Library: Policy

317:45-5-3. Health plan rate structure requirements

Issued 11-15-10

     Health plans 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 health plan can not accommodate OHCA's system specifications for all rate structure tiers and requirements, the health plan will not be allowed to participate in the Insure Oklahoma program.  Health plan rate structure requirements include all rate tiers and age-up methodologies.