Oklahoma Code § 36-6922

Title 36. Insurance: Order to rectify financial condition or violation -
Open in Lexace · Ask the AI about this section
Required actions - Remedies and measures available to Insurance
Commissioner.
A.  Whenever the Insurance Commissioner determines that the
financial condition of a health maintenance organization (HMO) is
such that its continued operation might be hazardous to its
enrollees, creditors or the general public, or that the HMO has
violated any provision of the Health Maintenance Organization Act of
2003, the Insurance Commissioner may, after notice and opportunity
for hearing, order the health maintenance organization to take
action reasonably necessary to rectify the condition or violation
including, but not limited, to one or more of the following:

1.  Reduce the total amount of present and potential liability
for benefits by reinsurance or other method acceptable to the
Insurance Commissioner;
2.  Reduce the volume of new business being accepted;
3.  Reduce expenses by specified methods;
4.  Suspend or limit the writing of new business for a period of
time;
5.  Increase the health maintenance organization’s capital and
surplus by contribution; or
6.  Take other steps the Insurance Commissioner may deem
appropriate under the circumstances.
B.  For purposes of this section, the violation by a health
maintenance organization of any law of this state to which the
health maintenance organization is subject shall be deemed a
violation of this act.
C.  Rules of the Insurance Commissioner establishing criteria
that the Insurance Commissioner may consider in making a
determination that the condition of any insurer is such that
continuation of such insurer's business may be hazardous to the
public or to holders of its policies or certificates of insurance
may be used by the Insurance Commissioner for early warning that the
continued operation of any health maintenance organization might be
hazardous to its enrollees, creditors, or the general public and to
set standards for evaluating the financial condition of any health
maintenance organization.
D.  The remedies and measures available to the Insurance
Commissioner under this section shall be in addition to, and not in
lieu of, the remedies and measures available to the Insurance
Commissioner under the provisions of Section 1904 of Title 36 of the
Oklahoma Statutes.

‹ Prev All Oklahoma sections Next ›


Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.