LD 1190
pg. 10
Page 9 of 18 An Act To Create the Comprehensive Health Insurance Risk Pool Association Page 11 of 18
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LR 436
Item 1

 
order the association to charge an assessment in excess of the
cap for a period not to exceed 12 months.

 
5.__Annual report.__The association shall report annually to
the joint standing committee of the Legislature having
jurisdiction over health insurance matters by March 15th.__The
report must include information on the benefits and rate
structure of coverage offered by the association, the
financial solvency of the association and the administrative
expenses of the plan.

 
6.__Audit.__The association must be audited at least every 3
years. A copy of the audit must be provided to the
superintendent and to the joint standing committee of the
Legislature having jurisdiction over health insurance matters.

 
§3907.__Selection of plan administrator

 
1.__Selection of plan administrator.__The board shall select
an insurer or 3rd-party administrator, through a competitive
bidding process, to administer the plan.__The board shall
evaluate bids submitted under this subsection based on
criteria established by the board, including:

 
A.__The insurer's proven ability to handle large group
accident and health insurance;

 
B.__The efficiency of the insurer's claims-paying
procedures; and

 
C.__An estimate of total charges for administering the
plan.

 
2.__Contract with plan administrator.__The plan
administrator selected pursuant to subsection 1 serves for a
period of 3 years.__At least one year prior to the expiration
of each 3-year period of service by a plan administrator, the
board shall invite all insurers, including the current
administering insurer, to submit bids to serve as the plan
administrator for the succeeding 3-year period.__The selection
of the plan administrator for the succeeding period must be
made at least 6 months prior to the ending of the 3-year
period.

 
3.__Duties of plan administrator.__The plan administrator
selected pursuant to subsection 1 shall:

 
A.__Perform all eligibility and administrative claims-
payment functions relating to the plan;

 
B.__Pay a producer's referral fee as established by the board
to each insurance producer who refers an applicant to


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