Insure Oklahoma extended for one year

Posted On: 09/11/2013

On Friday, Sept. 6, Gov. Mary Fallin announced the state’s successful negotiations with the federal government to extend for one year (through Dec. 31, 2014) its waiver in support of Oklahoma’s premium assistance program, Insure Oklahoma. This is good news for some 9,000 insureds who otherwise would lose their coverage at the end of this calendar year. A key change to note: effective Jan. 1, 2014, the individual Plan (IP) qualification will be reduced from 200 percent of the Federal Poverty Level (FPL) to 100 percent of the FPL. Because of this change, about 8,000 individual plan members will be released from Insure Oklahoma but will qualify for coverage through the federal Insurance Marketplace. This change follows one of the recommendations provided in the June 27 Leavitt Partners report to the Oklahoma Health Care Authority board.

Insure Oklahoma, enacted in 2005, provides private market health insurance for nearly 30,000 working, low-income Oklahomans employed by small businesses. It is funded by state tobacco tax funds matched with federal dollars. The Oklahoma Health Care Authority sponsors 60 percent of the premium, participating employers pay at least 25 percent of the qualified employee’s monthly premiums, and the employee pays no more that 15 percent of their health premium.  

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