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coverage to individuals otherwise eligible for plan | | coverage in their own names; |
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| | | J.__Prepare and distribute application forms and | | enrollment instruction forms to insurance producers and to | | the general public; |
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| | | K.__Provide for reinsurance of risks incurred by the | | association. The provision of reinsurance may__not subject | | the association to any of the capital or surplus | | requirements, if any, otherwise applicable to reinsurers; |
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| | | L.__Issue additional types of health insurance policies to | | provide optional coverage, including Medicare supplement | | health insurance; |
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| | | M.__Provide for and employ cost-containment measures and | | requirements, including, but not limited to, preadmission | | screening, 2nd surgical opinion, concurrent utilization | | review and individual case management for the purpose of | | making the benefit plan more cost-effective; |
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| | | N.__Design, utilize, contract or otherwise arrange for the | | delivery of cost-effective health care services, including | | establishing or contracting with preferred provider | | organizations, health maintenance organizations and other | | limited network provider arrangements; and |
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| | | O.__Apply for funds or grants from public or private | | sources, including federal grants provided to qualified | | high-risk pools. |
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| | | 3.__Additional duties and powers.__The superintendent may, | | by rule, establish additional powers and duties of the board | | and may adopt such rules as are necessary and proper to | | implement this chapter.__Rules adopted pursuant to this | | subsection are routine technical rules as defined in Title 5, | | chapter 375, subchapter 2-A. |
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| | | 4.__Review for solvency.__The superintendent shall review | | the association at least every 3 years to determine its | | solvency.__If the superintendent determines that the funds of | | the association are insufficient to support enrollment of | | additional persons, the superintendent may order the | | association to increase its assessment or increase its premium | | rates.__If the superintendent determines that the funds of the | | association are insufficient to support the enrollment of | | additional persons and that the cap of assessments in section | | 3908 is too low to support the enrollment of additional | | persons, the superintendent may |
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