Okla. Stat. tit. 85, § 64
Repealed
Effective Jul 1, 2006Added by Laws 1915, HB 106, c. 246, art. 3, § 4; Amended by Laws 1923, SB 155, c. 61, p. 127, § 11; Amended by Laws 1974, SB 289, c. 74, § 1, emerg. eff. April 19, 1974; Amended by Laws 1977, HB 1228, c. 234, § 36, emerg. eff. July 1, 1978; Amended by Laws 1993, HB 1447, c. 349, § 14, eff. September 1, 1993; Amended by Laws 1996, SB 1310, c. 363, § 6, eff. November 1, 1996; Amended by Laws 1998, SB 1185, c. 353, § 6, eff. November 1, 1998 (superseded document available); Amended by Laws 2005, HB 1535, c. 129, § 25, eff. November 1, 2005 (superseded document available); Amended by Laws 2006, HB 2905, c. 264, § 79, emerg. eff. July 1, 2006 (superseded document available).
- A. Every policy of insurance covering the liability of the employer for compensation issued by a stock company or by a mutual association or other concern authorized to transact workers' compensation insurance in this state shall contain a provision setting forth the right of the Administrator to enforce in the name of the state, for the benefit of the person entitled to the compensation insured by the policy either by filing a separate application or by making the insurance carrier a party to the original application, the liability of the insurance carrier in whole or in part for the payment of such compensation; provided, however, that payment in whole or in part of the compensation by either the employer or the insurance carrier shall, to the extent thereof, be a bar to the recovery against the other of the amount so paid.
- B. Every such policy shall contain a provision that, as between the employee and the insurance carrier, the notice to or knowledge of the occurrence of the injury on the part of the employer shall be deemed notice or knowledge, as the case may be on the part of the insurance carrier, that jurisdiction of the employer shall, for the purpose incorporated in this title, be jurisdiction of the insurance carrier, and that the insurance carrier shall in all things be bound by and subject to the orders, findings, decisions or awards rendered against the employer for the payment of compensation under the provisions incorporated in this title.
- C. Every such policy shall contain a provision to the effect that the insolvency or bankruptcy of the employer shall not relieve the insurance carrier from the payment of compensation for injuries sustained by an employee during the life of such policy.
D.
- 1. Every such policy issued to cover a risk in this state shall include provisions giving the insured employer the option of choosing a deductible amount for medical benefits in amounts ranging from Five Hundred Dollars ($500.00) to Two Thousand Five Hundred Dollars ($2,500.00) in increments of Five Hundred Dollars ($500.00). The policy issued may also include separate provisions giving the insured employer the option of choosing a deductible amount for indemnity benefits in amounts ranging from Five Hundred Dollars ($500.00) to Two Thousand Five Hundred Dollars ($2,500.00) in increments of Five Hundred Dollars ($500.00). The insured employer, if choosing to exercise the option, shall choose only one deductible amount.
- 2. If an insured employer exercises the option and chooses a medical benefits deductible or indemnity benefits deductible, the insured employer shall be liable for the amount of the deductible or deductibles for the medical or indemnity benefits paid for each claim of work injury suffered by an injured employee.
- 3. The Insurance Commissioner, in exercising the authority to approve the form of the policy to be issued, shall not approve any policy form that permits, directly or indirectly, any part of the deductible to be charged to or passed on to the injured worker or insurer.
- 4. The insurer shall pay the entire cost of medical bills directly to the provider of the services and then seek reimbursement from the insured employer for the deductible amount. The insurer shall pay the entire cost of the indemnity benefits as if no deductible were in place and then seek reimbursement from the insured employer for the deductible amount.
- 5. If the insured employer does not reimburse the deductible amount directly to the insurer within sixty (60) days of a written demand therefor, the insurer shall pay the compensable medical claim or indemnity benefit and may seek to recover the full amount of such claim from the insured employer.
- 6. Claim amounts up to Five Hundred Dollars ($500.00) annually which are paid under the medical benefits deductible or indemnity benefits deductible pursuant to this subsection shall be excluded from the calculation of the insured employer's experience modifier.
- 7. The provisions of this subsection shall be fully disclosed to the prospective purchaser in writing.
- E. Every such policy issued to a sole proprietor, partnership, limited liability company, corporation, or other business entity must disclose to the potential purchaser in writing the option to elect to include the sole proprietors, any or all of the partnership members, any or all of the limited liability company members, or any or all stockholder-employees as employees for the purpose of workers' compensation insurance coverage by endorsing the policy in accordance with Section 3 of this title.
- F. Every contract or agreement of an employer the purpose of which is to indemnify the employer from loss or damage on account of the injury of an employee by accidental means, or on account of the negligence of such employer or the employer's officer, agent or servant shall be absolutely void unless it shall also cover liability for the payment of the compensation provided for in this title.
- G. No contract of insurance issued by a stock company or mutual association or other concern against the liability arising under this title shall be canceled within the time limited in such contract for its expiration until at least ten (10) days after notice of intention to cancel such contract, on a date specified in such notice, shall be filed in the office of the Administrator and also served on the employer. Such notice shall be served on the employer by delivering it to the employer or by sending it by mail, by registered letter, addressed to the employer at the employer's last-known place of residence; provided, that if the employer be a partnership, then such notice may be so given to any one of the partners, and if the employer be a corporation, then the notice may be given to any agent or officer of the corporation upon whom legal process may be served. Provided, however, if a contract of insurance has been terminated by an employer insured thereunder who has obtained other compensation insurance, as evidenced by filing in compliance with Section 61 of this title, and no intervening rights of any employee are involved, omission of a predecessor insurer to file notice of time of termination of liability shall not constitute basis for imposition of liability against such predecessor insurer.
Added by Laws 1915, HB 106, c. 246, art. 3, § 4; Amended by Laws 1923, SB 155, c. 61, p. 127, § 11; Amended by Laws 1974, SB 289, c. 74, § 1, emerg. eff. April 19, 1974; Amended by Laws 1977, HB 1228, c. 234, § 36, emerg. eff. July 1, 1978; Amended by Laws 1993, HB 1447, c. 349, § 14, eff. September 1, 1993; Amended by Laws 1996, SB 1310, c. 363, § 6, eff. November 1, 1996; Amended by Laws 1998, SB 1185, c. 353, § 6, eff. November 1, 1998 (superseded document available); Amended by Laws 2005, HB 1535, c. 129, § 25, eff. November 1, 2005 (superseded document available); Amended by Laws 2006, HB 2905, c. 264, § 79, emerg. eff. July 1, 2006 (superseded document available).