If you are not on the employee’s account as an authorized representative, we cannot discuss ANY details with you about their account. The employee can add you as an authorized representative by logging into their account and clicking on the "Go" button in the change box on the bottom right.

For Employers – This applies to those listed as a contact person or business owner.

For Agents – This applies to those listed as Agent of Record (AOR).

For Employees – We can only speak to the member unless the account has an authorized rep listed to act on their behalf.

Regular Hours (excluding holidays):

Monday - 8 a.m. - 5 p.m.
Tuesday - 8 a.m. - 5 p.m.
Wednesday - 8 a.m. - 5 p.m.
Thursday - 10:30 a.m. - 5 p.m.
Friday - 8 a.m. - 5 p.m.

February 2021 - Employer news

In this email...

• Invoice for Subsidy Payments
• Groups With No Employees Enrolled for 12 Months
• Access to Information on Member's Case
• Public Health Emergency Extended Through Dec. 31
• How Medicaid Expansion Affects ESI Population

Invoice for Subsidy Payments

Insure Oklahoma is instituting a "timely filing" rule for submission of invoices for subsidy payment. Beginning July 1, subsidy payment will not be paid on invoices six months or older. For example, the July 2021 invoice will need to be received by Jan. 1, 2022. Please review your files and if you have any invoices that have not been submitted, submit them prior to June 30, 2021.

Groups With No Employees Enrolled for 12 Months

Effective immediately, in order to streamline processes and to allow opportunity for more groups and their employees to apply, groups with no employees enrolled within a 12 month period will be closed out. Sending in a monthly invoice or renewal rate sheets will not keep the group open. Once closed, if an employee may qualify, the group can reapply by submitting a paper application and all supporting documents. All of the required forms can be found on our website.

Access to Information on Member's Case

Due to HIPAA regulations, information on a member’s case will ONLY be given to persons who are on the case or are an authorized representative. Being an employer contact gives access to the information on the employer account ONLY. 

Public Health Emergency Extended Through Dec. 31

The public health emergency due to COVID-19 has been extended by the Federal Government once again.

Employees that were set to terminate due to any reason other than death or the member chose to close benefits will have their eligibility extended to Dec. 31, 2021. This is the current PHE end date and is subject to change based on CMS guidance. 

How Medicaid Expansion Affects ESI Population

The Medicaid program is expanding to the adult population in Oklahoma effective July 1. The Insure Oklahoma premium assistance program will be modified due to this population change. For more detailed information, please click here.