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Insurance determines, after considering the financial | condition and catastrophic loss exposure of both the | group self-insurer and the account, that it is necessary | to maintain additional reinsurance protection, maintain a | lower self-insured retention level or provide some other | form of additional security, singly or in combination. |
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| B.__An account must operate in accordance with a plan of | operation established by the group self-insurer members and | approved by the Superintendent of Insurance. |
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| (1)__Those group self-insurers creating an account | shall submit to the Superintendent of Insurance a plan | of operation and any amendments to it that are | necessary to ensure the fair, reasonable and equitable | administration of the account.__The plan of operation | is effective upon approval by the superintendent.__Any | amendments subsequent to the plan's initial approval | must be submitted to the superintendent by the plan's | board of directors and are effective upon approval by | the superintendent. |
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| (2)__The plan of operation must: |
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| (a)__Create a board of directors and initial | bylaws, including the terms and conditions of | board membership and the manner by which board | members are initially appointed and are replaced | when vacancies occur; |
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| (b)__Establish the procedures by which all the | powers and duties of the account are performed, | including, but not limited to, defining the date | and conditions pursuant to which the account will | commence coverage for claims by participating | group self-insurer members and establishing | provisions for determining limits of exposure for | the account; |
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| (c)__Establish procedures for handling assets of a | fund created pursuant to paragraph C; |
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| (d)__Establish underwriting rules and criteria by | which rates are to be established; |
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| (e)__Establish procedures by which claims may be | filed with the account; |
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