Posts by: Britney Han

Get Ready for Medicare Open Enrollment: Free Six-Week Webinar Series for Oklahomans

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September 16, 2020

Get Ready for Medicare Open Enrollment: 
Free Six-Week Webinar Series for Oklahomans

 

OKLAHOMA CITY – The Oklahoma Insurance Department (OID) will hold a series of webinar events for Oklahomans who are eligible for Medicare. OID will kick off the six-week webinar series on October 6, 2020. Participants can sign up for one or all of the six webinars. Each webinar is free, but registration is required.

The webinar series will educate Oklahomans on the different parts of Medicare, eligibility, enrollment options, and how they can personalize their Medicare plan based on their needs. This virtual event will consist of six educational sessions led by five expert speakers who are from various fields such as the Oklahoma Attorney General’s Office, the Social Security Administration in Oklahoma and the Centers for Medicare & Medicaid Services (CMS) Dallas Regional Office. 

“With the Medicare Open Enrollment Period fast approaching and the pandemic still affecting our daily lives, it’s important to get information from reliable sources. These webinars will help Oklahoma consumers better understand their Medicare options and make the right choice,” Insurance Commissioner Glen Mulready said. 

“Navigating Medicare can be confusing and overwhelming at times; that’s why we are hosting these events,” said Director of the Medicare Assistance Program (MAP), Ray Walker. “MAP offers one-on-one counseling and information. All services are free, unbiased and confidential. You can call us to make an appointment to speak with a trained counselor.”

In addition to the staff counselors within the department, MAP contacts with several agencies around the state to provide the same types of Medicare education and support. You can find a list of these agencies at www.map.oid.ok.gov.

Below is the schedule of Getting Ready for Medicare Open Enrollment Webinar Series: 

  • October 6 at 10 a.m. — Medicare Advantage Plans
  • October 13 at 10 a.m. — Medicare Updates for 2021
  • October 20 at 10 a.m. — Medicare Supplement Plans
  • October 27 at 10 a.m. — Medicare Part D
  • November 5 at 10 a.m. — Social Security 101
  • November 12 at 10 a.m. — Helping Hand: Assisting Seniors and Respecting their Rights

To register or for more information, click here.

Statement by Oklahoma Insurance Commissioner Glen Mulready

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September 11, 2020

Statement by Oklahoma Insurance Commissioner Glen Mulready

OKLAHOMA CITY – Insurance Commissioner Glen Mulready released the following statement regarding the recent announcement by the Oklahoma Health Care Authority’s (OHCA) decision to retain and modify the Insure Oklahoma’s Employee Sponsored Insurance program:

“I applaud OHCA and CEO Kevin Corbett in their decision to retain the Employee Sponsored Insurance program under Insure Oklahoma. This important commitment is a big win for small employers in Oklahoma and will allow almost ten thousand employees to keep their health coverage in private small group plans.

“I have been involved with this program since it was established in 2005 and the success of this model has benefited many small businesses and employees over the last fifteen years. Amid the pandemic, it is more important than ever for working Oklahomans to have access to this affordable insurance optionWe are thankful to our partner agency for ensuring affordable coverage options remain available.” 

 

About Insure Oklahoma 

In April 2004, Senate Bill 1546 authorized the Oklahoma Health Care Authority to develop a program assisting employees of small businesses, 19 to 64 years of age with either (1) a portion of their private health plan premiums (Employer Sponsored Insurance), or (2) the purchase of a state sponsored health plan operated under the state Medicaid program (Individual Plan).

In November 2004, the Oklahoma Health Care Initiative created the funding mechanism to make a program like this possible. SQ 713, passed by a vote of Oklahomans, increased the sales tax on tobacco products. A portion of these revenues were designated to be used to fund the new health program. 

 

Insurance Commissioner Offers Help to Oklahoma Policyholders with Long-Term Care Insurer in Rehabilitation 

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For Immediate Release:
August 31, 2020 

Insurance Commissioner Offers Help to Oklahoma Policyholders with Long-Term Care Insurer in Rehabilitation 

 

OKLAHOMA CITY – In January, regulators in Pennsylvania put midsize long-term care insurance (LTCI) issuer, Senior Health Insurance Company of Pennsylvania (SHIP), in rehabilitation by court order. In response to this court order, the Oklahoma Insurance Department (OID) sent out the letter last week to over 900 Oklahoma consumers with LTCI policies with SHIP to offer help and guidance.

Even though OID is not the SHIP Rehabilitation Plan administratorInsurance Commissioner Glen Mulready encouraged consumers to contact the department if they need additional assistance.

Long-term care policies can be confusing, said Mulready. “Our website has resources that may be helpful as you review your options. You can also call our Consumer Assistance team if you have questions or concerns.”

According to the letter, there will be more changes, yet unannounced that the policyholders should be watching. Mulready advised the policyholders to keep their policy in-force and continue to pay their premiums to avoid cancellation of their policies and loss coverage as they await these changes.

Our number one priority is consumer protectionWe’ve been monitoring the rehabilitation activities on Oklahomans’ behalf and are considering other actions to protect the policyholders’ rights and interests, Mulready added. 

Oklahoma Consumers to Have More Health Options for 2021 ACA Plans

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For Immediate Release:
August 21, 2020

Oklahoma Consumers to Have More Health Options for 2021 ACA Plans

 

OKLAHOMA CITY – Insurance Commissioner Glen Mulready announced today the 2021 preliminary rate filings for health insurance plans under the Affordable Care Act (ACA). Insurers that currentloffer coverage through the Oklahoma Marketplace filed plans requesting average statewide increases of 2.7 percent.

The same three insurers that offered individual health plans on the 2020 Exchange will return for 2021 — Blue Cross Shield of Oklahoma (BCBSOK, Bright Health and Medica Insurance Company. In addition, Oscar Health, UnitedHealthCare (UHC) and CommunityCare Oklahoma (CCOK) will join the marketplace in Oklahoma for 2021 allowing consumers to have more choices. BCBSOK and Medica offer statewide plans while Bright Health, CCOK, Oscar and UHC serve limited areas of the state.

Moderate rate increase requests and new insurers looking to offer plans in Oklahoma revealed that the Oklahoma insurance market is stable and able to offer multiple health insurance options for all Oklahomans.

Creating more choices for consumers has been a top priority of mine and it is encouraging to see more insurers enter the Oklahoma market and another year of modest rate change requests. It demonstrates our efforts to stabilize and improve affordability in this market have been working,” Insurance Commissioner Glen Mulready said. Oklahoma continues to have a healthy, competitive individual health insurance market, and insurers are committed to providing more options for Oklahomans who seek health insurance on the Marketplace.

Rate filings for 2021 health insurance plans were approved by the Centers for Medicare and Medicaid Services(CMS) and are posted ahttps://ratereview.healthcare.gov/Final approved rates will be made public in September.

If you have questions about other insurance issues, contact the Oklahoma Insurance Department at 1-800-522-0071 or visit our website at www.oid.ok.gov

 

Questions or comments should be directed to
Communications Director, Liz Heigle
Liz.Heigle@oid.ok.gov | (405) 819-2221

PBM Special Notice on Patient’s Right to Pharmacy Choice Act

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TO:                           All Health Insurers and Pharmacy Benefits Managers (PBM)
FROM:                     Oklahoma Insurance Department
DATE:                      May 28, 2021
RE:                           Patient’s Right to Pharmacy Choice Act, title 36 O.S. § 6958 et seq.
IMPORTANCE:       HIGH


The Oklahoma Insurance Department has been charged with the duty of enforcing the Patient’s Right to Pharmacy Choice Act.  Since the Act has been in effect it has been the subject of litigation in federal court, Pharmaceutical Care Management Association v. Glen Mulready and Oklahoma Insurance Department, Case No. CIV-19-77-J, pending in the United States District Court for the Western District of Oklahoma, which has prevented the Commissioner from moving forward with enforcement.

On July 9, 2020, Judge Jones of the federal district court for the Western District of Oklahoma ruled the Commissioner can proceed with enforcement of the majority of the provisions of the Act. The Pharmaceutical Care Management Association (“PCMA”) appealed that ruling to the 10th Circuit Court of Appeals in Denver and filed an emergency motion to stay enforcement of the Act.  On August 17, 2020, the 10th Circuit denied PCMA’s emergency motion.

The Commissioner will now proceed forward with enforcement of the Act in accordance with the District Court’s order.  As a result of uncertainties related to the pending litigation and after consultation with Attorney General Hunter, the Commissioner has determined that enforcement will begin for violations occurring on and after September 1, 2020.

Questions or concerns regarding this Special Notice should be directed to the PBM Regulatory Compliance Division, Oklahoma Insurance Department at PBMcomplaints@oid.ok.gov.

CAPTIVE INSURANCE NOTICE NO. 2020-01

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CAPTIVE INSURANCE NOTICE 2020-01

 


TO:               All Licensed Captive Insurers, Captive Managers, Auditors, Actuaries Licensed in Oklahoma
RE:               Reduction of Required Capital for Certain Special Purpose Captive Insurance Companies;
DATE:           August 20, 2020


 

The purpose of this  Notice is to advise all participants in the captive insurance industry that the Oklahoma Insurance Department (OID), pursuant to 36 O.S. § 6470.20 and 6470.34 has determined that on and after  September 16, 2020The capitalization requirement for certain special purpose captive insurers shall be $50,000.    

This reduction in the minimum capital and surplus is available only to those special-purpose captive insurers organized as a “Series” pursuant to 18 O.S. § 2054.4 and which: 

  1. Does not accept or receive direct or assumed  risk 
  2. Does not issue any form of insurance contract 
  3. Insures the risks of its participants only through separate participant contracts, and 
  4. Funds its liability to each participant through one or more protected cells and segregates the assets and liabilities of each protected cell from the assets and liabilities of other protected cells and from the assets of the SPV insurance company’s general account 

Written application for this reduction is required and shall be directed to the Captive Division. If such reduction allowance is approvedthe reduction will be documented by a company-specific Order. 

This Bulletin shall be effective immediately and shall remain in effect unless withdrawn or superseded by subsequent lawregulation or bulletin. 

 


Glen Mulready

Insurance Commissioner 

An Oklahoma series is a form of business organization and can be licensed as series captive insurance companypure captive, agency captiveor as other forms of captive insurance company. 

Three Medicare Preventive Services to Keep Oklahomans Healthy Amid COVID-19 

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For Immediate Release:
August 19, 2020

Three Medicare Preventive Services to Keep Oklahomans Healthy Amid COVID-19

By Oklahoma Insurance Commissioner

As the COVID-19 pandemic continues to affect our lives, patients are deferring routine medical visits or preventive services out of concern for their safety and health. However, these visits are critical, especially for people with certain medical conditions and older adults who are at the highest risk of contracting influenza and pneumonia. With Medicare reimbursing for telehealth visits, patients can now use video or telephone instead of face-to-face encounters for their preventive visits.

Medicare beneficiaries pay nothing for most preventive services if the services are administered from a doctor or other health care provider who participates with Medicare. To protect your health during the current crisis, consider taking advantage of the following three Medicare preventive services for free:

  1.  Annual Wellness Visit If you have had Medicare Part B for longer than 12 months, you can get a yearly wellness visit. You pay nothing for this exam if the doctor accepts assignment. This exam is covered once every 12 months.
  2. Depression Screening Mental health is just as important as physical health. For many, COVID-19 has been a source of anxiety, worry and depression. Please reach out if you need help. Medicare covers a depression screening once per year, and you pay nothing if your doctor accepts assignment.
  3. Obesity Screening and Counseling According to the Centers for Disease Control and Prevention, having obesity, defined as a body mass index (BMI) or 30 or adobe, increases your risk of severe illness from COVID-19. Medicare Part B covers BMI screenings and behavioral counseling to help you lose weight if you have a BMI of 30 or higher.

An easy and essential way to stay healthy during this pandemic is to get disease prevention and early detection services like exams, shots, lab tests, screenings and counseling. These services will help you take care of your body and mind and get the advice and guidance you need. Our Medicare Assistance Program (MAP) also provides free, unbiased counseling and information to help Oklahomans understand preventive services covered by Medicare.

To view a full list of preventive services covered by Medicare, visit https://www.oid.ok.gov/consumers/information-for-seniors/preventative-services/ or contact the MAP division at (800) 763-2828.
If you have questions about other insurance issues, contact the Oklahoma Insurance Department at 1-800-522-0071 or visit our website at www.oid.ok.gov.

Special Notice – Launch of Prometric’s ProProctor™ Online Proctoring Solution

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August 6, 2020


Special Notice to Oklahoma Insurance Professionals

To: Oklahoma Insurance Companies and Pre-License Exam Prep Providers

From: Oklahoma Insurance Department- Licensing & Education Division

RE: Launch of Prometric’s ProProctor™ Online Proctoring Solution


The Oklahoma Insurance Department (OID), led by Commissioner Glen Mulready, continues to find new ways to address disruptions caused by COVID-19 related closures.  The OID Licensing Division offered Temporary Producer and Apprentice Adjuster licenses for a limited time, while Prometric testing centers experienced closures nationwide. On September 1, 2020, all Temporary Producer and Apprentice Adjuster licenses will expire.

In preparation, the Oklahoma Insurance Department and Prometric are pleased to announce the availability of the Oklahoma insurance exams via remotely proctored testing using Prometric’s ProProctor™ application.  ProProctor™ provides another test option for candidates that prefer to take the exam in a private setting instead of traveling to a test center.  The exam will be proctored by a Prometric proctor.  The ProProctor ™application will begin scheduling appointments as of August 10, 2020.

The ProProctor™ platform is a proprietary remote testing system that uses advanced AI technologies and experienced 100% live proctoring staff to offer reliable monitoring and security risk mitigation throughout the examination process. The ProProctor™ solution is available day or night, from any location with standard internet access.  It uses the same test delivery software available in the Prometric global test center locations—ensuring a consistent experience across testing modalities. The application was designed with the user experience in mind, providing easy-to-use tools to confirm computer readiness and deliver the examination.

Thank you for your patience and understanding as we all work together to minimize delays and hardships to our licensees and the industry while still providing the protection needed to Oklahoma Consumers.

 

Oklahoma Insurance Department Licensing & Education Division

400 NE 50th Street
Oklahoma City, Oklahoma
73105 405.521.3916 phone
www.licensing.oid.ok.gov

Fraud Prevention Webinar Series Deemed a Success 

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For Immediate Release:
August 3, 2020 

 

Fraud Prevention Webinar Series Deemed a Success 

 

OKLAHOMA CITY – The Hoodwinked Fraud Conference hosted by the Oklahoma Insurance Department (OID) along with the Oklahoma Department of Securities, the Oklahoma Attorney General’s Office, the Oklahoma Banker’s Association and AARP Oklahoma had record number of participants this past monthThe webinar offered four educational sessions on July 8, 15, 22 and 29After its last session, this 4-week series successfully reached more than 1,000 registrants across Oklahoma.

A short survey after the conference revealed that 88% of survey participants agreed that the information shared on the webinar was useful. It also showed that 97% of viewers agreed that the registration process was smooth, and 98% agreed that a presenter did an excellent job of presenting the information.

Technology enabled us to expand our event beyond what we thought was possible during this pandemic,” said Insurance Commissioner Glen Mulready. “We were able to reach much larger audiences — consumers in rural Oklahoma and in other states — yet still in a highquality and meaningful way.”

This free event provided an opportunity for people to learn about the latest white-collar crimes and tips for fighting fraudFollowing the success of its first-ever online conference, OID plans to offer webinars on Extra Help, Preventive Services, and Medicare Open Enrollment in the coming months.

We appreciate the collaborative efforts of our partners to make this possible. We will continue to provide opportunities for Oklahomans to stay engaged with us during these trying times,” Medicare Assistance Program’s Director Ray Walker said.

A recording of the entire conference is now available at www.oid.ok.gov/hoodwinked/ 

If you have questions about other insurance issues, contact the Oklahoma Insurance Department at 1-800-522-0071 or visit our website at www.oid.ok.gov 

Life Insurance Policy Locator Provides Over $13 Million to Oklahoma Consumers Since 2016 

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For Immediate Release:
July 30, 2020

Life Insurance Policy Locator Provides Over $13 Million to Oklahoma Consumers Since 2016

 

OKLAHOMA CITY – Each year, millions of dollars in life insurance benefits go unclaimed by beneficiaries who can’t find their deceased loved ones’ policies or, in some cases, may not even know the policies exist. Since 2016, the Life Insurance Policy Locator, launched by the Oklahoma Insurance Department through the National Association of Insurance Commissioners, has helped 3,972 Oklahoman requests, which has led to 1,142 matches with a total claim amount of $13,109,451. 

 

Unclaimed life insurance policies are more common than you would think,” said Insurance Commissioner Glen Mulready. “With this free nationwide service, families who are left scrambling to track down a lost life insurance policy after the death of a loved one now have an easier way to search for policies and annuities.”   

 

The policy locator requests are secure, confidential and free. Any matches found by participating insurers are reported to state insurance agencies through the Life Policy Locator. The companies then are responsible for contacting beneficiaries. 

 

For more information on the Life Insurance Policy Locator, visit https://www.oid.ok.gov/

 

Questions or comments should be directed to
Communications Director, Liz Heigle
Liz.Heigle@oid.ok.gov | (405) 819-2221