Okla. Admin. Code § 365:10-1-7

Current through Vol. 42, No. 8, January 2, 2025

Section 365:10-1-7 - Charitable services exclusions - applicability to state owned or controlled hospitals - penalty

(a)Purpose. The purpose of this section is to provide that a policy exclusion limiting benefits to the insured for services rendered by a state hospital are not applicable to state owned and/or controlled hospitals which admit paying patients.

(b)Application of charitable service exclusions to state-owned or controlled hospitals; penalties.

(1)Applicability. Any exclusion or limitation contained in policies of accident and health, and/or hospitalization insurance heretofore or hereafter issued by any insurer to residents of this state, which exclusion or limitation purports to deny policy benefits to the insured for "any or all hospital, surgical and/or medical services obtained from or at state hospitals, which the insured is entitled to receive without charge", or any exclusion or limitation of similar import, however worded, shall not be applicable to state owned and/or controlled hospitals in this state, provided, and to the extent that such state hospitals are duly authorized to admit "paying patients" for hospital, surgical and/or medical services, or any of such services.

(2)Penalties for noncompliance. Any insurance company violating the provisions of this section in connection with claims arising in this state shall be subject to the penalties provided for by law, including, but not by way of limitation, the revocation of its license to transact business in this state.

Okla. Admin. Code § 365:10-1-7