LD 1945
pg. 5
Page 4 of 18 An Act To Establish a High-risk Health Insurance Pool Page 6 of 18
Download Bill Text
LR 2814
Item 1

 
C.__Is legally domiciled in this State on the date of
application to the plan and has been certified as eligible for
federal trade adjustment assistance or for pension benefit
guarantee corporation assistance, as provided by the federal
Trade Adjustment Assistance Reform Act of 2002.

 
12.__Reinsurer.__"Reinsurer" means an insurer from whom a
person providing health insurance for a resident procures
insurance for itself with the insurer with respect to all or part
of the medical insurance risk of the person. "Reinsurer" includes
an insurer that provides employee benefits excess insurance.

 
13.__Third-party administrator.__"Third-party administrator"
means an entity that is paying or processing medical insurance
claims for a resident.

 
§3904.__Comprehensive Health Insurance Risk Pool Association

 
1.__Risk pool established.__The Comprehensive Health Insurance
Risk Pool Association is established as a nonprofit legal entity.__
As a condition of doing business, every insurer that has sold
medical insurance within the previous 12 months or is actively
marketing a medical insurance policy in this State shall
participate in the association.

 
2.__Board of directors.__The association is governed by a
board of directors in accordance with the following.

 
A.__The board consists of 11 members appointed as follows.

 
(1)__Six members appointed by the superintendent:

 
(a)__Two members must be chosen from the general
public and may not be associated with the medical
profession, a hospital or an insurer;

 
(b)__Two members must represent medical providers;

 
(c)__One member must represent health insurance
producers; and

 
(d)__One member must represent a statewide
association representing small businesses that
receives the majority of its funding from persons
and businesses in the State.

 
A board member appointed by the superintendent may be
removed at any time without cause;


Page 4 of 18 Top of Page Page 6 of 18