In This Email:
Guidelines for assigning Qualified Benefit Plans (QBP) are based on employee eligibility dates.
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Check Eligibility Begin Date: Always verify the eligibility beginning date for the employee in question.
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Timing of QBP Assignment: Do not assign the QBP until the month before the employee's eligibility date.
Example: For an employee, whose eligibility begins on March 1, the QBP should not be assigned until February.
Failure to follow this process will result in a subsidy letter not generating. If you need assistance with implementing this process or if you have any specific questions regarding QBP assignments, please contact the Insure Oklahoma call center at 888-365-3742.
Another important business process change: Effective immediately, when submitting rate schedules, the Summary of Benefits and Coverage must be submitted with the rate schedules.
 We are developing the policies and business processes to implement self-funded and self-insured plans. This is a significant initiative, and we appreciate your patience as we carefully move through the necessary steps. We'll be sure to keep you informed with updates as we make progress.
To streamline processes and allow more groups and their employees to apply, groups with no employees enrolled within 12 months will be closed out. Sending in a monthly invoice or renewal rate sheets will not keep the group open.
Once closed, if an employee qualifies, the group can reapply by submitting a paper application and all supporting documents. All the required forms can be found on the Insure Oklahoma website. If the closure is less than six months old, you may apply through the employer portal and submit the required documents.
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The Employer Portal Agent of Record tab has been updated. There is now a place for the agent's first name and last name. Please access your employer portal and add this information. If you do not have an agent of record, this tab does not need to be completed. |
Please note this important business process change. The Oklahoma Employment Security Commission’s (OESC) reporting rules document has been updated. Any nonprofit organization that is not a church and employs four or more individuals must file with the Oklahoma Employment Security Commission or use a Professional Employment Organization (PEO) approved by the Oklahoma Insurance Department (OID) to maintain eligibility for Insure Oklahoma.
If the business holds a 501(c)(3) group exemption, please submit the IRS Tax Classification determination letter for the EIN under which the group is enrolled with Insure Oklahoma. The IRS Tax Classification determination letter will be required for all existing and new businesses. View updated OESC reporting rules.
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Employer Applications
The processing time for employer applications is 30 days. Insure Oklahoma does not approve employer applications during the last week of each month to avoid employee enrollment issues.
Documentation Submissions
Please do not submit mailed documents with staples or paperclips. This slows the processing time.
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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.
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