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IP Enrollment Process. Insure Oklahoma vs. SoonerCare. IO is a limited benefit package. Applicants are responsible for a monthly premium. Premiums range from $0 - $119.62. Applicants must pay their co-pays to receive services. IO does not cover children.

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insure oklahoma vs soonercare
Insure Oklahoma vs. SoonerCare
  • IO is a limited benefit package.
  • Applicants are responsible for a monthly premium. Premiums range from $0 - $119.62.
  • Applicants must pay their co-pays to receive services.
  • IO does not cover children.
  • Cannot be enrolled in any other state program. (Medicaid, SoonerCare, Family Planning, BCC)
  • Coverage is not immediate. (45 – 60 days from application date)
participation agreement
Participation Agreement:

The Participation Agreement page is required. Please be sure applicants read this carefully and fully understand what they are agreeing to, check the I Agree button and Submit.

slide5

Determine Application Type

  • Applicants working for a qualifying employer who does participate in Insure Oklahoma.
  • Self-employed applicant.
  • Applicants applying as disabled with a Ticket-to-Work.
  • Applicants applying as unemployed and receiving/approved for unemployment benefits.
  • Full time college students.
applicants working for a qualifying non participating employer1
Applicants working for a qualifying non-participating employer
  • Proof of income is usually taxes, pay-stub or a W-2.
  • Spouse may be approved for benefits if he or she:
    • Is not employed,
    • works full-time for an employer that would qualify but is not participating
    • part-time, employed by any size employer.
  • All household members must be listed.
  • All household income must be reported when applicable.
self employed
Self Employed
  • Proof of income is usually the 1040 tax return that includes one or more of the following:
    • Schedule C,
    • Schedule E. (rents, royalties, etc.),
    • Schedule F( farming),
    • K1 (from S-Corp, and partnerships),
  • Spouse may be approved for benefits if he or she:
    • is not employed,
    • works full-time for an employer that would qualify but is not participating
    • is part-time employed by any size employer.
  • All household members must be listed.
  • All household income must be reported when applicable.
applicants applying as disabled with a ticket to work1
Applicants applying as disabled with a Ticket-to-Work.
  • The applicant is applying as disabled with a Ticket-to-Work.
  • Proof of income is usually a Pay-Stub or a W-2.
  • Spouse cannot be approved for benefits.
  • All household members must be listed.
  • All household income must be reported when applicable.
applicants applying as unemployed and receiving approved for unemployment benefits1
Applicants applying as unemployed and receiving/approved for unemployment benefits
  • Proof of income is usually a “Monetary Determination of Unemployment Benefits” letter from the OESC. Use the weekly benefit amount listed on the letter.
  • Spouse may be approved for benefits if he or she:
    • is not employed,
    • works full-time for an employer that would qualify but is not participating
    • is part-time employed by any size employer.
  • All household members must be listed.
  • All household income must be reported when applicable.
applicants applying as an independent college student1
Applicants applying as an independent college student.
  • The applicant must be:
    • an undergraduate between the ages of 19 and 22
    • enrolled in a minimum of 12 credit hours
    • the income of the applicants’ parents is not on their most recentFree Application for Federal Student Aid (FAFSA). A copy of the most recent FAFSA is required to complete the approval process.
  • The applicant may work for any size employer, full or part-time or not work.
  • Spouse cannot be approved for benefits.
  • All household members must be listed.
  • All household income must be reported when applicable.
applicant employment information
Applicant Employment Information
  • Provide applicant’s employment information.
  • FEIN is required. This number is found on W-2 or 1099.
  • If self employed use their SSN.
  • Include wages.
  • If the applicant has more than one type of employment, click “add another employer”
pcp s
PCP’s
  • The Insure Oklahoma Individual plan requires persons applying for benefits to choose 3 PCPs and list them on the application.
  • Add PCP ID if chosen already or click “Search for Primary Care Provider”. Define your search.
applicant other income information page 6 of 8
Applicant Other Income Information (page 6 of 8)

If you have other types of income click add income. To see the types income to include see the “Income Fact Sheet”

add household member information page 8 of 8
Add Household Member Information (page 8 of 8)

Clicking add household member brings up the following

slide32
Click to sign.
  • View the status page.
individual plan what to expect next
Individual Plan: What to Expect Next
  • After completing application online you will see a status page:
    • Denied
    • Pre-approved
  • If pre-approved a letter will be received. Immediately send required documents:
    • Taxes, all schedules/pages
    • Paystubs
    • W2’s, 1099’s
    • Letter from OESC (Oklahoma Employment Securities Commission) explaining unemployment benefits (monetary determination letter)
    • Ticket to work certificate for working disabled- Social Security documentation
    • College students – FAFSA
  • A letter will be sent for citizenship and identity documentation:
    • See Proof of U.S. Citizenship & Identity list for acceptable documentation
  • All documentation should be sent to:

Insure Tulsa

4545 N Lincoln Blvd. Ste 124

Oklahoma City, OK 73105

individual plan what to expect next cont
Individual Plan: What to Expect Next (cont.)
  • Monthly Premiums
    • Most applicants will be responsible for a monthly premium. Invoices are mailed monthly.
    • The first letter will contain 2 invoices for the first two (2) months of premiums.
      • The invoices state the due date. This is always the 5th of the month preceding eligibility start date.
    • Subsequent payments will always be due by the 5th of the month prior to the benefit month. Payments must be received by the 5th, not post dated.
      • Late payments are not accepted and will result in application being terminated.
      • To resume coverage applicant must go through the application process again.
  • Welcome Packet
    • ID card, Member hand book, OOP form and TPL forms will be received approximately one (1) week prior to eligibility start date.
slide35
IP premiums range on a sliding scale between $0 and $119.62. See the chart below for maximum premium amounts.
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