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the plan, if the applicant's application is accepted.__The | selling or marketing of the plan is not limited to the plan | administrator or its producers.__The plan administrator | shall pay the referral fees from funds received as premiums | for the plan; |
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| C.__Establish a premium billing procedure for collection | of premiums from insured persons.__Billings must be made | periodically as determined by the board; |
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| D.__Perform all necessary functions to ensure timely | payment of benefits to covered persons under the plan, | including: |
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| (1)__Making available information relating to the | proper manner of submitting a claim for benefits | under the plan and distributing forms upon which | submissions must be made; |
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| (2)__Evaluating the eligibility of each claim for | payment under the plan; and |
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| (3)__Notifying each claimant within 45 days after | receiving a properly completed and executed proof of | loss whether the claim is accepted, rejected or | compromised. The board shall establish reasonable | reimbursement amounts for any services covered under | the benefit plans; |
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| 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; |
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| 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 |
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| 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. |
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| | 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 |
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