrator who shall be in the unclassified service and shall serve at the pleasure of the Director of the Office of Management and Enterprise Services. |B. The Director of the Office of Management and Enterprise Services may hire a director of internal audit and one attorney licensed to practice law in this state. The attorney hired by the Board shall have not less than five (5) years of experience in matters related to the insurance industry. The Director shall directly supervise the duties of the director of internal audit, and shall not delegate the supervision to the Administrator or any other employee. In addition to duties assigned by the Director, the director of internal audit is authorized to audit all records of health providers and pharmacists who enter into any contract with the Board in order to ensure compliance with said contract provisions.The Director shall employ such persons as are necessary to administer the provisions of the Oklahoma Employees Insurance and Benefits Act, the State Employees Flexible Benefits Act and the State Employees Disability Program Act. The Director may employ a maximum of two attorneys for purposes of administering the Oklahoma Employees Insurance and Benefits Act. The Administrator or one of the deputy administrators shall have not less than seven (7) years of group health insurance administration experience on a senior managerial level.C. The Director shall not contract for private legal counsel except for extraordinary situations other than normal day to day situations, and when approved by the Attorney General. The Director may contract with a nonemployee consulting actuary, a nonemployee medical consultant and a nonemployee dental consultant subject to competitive bid at least every three (3) years. The Director may contract with health care providers for a level of reimbursement for the payment of claims incurred by the plan participants. The Director may at its request use the services of the office of the Attorney General and the actuarial services of any actuary employed by the Insurance Commissioner and may also seek the advice and counsel of the Insurance Commissioner of the State of Oklahoma or any employee of the Office of the Insurance Commissioner.Added by Laws 1977, c. 261, § 2, emerg. eff. June 17, 1977. Amended by Laws 1978, c. 306, § 1, emerg. eff. May 10, 1978; Laws 1988, c. 165, § 22, emerg. eff. May 24, 1988; Laws 1989, c. 322, § 9, operative July 1, 1989; Laws 1990, c. 244, § 10, emerg. eff. May 21, 1990; Laws 1991, c. 219, § 10, emerg. eff. May 22, 1991; Laws 1992, c. 400, § 17, eff. July 1, 1992; Laws 1998, c. 285, § 4, emerg. eff. May 27, 1998; Laws 2006, c. 264, § 73, eff. July 1, 2006; Laws 2012, c. 303, § 15, eff. Nov. 1, 2012.
74 OK Stat § 74-1321 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§74-1321. Determination of rates, benefits, and premiums.

|A. The Office of Management and Enterprise Services 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 Office of Management and Enterprise Services. The Office 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 Office's premium determination shall be made no later than the bid submission date for health maintenance organizations set by the Oklahoma State Employees Benefits Council, which shall be set in August no later than the third Friday of that month; and2. For all other covered members and dependents, the Office'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 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. 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 Director.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.
74 OK Stat § 74-1322 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§74-1322. Confidentiality of information - Inspection of files.

|All information, documents, medical reports and copies thereof contained in a member's insurance file shall be treated as confidential information and shall not be released or made available or open to public inspection without the prior written consent and authorization of the individual to whom it pertains, but shall be subject to subpoena or court order. |Added by Laws 1978, c. 306, § 5, emerg. eff. May 10, 1978.
74 OK Stat § 74-1323 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§74-1323. Fraud - Penalties - Audits.

|Any person who shall knowingly make any false statement, or who shall falsify or permit to be falsified any record necessary for carrying out the intent of the Oklahoma Employees Insurance and Benefits Act, Sections 1301 through 1329.1 of this title, for the purpose of committing fraud, shall be guilty of a misdemeanor, and upon conviction shall be punished by a fine not exceeding Five Thousand Dollars ($5,000.00) or by imprisonment for not exceeding one (1) year or by both the fine and imprisonment. The Office of Management and Enterprise Services shall have the right to audit participating employer groups to verify eligibility for any member and/or dependent and may require proof of eligibility upon demand. |Added by Laws 1986, c. 150, § 19, emerg. eff. April 29, 1986. Amended by Laws 1988, c. 165, § 24, operative July 1, 1988; Laws 1997, c. 163, § 1, eff. Nov. 1, 1997; Laws 2004, c. 345, § 7, eff. July 1, 2004; Laws 2012, c. 304, § 967.
74 OK Stat § 74-1324 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§74-1324. Coverage for side effects associated with prostate-related conditions.

|A. All health benefit plans that are offered by the Office of Management and Enterprise Services shall provide coverage for side effects that are commonly associated with radical retropubic prostatectomy surgery, including, but not limited to impotence and incontinence, and for other prostate-related conditions. |B. The Office shall provide notice to each insured or enrollee under the plan regarding the coverage required by this section in the plan's evidence of coverage, and shall provide additional written notice of the coverage to the insured or enrollee as follows:1. In the next mailing made by the plan to the employee; or2. As part of the enrollment information packet sent to the enrollee.C. The Office shall promulgate any rules or actions necessary to implement the provisions of this section.Added by Laws 1998, c. 312, § 2, eff. July 1, 1998. Amended by Laws 2012, c. 304, § 968.
74 OK Stat § 74-1325 (2021)
2021 Oklahoma Statutes|Title 74. State Government|§74-1325. Changes in reimbursement rates or methodology - Hearing.

|The Office of Management and Enterprise Services shall schedule a hearing thirty (30) days prior to adopting any major change in the reimbursement rates or methodology. The Office shall notify health care providers who provide services pursuant to a contract with the Office at least fifteen (15) days prior to the hearing. The notice shall include proposed changes to the reimbursement rates or methodology. The Office shall also inform such health care providers at the hearing of any proposed changes to the reimbursement rates or methodology. At the hearing the Office shall provide an open forum for such health care providers to comment on the proposed changes. |Added by Laws 1999, c. 209, § 2, eff. July 1, 1999. Amended by Laws 2012, c. 304, § 969.