LD 933
pg. 5
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LR 2060
Item 1

 
F.__Any__portion of a policy or contract issued to a plan or
program of an employer, association or other person to provide
life, health or annuity benefits to its employees, members or
others, to the extent that the plan or program is self-funded
or uninsured, including but not limited to benefits payable by
an employer, association or other person under:

 
(1)__A multiple employer welfare arrangement as defined
in 29 United States Code, Section 1144;

 
(2)__A minimum premium group insurance plan;

 
(3)__A stop loss group insurance plan; or

 
(4)__An administrative-services-only contract;

 
G.__Any portion of a policy or contract to the extent that
it provides for:

 
(1)__Dividends or experience rating credits;

 
(2)__Voting rights; or

 
(3)__Payment of any fees or allowances to any person,
including the policy or contract owner, in connection
with the service to or administration of the policy or
contract;

 
H.__Any policy or contract issued in this State by a member
insurer at a time when it was not licensed or did not have a
certificate of authority to issue the policy or contract in
this State;

 
I.__Any portion of a policy or contract to the extent that
the assessments required by section 4609 with respect to the
policy or contract are preempted by federal or state law;

 
J.__Any obligation that does not arise under the express
written terms of the policy or contract issued by the
insurer to the contract owner or policy owner, including
without limitation:

 
(1)__Claims based on marketing materials;

 
(2)__Claims based on side letters, riders or other
documents that were issued by the insurer without
meeting applicable policy form filing or approval
requirements;


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