§ 74-1314.4. Supplemental health insurance.

(1)  The Oklahoma Employment Security Commission shall provide supplemental health insurance, in the manner provided in Section 1314.5 of this title for Agency Plan participants.  Such supplemental insurance shall cover material differences between the coverage under the State Plan and the Agency Plan.  Material differences as of the effective date of this act are:

(a)The difference between the Agency Plan and the State Plan with regard to the amount of the lifetime maximum benefit;

(b)The difference between the Agency Plan and the State Plan with regard to the amount of the annual hospital copayment;

(c)The difference between the Agency Plan and the State Plan with regard to the amount of the retiree prescription copayment;

(d)The difference between the Agency Plan and the State Plan with regard to the allowable cost for a medical procedure; provided the procedure was not readily available from a provider under the State Plan.

(2)  The Commission may vary the terms of the supplemental health insurance at such times as there is a material change in the coverage offered under the State Plan from coverage offered under the Federal Plan.

(3)  The Commission may require participants to share in the cost of the supplemental health insurance or contribute to copayments and/or provide for deductibles, if required by the United States Department of Labor; provided that the cost to the participant for both the State Plan and the supplemental health insurance does not exceed the cost to the participant for the Agency Plan as estimated by the Commission.

Added by Laws 1990, c. 303, § 3, emerg. eff. May 30, 1990.  Amended by Laws 2004, c. 278, § 2, emerg. eff. May 10, 2004.