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Oklahoma Department of
Human Services
Stronger Families Grow
Brighter Futures
Oklahoma Department of Human Services
Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd. • Oklahoma City, OK 73105
(405) 521-3646 • Fax (405) 521-6684 • Internet: www.okdhs.org
 
 
 
317:45-9-7. Closure
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Revised 6-25-11

 

(a) Employer and employee eligibility are tied together.  If the employer is no longer eligible, then the associated employees enrolled under that employer are also ineligible.  Employees are mailed a notice 10 days prior to closure of eligibility.

(b) The employee's certification period may be terminated when:

  • (1) termination of employment, either voluntary or involuntary, occurs;
  • (2) the employee moves out-of-state;
  • (3) the covered employee dies;
  • (4) the employer ends its contract with the qualified health plan;
  • (5) the employer's eligibility ends;
  • (6) an audit indicates a discrepancy that makes the employee or employer ineligible;
  • (7) the employer is terminated from the program;
  • (8) the employer fails to pay the premium;
  • (9) the qualified health plan or carrier no longer meets the requirements set forth in this Chapter;
  • (10) the employee becomes eligible for SoonerCare or Medicare;
  • (11) the employee or employer reports any change affecting eligibility;
  • (12) the employee is no longer listed as a covered person on the employer's health plan invoice;
  • (13) the employee requests closure; or
  • (14) the employee no longer meets the eligibility criteria set forth in this Chapter.

 



Last Updated:  7/8/2011
Oklahoma Department of Human Services
Street address: Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd., Oklahoma City, OK 73105
Mailing address: P.O. Box 25352, Oklahoma City, OK 73125
(405) 521-3646
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