LD 1168
pg. 11
Page 10 of 20 An Act To Reduce Individual Health Insurance Premiums Page 12 of 20
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LR 790
Item 1

 
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 3909;

 
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.__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; and

 
M.__Design, use, 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.

 
3.__Additional duties and powers.__The superintendent may, by
rule, establish additional powers and duties of the board and may
adopt rules as necessary 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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