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.

November 2021 - Employer News

In this email...

• Documentation Submission for Employees
• Documentation Submission for Employers
• Reapplying for ESI
• Eligibility when Transitioning from SoonerCare Back to ESI
• Encourage Employees to Check That All Information is Up-to-Date
• Public Health Emergency Coverage Extended Through Jan. 31, 2022

Documentation Submission for Employees

Please do not submit documentation for employees through the employer portal, as it will not be processed. Any employee documentation should be submitted through the member portal, email or fax.

Documentation Submission for Employers

Monthly invoices should be uploaded to the employer portal. Faxing or emailing can cause a delay in receiving the subsidy payment.

Reapplying for ESI

If an employee becomes over income for SoonerCare and needs to transition back to ESI, they will need to reapply. When the transition moved people from ESI to SoonerCare, the Insure Oklahoma box was unchecked on the applications and it will need to be rechecked for eligibility to be considered.

Eligibility when Transitioning from SoonerCare Back to ESI

When income is updated on applications within the 12-day end date period, ending SoonerCare in the first few days of a month, this pushes ESI out to the next month and leaves a gap in coverage.

Example: income updated Oct. 23. SoonerCare ends Nov. 4 and ESI begins Dec. 1. If you become aware of a case like this, please contact the helpline.

Note: if the gap in coverage is due to the application being updated prior to the 12-day period, we cannot backdate ESI.

Encourage Employees to Check That All Information is Up-to-Date

Please encourage your employees to review their cases on the member portal and update any information that may not be current. This may include income, address, telephone numbers and household members.

Public Health Emergency Coverage Extended Through Jan. 31, 2022

The PHE period is being extended in 90-day increments by the federal government. The current date for extended coverage to end has been extended to Jan. 31. This is subject to change based on CMS guidance.