Okla. Admin. Code § 310:657-13-5

Current through Vol. 42, No. 6, December 2, 2024

Section 310:657-13-5 - Ownership and control safeguards

The Plan shall safeguard the fairness and equity of medical and health service delivery if an insurer or an insured:

(1) Directly participates in the Plan's formation or certification;

(2) Occupies a position as the Plan's director, governing member, officer, agent, or employee;

(3) Has any ownership, financial or investment interest in the Plan;

(4) Has any contract with the Plan that limits the Plan's ability to accept business from any other source; or

(5) Has any relationship with a Plan, other than a contract for provision of medical and health services under the Act.

Okla. Admin. Code § 310:657-13-5

Added at 12 Ok Reg 2977, eff 6-16-95 (emergency); Added at 13 Ok Reg 2127, eff 6-13-96; Amended at 14 Ok Reg 2264, eff 6-12-97