Library: Policy

317:45-3-3. Carrier rate structure requirements

Issued 11-15-10

     Carriers must meet OHCA's system specifications for all rate structure tiers and requirements.  The OHCA must be able to recreate premium invoice amounts for all approved Insure Oklahoma members.  If a carrier can not accommodate OHCA's system specifications for all rate structure tiers and requirements, the carrier will not be allowed to participate in the Insure Oklahoma program and all health plans submitted by the carrier for participation in the Insure Oklahoma program as a qualified health plan will not be considered.  Carrier rate structure requirements include all rate tiers and age-up methodologies.