Okla. Admin. Code § 365:40-5-12
Current through Vol. 42, No. 8, January 2, 2025
Under "community rating by class," rates are fixed by groups for individuals and families, and must be equivalent for all individuals or for all families in the same group. A class is actuarially derived or developed based on factors which reasonably predict differences in the use of HMO services. Age, sex, family size and marital status factors need not be justified.
Okla. Admin. Code § 365:40-5-12