LD 394
pg. 12
Page 11 of 21 An Act To Create a High-risk Pool in the Health Insurance Market Page 13 of 21
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LR 516
Item 1

 
organizations, health maintenance organizations and other
limited network provider arrangements; and

 
O.__Apply for funds or grants from public or private
sources, including federal grants provided to qualified
high-risk pools.

 
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.

 
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
assessments 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 order the
association to charge assessments in excess of the cap for a
period not to exceed 12 months.

 
5.__Annual report.__The association shall report annually to
the joint standing committee of the Legislature having
jurisdiction over health insurance matters by March 15th.__The
report must include information on the benefits and rate
structure of coverage offered by the association, the financial
solvency of the association and the administrative expenses of
the plan.

 
6.__Audit.__The association must be audited at least every 3
years. A copy of the audit must be provided to the superintendent
and to the joint standing committee of the Legislature having
jurisdiction over health insurance matters.

 
§3907.__Selection of plan administrator

 
1.__Selection of plan administrator.__The board shall select
an insurer or 3rd-party administrator, through a competitive
bidding process, to administer the plan.__The board shall
evaluate bids submitted under this subsection based on criteria
established by the board, including:

 
A.__The insurer's proven ability to handle large group
accident and health insurance;


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