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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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