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Glen Mulready
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MENUMENU
  • Consumer Assistance
          • Consumer Assistance
          • Insurance Basics
        • FILE A COMPLAINT
          • Anti-Fraud Unit
          • Home
        • STATE: 800.522.0071
          • Employee Claims
          • Auto
        • OKC: 405.521.2828
          • External Review Process
          • Health & Life
        • TULSA: 918.295.3700
  • Industry / Regulations
          • Licensing and Education
          • Regulated Industry Services
        • FILE A COMPLAINT
          • Legal Division
          • Regulated Entities
        • STATE: 800.522.0071
          • Financial Division
          • Insurer Forms
        • OKC: 405.521.2828
          • Premium Tax
          • Anti-Fraud Unit
        • TULSA: 918.295.3700
  • About OID
          • Meet The Commissioner
          • Events
        • FILE A COMPLAINT
          • Divisions & Programs
          • Rules & Bulletins
        • STATE: 800.522.0071
          • Resources
          • Careers
        • OKC: 405.521.2828
          • News
          • Contact Us
        • TULSA: 918.295.3700
  • Consumer Assistance
    • Back
    • Consumer Assistance
    • Anti-Fraud Unit
    • Employee Claims
    • External Review Process
    • Insurance Basics
    • Home
    • Auto
    • Health Insurance
  • Industry / Regulations
    • Back
    • Licensing and Education
    • Legal Division
    • Financial Division
    • Premium Tax
    • Regulated Industry Services
    • Regulated Entities
    • Insurer Forms
    • Anti-Fraud Unit
  • About OID
    • Back
    • Meet The Commissioner
    • Divisions & Programs
    • Resources
    • News
    • Events
    • Rules & Bulletins
    • Careers
    • Contact Us

Rate and Form Filing Forms

Property & Casualty Insurance Forms

Oklahoma Mega Deductible Workers’ Compensation Experience Quarterly Reporting Form
OKLCF-1 Insurer Rate Filing – Adoption of Advisory Organization Prospective Loss Costs
OKWCLCF-2 Workers’ Compensation Insurer Rate Filing – Adoption of Organization Prospective Loss Costs
Form A-2 Oklahoma Rate Exhibit
Explanatory Remarks/Instructions For Form A-2
Form OKLCF-A-2 Oklahoma Loss Cost Rate Exhibit
Explanatory Remarks/Instructions For Form OKLCF-A-2

Life and Health Forms

Utilization Review and/or Registration Application
Utilization Review Certification and/or Registration Annual Renewal Application
Form Filing Guidelines For Equity Indexed Products
Shared Savings Incentive Attestation
Shared Savings Incentive Annual Reporting Template

Life and Health Reports

Large Employer Group (HIPAA)
Long Term Care Insurance (Attachment: A) | (Attachment: C) | (Appendix: C) | (Appendix: CC)
Medicare Supplement (Appendix: Q) | (Appendix: R)
Small Employer Health Insurance Reform

Long Term Care Partnership Forms

Long Term Care Partnership Certification Form
Long Term Care Partnership Information Letter
Long Term Care Partnership Producer Reporting Form

Commissioner's Blog   

Oklahoma Insurance Department 400 NE 50th Street, Oklahoma City, OK 73105 405.521.2828 | Business Hours: 8:00 AM - 5:00 PM
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