Oklahoma 2025 Regular Session

Oklahoma House Bill HB2144 Compare Versions

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28-ENGROSSED HOUSE
29-BILL NO. 2144 By: Kannady, Deck, Pae,
30-Schreiber, Rosecrants,
31-Provenzano, Moore, Harris,
32-Miller, Roe, Humphrey,
33-Ranson, Townley, Pfeiffer,
34-Caldwell (Chad), Cantrell,
35-Turner, Marti, George, and
36-Manger of the House
29+HOUSE OF REPRESENTATIVES - FLOOR VERSION
30+
31+STATE OF OKLAHOMA
32+
33+1st Session of the 60th Legislature (2025)
34+
35+HOUSE BILL 2144 By: Kannady and Deck of the
36+House
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3838 and
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4040 Weaver of the Senate
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45+AS INTRODUCED
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4647 An Act relating to insurance; creating t he Insurance
4748 Consumers Protection Act; providing definitions;
4849 creating a statutory cause of acti on; clarifying
4950 determination of reasonableness and necessity;
5051 providing who may bring action; declaring certain
5152 policy, contract, or plan provisions void; clari fying
5253 there is no requirement to exhaust administrative
5354 remedies; directing that claimants are e ntitled to
5455 trial by jury; clarifying issues of bad faith are
5556 question of fact; creating a statutory cause of
5657 action against certain bad faith insurers; clarifyi ng
5758 duty of good faith and fair dealing is nondelegable;
5859 providing when a cause of action for bad faith shall
5960 lie; providing for damages; permitting punitive
6061 damages; providing categories; directing jury to base
6162 award on certain factors; limiting certain pu nitive
6263 damages; clarifying considerations and defenses;
6364 clarifying that causes of actions in act do not limit
6465 other actions; providing for codification; and
6566 providing an effective date.
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7071 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
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9799 SECTION 1. NEW LAW A new section of law to be codified
98100 in the Oklahoma Statut es as Section 1119 of Title 12, unless there
99101 is created a duplication in numbering, reads as follows:
100102 This act shall be known and may be cited as the "Insurance
101103 Consumers Protection Act ".
102104 SECTION 2. NEW LAW A new section of law to b e codified
103105 in the Oklahoma Statutes as Section 1119.1 of Title 12, unless there
104106 is created a duplication in numbering, reads as follows:
105107 As used in the Insuranc e Consumers Protection Act:
106108 1. "Bad faith" means conduct of an insurer that violates its
107109 duty or duties of good faith and fair dealing to a first -party
108110 claimant or third-party beneficiary by acts including but not
109111 limited to unreasonably or untimely refus ing to pay or tender the
110112 proper benefits for a valid claim under the insurance policy. This
111113 duty of good faith and fair dealing is contained in every insurance
112114 contract and is a nondelegable duty;
113115 2. "First-party claimant" means an individual corporation ,
114116 association, partnership, or other legal entity asserting an
115117 entitlement to benefits owed dire ctly to or on behalf of an insured
116118 under an insurance policy. First-party claimants include a public
117119 entity that has paid a claim for benefits dues to an insur er's
118120 unreasonable delay or denial of the claim;
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145148 3. "Insurance" is a contract whereby one undert akes to
146149 indemnify another or to pay a specified amount upon determinable
147150 contingencies;
148151 4. "Insurer" means every person engaged in the business of
149152 making, selling, or binding contracts of insurance or indemnity in
150153 Oklahoma, except for independent insuranc e agents and captive
151154 insurance agents that market for only one insurer. A nonprofit
152155 hospital service and medical indemnity corporation is an insurer
153156 within the meaning of this act. The term insurer does not include
154157 burial associations;
155158 5. "Insured" means a person for whom the insurance policy is
156159 written to protect;
157160 6. "Issued in this state" refers to every health and disability
158161 policy, insurance contract, ins urance certificate, and insurance
159162 agreement existing, offered, issued, delivered, or renewed in the
160163 State of Oklahoma or providing health or disability benefits to a
161164 resident or domiciliary of the State of Oklahoma and every employee
162165 benefit plan covering a resident or domiciliary of the State of
163166 Oklahoma, whether or not on behalf of an employer loca ted or
164167 domiciled in Oklahoma, on or after January 1, 2005, notwithstanding
165168 any contractual or statutory choice -of-law provision to the
166169 contrary;
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193197 7. "Person" means an individual, entity, company, insurer,
194198 association, organization, society, reciprocal or i nter-insurance
195199 exchange, partnership, syndicate, business trust, or corporation;
196200 8. "Prior authorization" or "pre-authorization" means the
197201 review and approval by the insurer of treatment recommendations from
198202 a health insurance policyholder 's physician or the review by the
199203 insured's agent experienced in remedying the type of casualt y or
200204 damage at issue; and
201205 9. "Third-party beneficiary" means a person that receiv es
202206 benefits from a contract between two other parties, one of which is
203207 an insurer, even though t hey are not a party to the contract .
204208 SECTION 3. NEW LAW A new section of law to be codified
205209 in the Oklahoma Statutes as Section 1119.2 of Title 12, unless there
206210 is created a duplication in numbering, reads as follows:
207211 A. There is hereby created a statutory cause of action for an
208212 insured under an insurance po licy, as a first-party claimant, and
209213 any third-party beneficiary to the contract o f insurance between the
210214 insurer and insured, to maintain an action in district court or any
211215 court of competent jurisdiction for the bad faith refusal of or
212216 untimely pre-authorization of benefits, and for payment of such
213217 benefits.
214218 B. Provided, however, the recommended treatment for which pre -
215219 authorization or payment of benefits is sought shall be rea sonable
216220 and necessary for the person covered by the insurance policy. The
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243248 reasonableness and necessity of the recommended treatment shall be
244249 determined by a jury.
245250 C. Either the first-party claimant or third -party beneficiary
246251 may prosecute a claim for bad faith created by this act.
247252 D. An insurance policy, insurance contract, or plan that is
248253 issued in this state shall not contain a provision purporting to
249254 reserve discretion to the insurer, plan administrator, or claim
250255 administrator to interpret the terms o f the policy, contract, or
251256 plan or to determine eligibility for benefits. If an insurance
252257 policy, contract, or plan contains such a provision, the provision
253258 is void.
254259 E. There is no requirement to exhaust any administrative
255260 remedies with the Oklahoma Insu rance Department before filing an
256261 action asserting a cause of action for bad faith in a district
257262 court.
258263 F. A claimant under this section is entitled to a trial by
259264 jury.
260265 G. The issue of bad faith is always a question of fact which
261266 must be submitted to a j ury pursuant to Section 6 of Article 2 of
262267 the Oklahoma Constitution.
263268 SECTION 4. NEW LAW A new section of law to be codified
264269 in the Oklahoma Statutes as Section 1119.3 of Title 12, unless there
265270 is created a duplication in numbering, reads as follows:
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292298 A. There is hereby created a statutory cause of action against
293299 an insurer, except pursuant to an insurance policy providing for
294300 statutory workers' compensation benefits under the Administrative
295301 Workers' Compensation Act in Title 85A of t he Oklahoma Statutes or
296302 the Workers' Compensation Code in Title 85 of the Okla homa Statutes,
297303 if the action or actions of the insurer is in bad faith as defined
298304 by this act.
299305 B. There is no requirement to exhaust any administrative
300306 remedies with the Oklahom a Insurance Department before filing an
301307 action asserting a cause of action for bad faith in a district
302308 court.
303309 C. A claimant under this section is entitled to a trial by
304310 jury.
305311 D. The issue of bad faith is always a question of fact which
306312 must be submitted to a jury.
307313 E. The duty of good faith and fair dealing is contained in
308314 every insurance contract and is a nondelegable duty.
309315 SECTION 5. NEW LAW A new section of law to be codified
310316 in the Oklahoma Statutes as Section 1119.4 of Title 12, unless there
311317 is created a duplication in numbering, reads as follows:
312318 A cause of action for bad faith created by this act shall lie
313319 if:
314320 1. The insurer was required under the insurance policy to pay
315321 the insured's claim;
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342349 2. The insurer's refusal to pay the claim was unreasonable or
343350 untimely under the circumstances related to the claim;
344351 3. The insurer had no reasonable basis for the refusal, or the
345352 amount it offered to satisfy the claim was unreasonably low; or
346353 4. The violation by the insurer of its dut y of good faith and
347354 fair dealing was the direct cause of the injury sustained by the
348355 insured.
349356 SECTION 6. NEW LAW A new section of law to be codified
350357 in the Oklahoma Statutes as Section 1119.5 of Title 12, unless there
351358 is created a duplication in numbering, reads as follows:
352359 A. If the insurer violates its dut y or duties of good faith and
353360 fair dealing, the amount of damages shall be fixed a s the amount of
354361 money that will compensate a first -party claimant or third -party
355362 beneficiary for any loss suffered as a result of the breach of the
356363 duty of good faith and fair dealing.
357364 B. In fixing the amount of damages, the jury may consider
358365 financial losses, emotional distress, embarrassment, loss of
359366 reputation, and mental pain and suffering.
360367 C. The jury may award punitive damages for the sake of example
361368 and by way of punishing the insurer based upon the following
362369 factors, in accordance with Section 9.1 of Title 23 of the Oklahoma
363370 Statutes:
364371 1. The profitability of the misconduct to the insurer;
365372 2. The duration of the misconduct and any concealment of it;
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392400 3. The attitude and conduct of the insurer upon discovery of
393401 the bad faith action; and
394402 4. The financial condition of the insurer.
395403 D. Category I. Where the jury finds by clear and convincing
396404 evidence that an insurer has recklessly disregarded its duty to deal
397405 fairly and act in good faith with its insured; the jury, in a
398406 separate proceeding conducted after the jury has made such finding
399407 and awarded actual damages, may award punitive damages in a n amount
400408 not to exceed the greater of:
401409 1. One Hundred Thousand Dollars ($100,000.00); or
402410 2. The amount of the actual damages awarded.
403411 E. Category II. Where the jury finds by clear and convincing
404412 evidence that:
405413 1. An insurer has acted intentionally and with malice towards
406414 others; or
407415 2. An insurer has intentionally and with mali ce breached its
408416 duty to deal fairly and act in good faith with its insured.
409417 The jury, in a separate proceeding conducted after the jury has
410418 made such finding and awarded actual d amages, may award punitive
411419 damages in an amount not to exceed the greatest of:
412420 a. Five Hundred Thousand Dollars ($500,000.00),
413421 b. twice the amount of actual dam ages awarded, or
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440449 c. the increased financial benefit derived by the insurer
441450 as a direct result of the conduct causing the injury
442451 to the plaintiff and other persons or entities .
443452 F. Category III. Where the jury finds by clear and convincing
444453 evidence that:
445454 1. An insurer has acted intentionally and with malice towards
446455 others; or
447456 2. An insurer has intentionally and with malice breached its
448457 duty to deal fairly and act in good faith with its insured, and the
449458 court finds, on the record and out of the presence of the jury, that
450459 there is evidence beyond a reasonable doubt that the insurer acted
451460 intentionally and with malice and engaged in conduct life -
452461 threatening to humans, the jury, in a separate proceeding conducted
453462 after the jury has made such finding and awarde d actual damages, may
454463 award punitive damages in any amount the jury deems appropriate,
455464 without regard to the limitations set forth in subsections B and C
456465 of this section. Any award of punitive damages under this
457466 subsection awarded in any manner other than as required in this
458467 subsection shall be void and reversible error.
459468 G. In determining the amoun t, if any, of punitive damages to be
460469 awarded under either subsection B, C, or D of this section, the jury
461470 shall make the award based upon the factors set forth in subsection
462471 A of this section.
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489499 H. Any award of punitive damages under this section awarded in
490500 any manner other than as required in this section shall be void and
491501 reversible error.
492502 SECTION 7. NEW LAW A new section of law to be cod ified
493503 in the Oklahoma Statutes as Section 1119.6 of Title 12, unless there
494504 is created a duplicat ion in numbering, reads as follows:
495505 A cause of action for bad faith as provide d for by this act
496506 requires analysis of the insurer 's action and not the interpreta tion
497507 of any health insurance plan or how a health insurance plan relates
498508 to the claim. Any insurance contract issued in this state that
499509 offers health insurance benefits shall not contain a provision
500510 purporting to reserve discretion to the insurer to inter pret the
501511 terms of the contract . If an insurance contract contains such a
502512 provision, the provisi on is void. The interpretation of a health
503513 insurance plan shall not be a defe nse to a bad faith cause of
504514 action.
505515 SECTION 8. NEW LAW A n ew section of law to be codified
506516 in the Oklahoma Statutes as Section 1119.7 of Title 12, unless there
507517 is created a duplication in numbering, reads as follows:
508518 The causes of actions authorized in this act are in addition to,
509519 and do not limit or affect, othe r actions available by statute or
510520 common law, now or in the future . The statutory causes of act ion
511521 created by this act are in addition to the common law bad faith
512522 causes of action and in no way limit remedies or rights established
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539550 by common law for the ca use of action for breach of the duty of good
540551 faith and fair dealing under Oklahoma law.
541552 SECTION 9. This act shall become effective November 1, 2025.
542-Passed the House of Representatives the 13th day of March, 2025.
543553
544-
545-
546-
547- Presiding Officer of the House
548- of Representatives
549-
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552-Passed the Senate the _____ day of __________, 2025.
553-
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557- Presiding Officer of the Senate
554+COMMITTEE REPORT BY: COMMITTEE ON JUDICIARY AND PUBLIC SAFETY
555+OVERSIGHT, dated 03/04/2025 - DO PASS, As Coauthored.