LD 394
pg. 14
Page 13 of 21 An Act To Create a High-risk Pool in the Health Insurance Market Page 15 of 21
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LR 516
Item 1

 
reimbursement amounts for any services covered under the
benefit plans;

 
E.__Submit regular reports to the board regarding the
operation of the plan.__The frequency, content and form of
the reports must be as determined by the board;

 
F.__Following the close of each calendar year, determine net
premiums, reinsurance premiums less administrative expense
allowance, the expense of administration pertaining to the
reinsurance operations of the association and the incurred
losses of the year, and report this information to the
superintendent; and

 
G.__Pay claims expenses from the premium payments received
from or on behalf of covered persons under the plan.__If the
payments by the plan administrator for claims expenses
exceed the portion of premiums allocated by the board for
payment of claims expenses, the board shall provide the plan
administrator with additional funds for payment of claims
expenses.

 
4.__Payment to plan administrator.__The plan administrator
selected pursuant to subsection 1 must be paid, as provided in
the contract of the association, for its direct and indirect
expenses incurred in the performance of its services. As used in
this subsection, "direct and indirect expenses" includes that
portion of the audited administrative costs, printing expenses,
claims administration expenses, management expenses, building
overhead expenses and other actual operating and administrative
expenses of the plan administrator that are approved by the board
as allocable to the administration of the plan and included in
the bid specifications.

 
§3908.__Assessments against insurers

 
1.__Assessments.__For the purpose of providing the funds
necessary to carry out the powers and duties of the association,
the board shall assess member insurers at such a time and for
such amounts as the board finds necessary.__Assessments are due
not less than 30 days after written notice to the member insurers
and accrue interest at 12% per annum on and after the due date.

 
2.__Maximum assessment.__Each insurer must be assessed by the
board an amount not to exceed $2 per covered person insured or
reinsured by each insurer per month for medical insurance.__An
insurer may not be assessed on policies or contracts insuring
federal or state employees.


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