LD 394
pg. 11
Page 10 of 21 An Act To Create a High-risk Pool in the Health Insurance Market Page 12 of 21
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LR 516
Item 1

 
mistake of fact or law or to recover other amounts due the
association;

 
E.__Establish, and modify from time to time as appropriate,
rates, rate schedules, rate adjustments, expense allowances,
producers' referral fees, claim reserve formulas and any
other actuarial function appropriate to the operation of the
association in accordance with section 3910;

 
F.__Issue policies of insurance in accordance with the
requirements of this chapter;

 
G.__Appoint appropriate legal, actuarial and other
committees as necessary to provide technical assistance in
the operation of the plan, policy and other contract design
and any other function within the authority of the
association;

 
H.__Borrow money to effect the purposes of the association.__
Notes or other evidence of indebtedness of the association
not in default must be legal investments for insurers and
may be carried as admitted assets;

 
I.__Establish rules, conditions and procedures for
reinsuring risks of member insurers desiring to issue in
their own names plan coverage to individuals otherwise
eligible for plan coverage;

 
J.__Prepare and distribute application forms and enrollment
instruction forms to producers and to the general public;

 
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;

 
L.__Issue additional types of health insurance policies to
provide optional coverage, including Medicare supplement
health insurance;

 
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;

 
N.__Design, use, contract or otherwise arrange for the delivery
of cost-effective health care services, including establishing or
contracting with preferred provider


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