State statute · Oklahoma

Small Employer Health Insurance and Related Programs

Oklahoma Statutes Title 36 Article 65, Secs. 36-6511 through 36-6596

Publisher: Oklahoma State Senate
Edition: Oklahoma Statutes Title 36 - Insurance, official compiled PDF
Last checked: 2026-08-31
Status: US state statute

Edition and licensing notes

Publisher. Oklahoma State Senate (oksenate.gov), Oklahoma Statutes Title 36

Status. US state statute; public domain.

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What this document is

Oklahoma Statutes Title 36 Article 65 - Small Employer Health Insurance and Related Programs (Secs. 36-6511 through 36-6596) is a state statute published by Oklahoma State Senate (oksenate.gov), Oklahoma Statutes Title 36. It is one of the Oklahoma documents that insurance license exam questions are written from, including oklahoma life & health practice questions. This page summarizes it and points to the official version, which is the text to rely on.

Sections cited in practice questions

Each practice answer shows the exact passage it comes from. These are sections of this document that questions cite, with a short excerpt from the source text.

36 O.S. § 6530(E)(5) (Bona fide association health plans, producer access and compensation)
“Each bona fide association health plan shall be available to be marketed and sold by all licensed agents and brokers of the health carrier, at the health carrier's standard commission and/or fee schedule for the calendar year.”
36 O.S. § 6512(7) (Definitions - case characteristics)
“A small employer carrier shall not use case characteristics, other than age, gender, industry, geographic area and family composition, without prior approval of the Insurance Commissioner. Group size shall not be used as a case characteristic;”
36 O.S. § 6515(A)(6) (Premium rates - adjustments not charged to individual employees or dependents)
“Adjustments in rates for claim experience, health status and duration of coverage shall not be charged to individual employees or dependents. Any adjustment shall be applied uniformly to the rates charged for all employees and dependents of the small employer;”
36 O.S. § 6528 (Reissuance of certain terminated coverage)
“The Insurance Commissioner may promulgate rules to require small employer carriers, as a condition of transacting business with small employers in this state after the effective date of this act, to reissue a health benefit plan to any small employer whose health benefit plan has been terminated or...”
36 O.S. § 6517 (Disclosures required of small employer carriers)
“In connection with the offering for sale of any health benefit plan to a small employer, a small employer carrier shall make a reasonable disclosure, as part of its solicitation and sales materials, of all of the following: 1. The extent to which premium rates for a specified small employer are...”
36 O.S. § 6527(G) (Marketing of health benefit plan coverage, written denial of application)
“Denial by a small employer carrier of an application for coverage from a small employer shall be in writing and shall state the reason or reasons for the denial. The reasons for denial shall be limited to minimum participation requirements and minimum contribution requirements.”
36 O.S. § 6594 (Prerequisites to Maintaining Cause of Action)
“A person may not maintain a cause of action under this act against a health insurance carrier, health maintenance organization, or other managed care entity unless the affected enrollee or the representative of the enrollee, has exhausted any appeal and review process applicable under the...”
36 O.S. § 6593 (Duty to Exercise Ordinary Care - Liability for Damages)
“A health insurance carrier, health maintenance organization, or other managed care entity shall not seek indemnification from a health care provider, whether contractual or equitable, for liability imposed by this act. Any provision in a contract to the contrary is void and unenforceable.”
36 O.S. § 6553 (Private Review Agents - Certification Required)
“A private review agent who approves or denies payment or who recommends approval or denial of payment for hospital or medical services or whose review results in approval or denial of payment for hospital or medical services on a case-by-case basis shall not conduct utilization review in this state...”

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Oklahoma Life & Health practice test

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No. This page summarizes the document and links to the official version. Always rely on the text published by Oklahoma State Senate (oksenate.gov), Oklahoma Statutes Title 36 for the current law.

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