Okla. Stat. tit. 36, § 4509.2
Duty of Carrier of Succeeding Employer - Lapse in Coverage
Effective Jul 1, 1998Laws 1992, HB 2155, c. 304, § 3, eff. January 1, 1993; Amended by Laws 1993, HB 1302, c. 76, § 1, emerg. eff. April 18, 1993; Amended by Laws 1995, SB 445, c. 224, § 1, eff. November 1, 1995; Amended by Laws 1997, SB 193, c. 180, § 4, emerg. eff. May 12, 1997 (superseded document available); Amended by Laws 1998, HB 2843, c. 304, § 1, emerg. eff. July 1, 1998 (superseded document available).
- A. When an insured individual or a dependent who was covered by group insurance pursuant to the provisions of the Health Insurance Portability and Accountability Act of 1996, 29 U.S.C.A., Section 1181 et seq., gains employment with an employer who provides for health insurance through a group plan, the succeeding group carrier shall accept the insured individual and dependents of the insured individual who were covered under the prior coverage and shall not apply limitations or exclusions based on preexisting conditions or apply waiting period requirements for the insured individual or the dependents of the insured individual beyond the time when any surviving exclusion or waiting period with the prior carrier would have been fulfilled. The insured individual and any dependents of such individual must apply for the new coverage within sixty-three (63) days following the date of termination of prior creditable coverage.
- B. When an insured individual or dependent who was covered by individual insurance pursuant to the provisions of the Health Insurance Portability and Accountability Act of 1996, 29 U.S.C.A., Section 1181 et seq., gains employment with an employer who provides for health insurance through a group plan, the succeeding group carrier shall accept the insured individual and dependents of the insured individual who were covered under the prior coverage and shall not apply limitations or exclusions based on preexisting conditions or apply waiting period requirements for the insured individual or the dependents of the insured individual beyond the time when any surviving exclusion or waiting period with the prior carrier would have been fulfilled. The insured individual and any dependents of such individual must apply for the new coverage within sixty-three (63) days following the date of termination of prior credible coverage.
- C. Insurance carriers receiving an application for individual insurance may underwrite the risk or decline coverage based on the underwriting guidelines of the insurance carrier. Upon denial of coverage, insurance carriers shall advise the applicant of the existence of, and how to apply for coverage under, the Health Insurance High Risk Pool.
- D. When there is a lapse in the coverage of the insured individual or a dependent of the insured individual provided for by subsections A, B, and C of this section for any reason other than a probationary period or similar waiting period imposed pursuant to personnel policies of an employer, the provisions of subsections A, B, and C of this section shall not apply to the person whose coverage lapsed.
Laws 1992, HB 2155, c. 304, § 3, eff. January 1, 1993; Amended by Laws 1993, HB 1302, c. 76, § 1, emerg. eff. April 18, 1993; Amended by Laws 1995, SB 445, c. 224, § 1, eff. November 1, 1995; Amended by Laws 1997, SB 193, c. 180, § 4, emerg. eff. May 12, 1997 (superseded document available); Amended by Laws 1998, HB 2843, c. 304, § 1, emerg. eff. July 1, 1998 (superseded document available).