Section 1307 - Specifications - Limitations on benefits - ExceptionsA. The specifications drawn by the Office of Management and Enterprise Services for the Health Insurance Plan shall provide for comprehensive hospital medical and surgical benefits. The Health Insurance Plan may limit coverage for a particular illness, disease, injury or condition; but, except for such limits, shall not exclude or limit particular services or procedures that can be provided for the diagnosis and treatment of an illness, disease, injury or condition, so long as the services and procedures provided are of sound efficacy, are medically necessary, and fall within the licensed scope of practice of the practitioner providing same. The Health Insurance Plan may contract with providers for specific services based on levels of outcomes defined by the Office and achieved by the provider. The Health Insurance Plan may provide for the application of deductibles and copayment or coinsurance provisions that are based on contracts with providers for specific services based on levels of outcomes or cost.B. The Life Insurance Plan shall include Accidental Death and Dismemberment Benefits and additional optional life insurance coverage.Okla. Stat. tit. 74, § 1307
Amended by Laws 2015 , c. 58, s. 1, eff. 11/1/2015.Added by Laws 1967, SB 21, c. 374, § 7, emerg. eff. 5/23/1967; Amended by Laws 1970, HB 1527, c. 70, §6, emerg. eff. 3/17/1970; Amended by Laws 1977, SB 73, c. 261, §6, emerg. eff. 6/17/1977; Amended by Laws 1982, SB 573, c. 333, §6, emerg. eff. 6/1/1982; Amended by Laws 1990, SB 708, c. 244, §5, emerg. eff. 5/21/1990; Amended by Laws 1991, HB 1429, c. 171, §1, emerg. eff. 7/1/1991; Amended by Laws 2011 , HB 1062, c. 326, §1, eff. 11/1/2011; Amended by Laws 2012 , HB 3079, c. 304, §941.