SB1409 Summary

• Amends Oklahoma health insurance law for group accident and health policies to require standardized provisions regarding representations, individual certificates, and group membership additions.

• Establishes HIPAA-compliant requirements for preexisting condition exclusions, limiting exclusions to 12 months after coverage effective date and prohibiting exclusions for pregnancy and genetic information.

• Requires special enrollment periods for individuals losing coverage, with eligibility based on prior coverage status and 30-day enrollment deadlines after coverage loss.

• Mandates guaranteed renewable coverage with limited exceptions for nonpayment of premium, fraud, violation of rules, movement outside service areas, or termination of association membership.

• Requires all policies issued or renewed after November 1, 2016 to establish coverage periods from July 1 to June 30 of each year; effective date November 1, 2016.