ARTICLE 4.7. Multiple Employer Welfare Arrangements
Article 4.7 added by Stats. 1994, Ch. 1082, Sec. 1.
§§ 742.20–742.43 · 29 sections
- § 742.20 The Legislature finds and declares the following: (a) An alternative to insurance programs, health care maintenance organizations, and panel provider…
- § 742.21 “Multiple employer welfare arrangement” as used in this article has the same meaning as that contained in Section 1002(40)(A) of Title 29 of the United States…
- § 742.215 As used in this article, “self-funded” means a multiple employer welfare arrangement that undertook at all times and for a continuous period of five years to…
- § 742.22 It is the intent of the Legislature in enacting this article to allow a self-funded or partially self-funded multiple employer welfare arrangement to meet the…
- § 742.23 (a) After December 31, 1995, a self-funded or partially self-funded multiple employer welfare arrangement shall not provide any benefits for any resident of…
- § 742.24 To be eligible for a certificate of compliance, a self-funded or partially self-funded multiple employer welfare arrangement shall meet all of the following…
- § 742.245 (a) A self-funded or partially self-funded multiple employer welfare arrangement shall maintain at least 25 percent of the surplus required by subdivision (n)…
- § 742.25 In determining the qualification of a multiple employer welfare arrangement, the commissioner will consider, among other things: (a) The history of the…
- § 742.26 The multiple employer welfare arrangement shall issue to each covered employee a certificate evidencing coverage and a summary plan description of benefits and…
- § 742.27 The department shall have the authority to revoke a certificate of compliance to any self-funded or partially self-funded multiple employer welfare arrangement…
- § 742.28 A self-funded or partially self-funded multiple employer welfare arrangement authorized by this article shall be limited to providing the following benefits:…
- § 742.29 An association seeking to establish an employee welfare benefit plan by the use of a self-funded or partially self-funded multiple employer welfare arrangement…
- § 742.30 The commissioner shall not issue a certificate of compliance to a self-funded or partially self-funded multiple employer welfare arrangement unless the…
- § 742.31 Each self-funded or partially self-funded multiple employer welfare arrangement transacting business in the state shall file all of the following with the…
- § 742.32 The commissioner or any persons designated by the commissioner shall have the power to examine the affairs of any self-funded or partially self-funded multiple…
- § 742.33 Books, records, and documents pertaining to the business of the multiple employer welfare arrangement shall be maintained by the administrator for a period of…
- § 742.34 (a) The following notice shall be provided to employers and employees who obtain coverage from a multiple employer welfare arrangement: “NOTICE (A) THE…
- § 742.35 The department may conduct an examination of the financial condition of a self-funded or partially self-funded multiple employer welfare arrangement, and if it…
- § 742.36 Subject to the annual fee provisions of Section 742.39, every certificate of compliance shall be for an indefinite term and shall expire with the expiration or…
- § 742.37 (a) The commissioner may suspend the certificate of compliance of a holder thereof for not exceeding one year whenever he or she finds, after proper hearing…
- § 742.38 The commissioner, in any proceeding under Section 742.37 for any of the violations specified in that section, may by alternative order permit the holder of…
- § 742.39 The commissioner shall require the payment of five thousand two hundred twenty-nine dollars ($5,229), in advance, as a fee for filing an application for each…
- § 742.40 (a) A multiple employer welfare arrangement shall offer health care coverage benefits to any new eligible person and his or her dependents under terms and…
- § 742.405 (a) No multiple employer welfare arrangement shall refuse to enroll any person or accept any person as a subscriber or renew any person as a subscriber after…
- § 742.407 (a) This section shall apply to the disclosure of genetic test results contained in an applicant or enrollee’s medical records by a multiple employer welfare…
- § 742.41 All employer groups who have health care coverage benefits provided by a multiple employer welfare arrangement for their employees and their dependents,…
- § 742.42 The provisions of this code governing domestic incorporated insurers, their business, and their contracts shall, so far as applicable and not inconsistent,…
- § 742.425 The provisions of this article shall not apply to multiple employer welfare arrangements as defined in Section 1144(b)(6)(D) of Title 29 of the United States…
- § 742.43 The commissioner may adopt reasonable rules and regulations for the implementation and administration of this article.