Oklahoma 2022 Regular Session

Oklahoma Senate Bill SB287 Latest Draft

Bill / Enrolled Version Filed 04/14/2021

                             
 
 
An Act 
ENROLLED SENATE 
BILL NO. 287 	By: Quinn of the Senate 
 
  and 
 
  Sims of the House 
 
 
 
 
 
 
An Act relating to travel insurance; amending 
Sections 3, 4, 5, 6, 8, 9 and 10, Chapter 159, O.S.L. 
2018 (36 O.S. Supp. 20 20, Sections 6711, 6712, 6713, 
6714, 6716, 6717 and 6718), which relate to 
application of the act, definitions, limited lines 
travel insurance producer license, premium taxes, 
application of Unfair Trade Practices Act, 
qualifications for travel administrators and 
individual or group policies allowed; stating purpose 
of act; modifying applicability of act; modifying 
definitions; authorizing persons with certain lines 
of authority to sell trav el insurance; specifying 
that insurance producers are not required to be 
appointed to sell travel insurance; defining terms; 
requiring disclosure of certain information for pre -
existing condition exclusions; modifying terms of 
certain refund of travel prot ection plan; 
establishing unfair trade practice; declaring certain 
requirement for purchasing trip or travel package not 
an unfair trade practice; modifying requirements for 
travel insurance administrator; clarifying exemption 
from Insurance Adjusters Lice nsing Act for travel 
administrator; establishing insurer as responsible 
for certain acts of travel administrator; requiring 
travel insurance be filed as certain line of 
insurance; providing exception for filing as certain 
line of insurance; establishing te rms of eligibility 
and underwriting standards for travel insurance; 
updating statutory language; and providing an 
effective date.   
 
ENR. S. B. NO. 287 	Page 2 
 
 
 
 
SUBJECT:  Travel insurance 
 
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: 
 
SECTION 1.     AMENDATORY     Section 3, Chapter 159, O.S.L. 
2018 (36 O.S. Supp. 2020, Section 6711), is amended to read as 
follows: 
 
Section 6711.  A.  The purpose of this act is to promote the 
public welfare by creating a comprehensive legal framework within 
which travel insurance may be sold in this s tate. 
 
B. The requirements of the act shall apply to travel insurance 
where covering any resident of this state that is sold, solicited, 
negotiated or offered in this state and policies and certificates 
that are delivered or issued for delivery in this sta te.  It shall 
not apply to cancellation fee waivers and travel assistance 
services, except as expressly provided herein. 
 
B. C. All other applicable provisions of this state ’s insurance 
laws shall continue to apply to travel insurance except that the 
specific provisions of this act the Travel Insurance Act shall 
supersede any general pro visions of law that would otherwise be 
applicable to travel insurance. 
 
SECTION 2.     AMENDATORY     Section 4, Chapter 159, O.S.L. 
2018 (36 O.S. Supp. 20 20, Section 6712), is amen ded to read as 
follows: 
 
Section 6712.  As used in this act the Travel Insurance Act, the 
term: 
 
1.  “Aggregator site” means a website that provides access to 
information regarding insurance products from more than one insurer, 
including product and insurer information, for use in comparison 
shopping; 
   
 
ENR. S. B. NO. 287 	Page 3 
2.  “Blanket travel insurance” means a policy of travel 
insurance issued to any eligible group providing coverage for 
specific classes of persons defined in the policy, with coverage 
provided to all members of t he eligible group without a separate 
charge to individual members of the eligible group; 
 
3.  “Cancellation fee waiver ” means a contractual agreement 
between a supplier of travel services and its customer to waive some 
or all of the nonrefundable cancellati on fee provisions of the 
supplier’s underlying travel contract, with or without regard to the 
reason for the cancellation or form of reimbursement.  A 
cancellation fee waiver is not insurance; 
 
4.  “Commissioner” means the Oklahoma Insurance Commissioner; 
 
5.  “Eligible group” means, solely for the purposes of travel 
insurance, two or more persons who are engaged in a common 
enterprise, or have an economic, educational or social affinity or 
relationship, including, but not limited to, any of the following: 
 
a. any entity engaged in the business of providing t ravel 
or travel services, including, but not limited to, 
tour operators, lodging providers, vacation property 
owners, hotels and resorts, travel clubs, travel 
agencies, property man agers, cultural exchange 
programs and common carriers or the operator, owne r or 
lessor of a means of transportation of passengers, 
including, but not limited to, airlines, cruise lines, 
railroads, steamship companies and public bus 
carriers, wherein with r egard to any particular t ravel 
or type of travel or travelers, all members or 
customers of the group must have a common exposure to 
risk attendant to such travel, 
 
b. any college, school or other institution of learning 
covering students, teachers, employee s or volunteers, 
 
c. any employer covering any group of employees, 
volunteers, contractors, board of directors, 
dependents or guests, 
   
 
ENR. S. B. NO. 287 	Page 4 
d. any sports team, camp or sponsor thereof covering 
participants, members, campers, employees, officials, 
supervisors or volunteers, 
 
e. any religious, charitable, recreational, educational 
or civic organization or bran ch thereof covering any 
group of members, participants or volunteers, 
 
f. any financial institution or financial institution 
vendor, or parent holding company, t rustee or agent of 
or designated by one or more financial institutions or 
financial institution vendors, including 
accountholders, credit card holders, debtors, 
guarantors or purchasers, 
 
g. any incorporated or unincorporated association, 
including labor unions, having a common interest, 
constitution and bylaws and organized and maintained 
in good faith for purposes other than obtaining 
insurance for members or participants of such 
association covering its members, 
 
h. any trust or the trustees of a fund esta blished, 
created or maintained for the benefit of and covering 
members, employees or customers, subject to the 
Insurance Commissioner authorizing permission of the 
Insurance Commissioner, the use of a trust and the 
state’s premium tax provisions in Section 6 of this 
act 6714 of this title of one or more associations 
meeting the above requirements of this paragraph, 
 
i. any entertainment production company covering any 
group of participants, volunteers, audience members, 
contestants or workers, 
 
j. any volunteer fire department, ambulance, rescue, 
police, court or any first aid, civil defense or other 
such volunteer group, 
 
k. preschools, daycare institutions for children or 
adults and senior citizen clubs, 
   
 
ENR. S. B. NO. 287 	Page 5 
l. any automobile or truck rental or leasing company 
covering a group of individuals who may become 
renters, lessees or passengers defined by their tra vel 
status on the rented or leased vehicles.  The common 
carrier, the operator, owner or lessor of a means of 
transportation or the automobile or truck rental o r 
leasing company is the policyholder under a policy to 
which this paragraph applies, or 
 
m. any other group where the Commissioner has determined 
that the members are engaged in a common enterprise, 
or have an economic, educational or social affinity or 
relationship, and that issuance of the policy would 
not be contrary to the public interest; 
 
6.  “Fulfillment materials” means documentation sent to the 
purchaser of a travel protection plan confirming the purchase and 
providing the coverage and assistance de tails of the travel 
protection plan; 
 
7.  “Group travel insurance” means travel insurance issued to 
any eligible group; 
 
8.  “Limited lines travel insurance producer ” means any of the 
following a: 
 
a. licensed managing general agent or third -party 
administrator, 
 
b. licensed insurance producer, including a limited li nes 
producer, or 
 
c. travel administrator; 
 
9.  “Offer and disseminate” means providing general information, 
including a description of the coverage and price, as well as 
processing the application an d collecting premiums; 
 
10.  “Travel administrator ” means a person who directly or 
indirectly underwrites, collects charges, collateral or premiums 
from or adjusts or settles claims on residents of this state, in 
connection with travel insurance, except tha t a person shall not be   
 
ENR. S. B. NO. 287 	Page 6 
considered a travel administrat or if the only actions of the person 
are those that would otherwise cause the person to be considered a 
travel administrator are among the following he or she is: 
 
a. a person working for a travel admin istrator whose 
activities are subject to the supervisi on and control 
of the travel administrator , 
 
b. an insurance producer selling insurance or engaged in 
administrative and claims -related activities within 
the scope of the license of the producer, 
 
c. a travel retailer offering and disseminating travel 
insurance and registered under the license of a 
limited lines travel insurance producer in accordance 
with this act the Travel Insurance Act , 
 
d. an individual adjusting or settling claims in the 
normal course of practice or employment of the 
individual as an attorney-at-law and who does not 
collect charges or premiums in connection with 
insurance coverage, or 
 
e. a business entity that is affiliated with a licensed 
insurer while acting as a travel administrator for the 
direct and assumed insurance business of an affiliated 
insurer; 
 
11.  “Travel assistance services” means noninsurance services 
that may be distributed by limited lines travel insurance producers 
or other entities, and for which there the consumer is no 
indemnification for the travel protection pl an customer not 
indemnified based on a fortuitous event, nor any and where providing 
the services does not result in transfer or shifting of risk that 
would constitute the business of insurance.  Travel assi stance 
services include, but are not limited to: security advisories; 
destination information; v accination and immunization information 
services; travel reservation services; entertainment; activity and 
event planning; translation assistance; emergency mes saging; 
international legal and medical referrals ; medical case monitoring; 
coordination of tran sportation arrangements; emergency cash transfer 
assistance; medical prescription replacement assistance; passport   
 
ENR. S. B. NO. 287 	Page 7 
and travel document replacement assistance; l ost luggage assistance; 
concierge services; and a ny other service that is furnished in 
connection with planned travel that is not related to the 
adjudication of a travel insurance claim, unless otherwise approved 
by the Commissioner in a travel insurance f iling.  Travel assistance 
services are not insura nce and not related to insurance; 
 
12.  “Travel insurance” means insurance coverage for personal 
risks incident to planned travel, including: 
 
a. interruption or cancellation of trip or event, 
 
b. loss of baggage or personal effects, 
 
c. damages to accommodations or rental vehicles, 
 
d. sickness, accident, disability or death occurring 
during travel, 
 
e. emergency evacuation, 
 
f. repatriation of remains, or 
 
g. any other contractual obligations to indemnify or pay 
a specified amount to the t raveler upon determinable 
contingencies related to travel as approved b y the 
Commissioner. 
 
Travel insurance does shall not include major medical plans that 
provide comprehensive m edical protection for travelers with trips 
lasting longer than six (6) months , including, but not limited to, 
those working or residing overseas as an expatriate, or any other 
product that requires a specific insurance producer license ; 
 
13.  “Travel protection plans ” means plans that provide one or 
more of the following: travel insurance, travel assistance services 
and cancellation fee waivers; and 
 
14. “Travel retailer” means a business entity that makes, 
arranges or offers plann ed travel and may offer and disseminate 
travel insurance as a service to its customers on behalf of and 
under the direction of a limited lines travel insurance producer.   
 
ENR. S. B. NO. 287 	Page 8 
 
SECTION 3.     AMENDATORY     Section 5, Ch apter 159, O.S.L. 
2018 (36 O.S. Supp. 2020, Section 6713), is amended to read as 
follows: 
 
Section 6713.  A.  The Insurance Commissioner may issue a 
limited lines travel insurance producer license to a n individual or 
business entity that has filed with the Commissioner an applicati on 
for such license in a form and manner prescribed by the 
Commissioner.  The limited lines travel insurance produc er shall be 
licensed to sell, solicit or negotiate travel in surance through a 
licensed insurer.  No person may act a s a limited lines travel 
insurance producer or travel insurance retailer unless properly 
licensed or registered, respectively. 
 
B.  A travel retailer may offer and disseminate travel insurance 
under a limited lines travel insurance producer business entity 
license only if: 
 
1.  The limited lines travel insurance producer or travel 
retailer provides to purchasers of travel insurance: 
 
a. a description of the material terms or the actual 
material terms of the insurance coverage, 
 
b. a description of the process f or filing a claim, 
 
c. a description of the review or cancellation process 
for the travel insurance policy, and 
 
d. the identity and con tact information of the insurer 
and limited lines travel insurance producer; 
 
2.  At the time of licensure, the limited lin es travel insurance 
producer shall establish and maintain a register on a form 
prescribed by the Commissioner of each travel retailer that offers 
travel insurance on behalf of the limited lines travel insurance.  
The register shall be maintained and update d by the limited lines 
travel insurance producer and shall include the name, address and 
contact information of the travel retailer a nd an officer or person 
who directs or controls the operations of t he travel retailer and 
the federal tax identification nu mber of the travel retail er.  The   
 
ENR. S. B. NO. 287 	Page 9 
limited lines travel insurance producer shall submit the register to 
the Insurance Department upon reasonable request.  The limited lines 
travel insurance producer sh all also certify that the registered 
travel retailer complies with 18 U.S.C., Sec tion 1033.  The grounds 
for the suspension, revocation and the penalties applicable to 
resident insurance pr oducers, pursuant to Section 1435.13 of Title 
36 of the Oklahoma St atutes this title, shall be applicable to the 
limited lines travel insurance prod ucers and travel retailers; 
 
3.  The limited lines travel insurance producer has designated 
one of its employees, a designated responsible producer, who is a 
licensed individual producer as the person responsible for the 
compliance with the travel insurance laws and regulations applicable 
to the limited lines travel insurance producer and its registrants; 
 
4.  The designated responsible producer, president, secretary, 
treasurer and any other officer or person who directs or controls 
the limited lines travel i nsurance producer’s insurance operations 
comply with the fingerprinting requirements applicable to insuran ce 
producers in the resident state of the limited lines travel 
insurance producer; 
 
5.  The limited lines travel insurance pro ducer has paid all 
applicable insurance producer licensing fees as set forth in Section 
1435.23 of Title 36 of the Oklahoma Statut es this title; and 
 
6.  The limited lines travel insurance producer req uires each 
employee and authorized representative of the travel retailer whose 
duties include offering and disseminating travel insurance to 
receive a program of instruction or training , which is subject to 
the discretion of the Commissioner to review and approve.  The 
training material shall, at a minimum, con tain adequate instruction s 
on the types of insurance offered, ethical sales practices and 
required disclosures to prospective cus tomers. 
 
C.  Any travel retailer offering or disseminating travel 
insurance shall make available to prospective purchasers broch ures 
or other written mat erials that have been approved by the travel 
insurer.  Such materials shall include information which, at a 
minimum: 
   
 
ENR. S. B. NO. 287 	Page 10 
1.  Provides the identity and contact information of the i nsurer 
and the limited lines travel insurance producer; 
 
2.  Explains that the pur chase of travel insurance is not 
required in order to purchase any other product or service from the 
travel retailer; and 
 
3.  Explains that an unlicensed travel retailer is pe rmitted to 
provide only general information about the in surance offered by the 
travel retailer, including a description of the coverage and price, 
but is not qualified or authorized to answer technical questions 
about the terms and conditions of the insura nce offered by the 
travel retailer or to evaluate the ad equacy of the customer ’s 
existing insurance coverage. 
 
D.  A travel retailer employee or authorized representative who 
is not licensed as an insurance producer may not: 
 
1.  Evaluate or interpret the te chnical terms, benefits and 
conditions of the offered tr avel insurance coverage; 
 
2.  Evaluate or provide advice co ncerning existing insurance 
coverage for a prospective purchaser ; or 
 
3.  Hold himself, herself or itself out as a licensed insurer, 
licensed producer or insurance expert. 
 
E.  Notwithstanding any oth er provision in law, a tr avel 
retailer whose insurance -related activities, and those of its 
employees and authorized rep resentatives, are limited to offering 
and disseminating travel insurance on beha lf of and under the 
direction of a limited lines travel insurance producer meetin g the 
conditions stated in this act the Travel Insurance Act , is 
authorized to receive related compensation, upon registration by the 
limited lines travel insurance producer a s described in paragraph 2 
of subsection B of this secti on. 
 
F.  As the insurer de signee, the limited lines travel insurance 
producer is responsible for the acts of the travel retailer and 
shall use reasonable means to ensure compliance by the travel 
retailer with this act the Travel Insurance Act . 
   
 
ENR. S. B. NO. 287 	Page 11 
G.  Any person licensed as an insuranc e producer with a line of 
authority set forth in paragraphs 1 through 4, 6 and 7 of subsectio n 
A of Section 1435.8 of this title is authorized to sell, solicit and 
negotiate travel insurance.  The producer is not required to be 
appointed by an insurer in o rder to sell, solicit or negotiat e the 
travel insurance. 
 
SECTION 4.     AMENDATORY     Section 6, Chapter 159, O.S.L. 
2018 (36 O.S. Supp. 20 20, Section 6714), is amended to read as 
follows: 
 
Section 6714.  A.  A travel insurer shall pay pr emium tax, as 
provided in Section 624 of Title 36 of the Oklahoma Statutes this 
title, on travel insurance premiums paid by any of the following: 
 
1.  An individual primary pol icyholder who is a resident of this 
state; 
 
2.  A primary certificate-holder who is a resident of this state 
who elects coverage under a group travel insurance policy; or 
 
3.  A blanket travel insurance policyholder that is a resident 
of this state, or has its principal place of business or the 
principal place of business of an affiliate or subsidiary that has 
purchased blanket travel insurance in this state for eligible 
blanket group members, subject to any apportionment rules which 
apply to the insurer acro ss multiple taxing jurisdictions or that 
permits permit the insurer to allocate premium on an apportioned 
basis in a reasonable and equitable manner in those jurisdictio ns. 
 
B.  A travel insurer shall: 
 
1.  Document the state of residence or principal place of 
business of the policyholder or certificate -holder, as required in 
subsection A of this section; and 
 
2.  Report as premium only the amount allocable to travel 
insurance and not any amounts received for travel assistance 
services or cancellation fee waiv ers. 
 
C.  For purposes of this section: 
   
 
ENR. S. B. NO. 287 	Page 12 
1.  “Primary certificate holder” means an individual person who 
elects and purchases travel insurance under a group policy; a nd 
 
2.  “Primary policyholder ” means an individual person who elects 
and purchases individual travel insurance. 
 
SECTION 5.     AMENDATORY     Section 8, Ch apter 159, O.S.L. 
2018 (36 O.S. Supp. 20 20, Section 6716), is amended to read as 
follows: 
 
Section 6716.  A.  All persons offering travel insurance to 
residents of this state ar e subject to the Unfair Trade Practices 
Act pursuant to Sections 1201 through 12 19 of Title 36 of the 
Oklahoma Statutes this title, except as otherwise provided in this 
section.  In the event of a conflict between this act the Travel 
Insurance Act and other provisions of Title 36 of the Oklahoma 
Statutes this title regarding the sale and marketing of travel 
insurance and travel protection plans, the provisions of this act 
the Travel Insurance Act shall control. 
 
B.  Offering or selling a travel insurance pol icy that could 
never result in payment of any claims for any insured under the 
policy is an unfair trade practice under Section 1203 of Title 36 of 
the Oklahoma Statues this title. 
 
C.  Marketing. 
 
1.  All documents provided to consumers prior to the purchas e of 
travel insurance, including, but not limited to, sales materials, 
advertising materials and marketing materials, shall be consistent 
with all the travel insurance policy documents, including, but not 
limited to, forms, endorsements, policies, rate fil ings and 
certificates of insurance. 
 
2.  Travel For travel insurance policies or certificates that 
contain pre-existing condition exclusions must clearly disclose the 
exclusion, information about the pre -existing condition exclusions 
shall be provided prior to the time of purchase and shall be in the 
fulfillment materials of the covera ge. 
 
3.  Policyholders or certificate holders shall have a minimum of 
ten (10) days from the later of the date of purchase of a travel   
 
ENR. S. B. NO. 287 	Page 13 
protection plan or the delivery of the ful fillment materials of the 
plan to review and cancel t he policy or certificate fo r a full 
refund of the travel protection plan price, unless the insured has 
either started the covered trip or has filed a claim under the 
travel insurance coverage.  For the p urposes of this paragraph, 
sending documentation conf irming the purchase and pro viding the 
coverage and assistance details of the travel protection plan, as 
applicable, to a physical or electronic mail address provided by the 
purchaser of a travel protecti on plan shall constitute delivery of 
the travel protection plan’s fulfillment materials The fulfillment 
materials and the information described in paragraph 1 of subsection 
B of Section 6713 of this title shall be provided to a policyholder 
or certificate holder as soon as practicable following the purchase 
of a travel protection plan . Unless the insured has either started 
a covered trip or filed a claim und er the travel insurance coverage, 
a policyholder or certificate holder may cancel a policy or 
certificate for a full refund of the travel protection plan price 
from the date of pur chase of the travel protection plan until at 
least: 
 
a. fifteen (15) days fo llowing the date of delivery by 
mail of the fulfillment materials of the travel 
protection plan, or 
 
b. ten (10) days following the date of delivery by other 
means of the fulfillment materials of the travel 
protection plan. 
 
4.  The company shall disclose in the policy fulfillment and 
documentation and fulfillment materials whether the travel insurance 
is primary or secondary to other applicable coverage. 
 
5.  Where travel insurance is marketed directly to a consumer 
through a website of the insurer or by o thers through an aggregator 
site, it shall not be an unfair trade practice or other violation of 
law where an accurate summary or short description of coverage is 
provided on the web p age, so long as the consumer has access to the 
full provisions of the po licy through electronic means. 
 
D.  Unless otherwise permitted by state or federal law, no A 
person offering, soliciting or negotiating travel insurance or 
travel protection plans on an individual or group basis may do so   
 
ENR. S. B. NO. 287 	Page 14 
using shall not use negative option or opt-out, which would require 
a consumer to take an affirmative action to deselect coverage such 
as unchecking a box on an electronic form when they purchase the 
consumer purchases a trip. 
 
E.  It shall not be an unfair trade practice to include market 
blanket travel insurance coverage with the purchase of a trip, 
provided the coverage is not marketed as free. 
 
F.  Where the destination jurisdiction of the cons umer requires 
insurance coverage, it shall not be an unfair trade practice to 
require that the consumer choose between the following options as a 
condition of purchasing a trip or travel package: 
 
1.  Purchasing the coverage required by the destination 
jurisdiction through the trav el retailer or limited lines travel 
insurance producer supplying the trip or travel package; or 
 
2.  Agreeing to obtain and provide proof of coverage that meets 
the requirements of the destination jurisdiction prior to departure. 
 
SECTION 6.    AMENDATORY     Section 9, Chapter 159, O.S.L. 
2018 (36 O.S. Supp. 2020, Section 6717), is amended to read as 
follows: 
 
Section 6717.  A.  Notwithstanding any other provisi ons of law, 
no person shall act or represent itself as a travel administrator 
for travel insurance in this state unless that person: 
 
1.  Is a licensed property and casualty insurance producer for 
property insurance in this state with an inland marine line of 
authority for activities permitted under that produc er license; 
 
2.  Holds a valid managing general agent license in this state; 
or 
 
3.  Holds a valid third-party administrator license in this 
state. 
 
B.  A travel administrator and its employees are exempt from the 
licensing requirements of the Insurance Adjus ter Licensing Act,   
 
ENR. S. B. NO. 287 	Page 15 
pursuant to Sections 6201 et seq. of Title 36 of the Oklahoma 
Statutes this title, for travel insurance it administers . 
 
C.  An insurer is responsible for the acts of a travel 
administrator managing travel insurance underwritten by the in surer, 
and is responsible for ensuring that the travel administrator 
maintains all books and records relevant to the insurer, to be made 
available by the travel administrator to the Insurance Commissio ner 
upon request. 
 
SECTION 7.     AMENDATORY     Section 10, Ch apter 159, O.S.L. 
2018 (36 O.S. Supp. 20 20, Section 6718), is amended to read as 
follows: 
 
Section 6718.  A.  Notwithstanding any other provision of the 
Travel Insurance Act, tr avel insurance shall be classified and filed 
for purposes of rates and forms und er an inland marine line of 
insurance; provided, however, that travel insurance covering 
sickness, accident, disability or death occurring during travel, 
either exclusively or in conjunction with related coverages of 
emergency evacuation or repatriation of remains, may be filed under 
either an inland marine line of insurance or an accident and health 
line of insurance. 
 
B. Travel insurance may be provided under an individual pol icy 
or under a group or master policy. 
 
C.  Eligibility and underwriting standard s for travel insurance 
may be developed and provided bas ed on travel protection plans 
designed for the individual or identified marketing or distribution 
channels, provided tho se standards also meet the underwriting 
standards for inland marine lines of ins urance in this state. 
 
SECTION 8.  This act shall become effective November 1, 2021. 
   
 
ENR. S. B. NO. 287 	Page 16 
Passed the Senate the 10th day of March, 2021. 
 
 
  
 	Presiding Officer of the Senate 
 
 
Passed the House of Representatives the 13th day of April, 2021. 
 
 
  
 	Presiding Officer of the House 
 	of Representatives 
 
OFFICE OF THE GOVERNOR 
Received by the Office of the Governor this _______ _____________ 
day of _________________ __, 20_______, at _______ o'clock _______ M. 
By: _______________________________ __ 
Approved by the Governor of the State of Oklahoma this _____ ____ 
day of _________________ __, 20_______, at _______ o'clock _______ M. 
 
 	_________________________________ 
 	Governor of the State of Oklahoma 
 
 
OFFICE OF THE SECRETARY OF STATE 
Received by the Office of the Secretary of State this _______ ___ 
day of __________________, 20 _______, at _______ o'clock _______ M. 
By: _______________________________ __