§ 83-63-1. Application of chapter

This chapter shall apply to any health benefit plan that provides coverage to the employees of a small employer in this state if any of the following conditions are met: Any portion of the premium or benefits is paid by or on behalf of the small employer; An eligible employee or dependent is reimbursed, whether […]

§ 83-63-11. Renewal of health benefit plan at option of small employer; exceptions; right of carrier to cease to renew all plans under a class of business; restrictions; application of section to carrier operating in single geographic area

A health benefit plan subject to this chapter shall be renewable with respect to all eligible employees and dependents, at the option of the small employer, except in any of the following cases: Nonpayment of the required premiums; Fraud or misrepresentation of the small employer, or with respect to coverage of individual insureds, the insureds […]

§ 83-63-3. Definitions

For purposes of this chapter, the following terms are defined as follows: “Actuarial certification” means a written statement by a member of the American Academy of Actuaries, or other individual acceptable to the commissioner, that a small employer carrier is in compliance with Section 83-63-7, based upon the person’s examination, including a review of the […]

§ 83-63-5. Limitation on establishment of classes of business by small employer carriers

A small employer carrier may establish a class of business only to reflect substantial differences in expected claims experience or administrative costs related to the following reasons: The small employer carrier uses more than one (1) type of system for the marketing and sale of health benefit plans to small employers; The small employer carrier […]

§ 83-63-6. Requirements for small employer carriers

Any small employer carrier shall issue any health benefit plan to any small employer that applies for the plan and agrees to make the required premium payments and to satisfy the other reasonable provisions of the health benefit plan not inconsistent with this chapter. However, no carrier is required to issue a health benefit plan […]

§ 83-63-7. Procedures for premium rates and restrictions on premium rate increases; authority to establish regulations; restrictions on transfers or offers to transfer small employer into or out of class of business; suspension of application of index rate provision

Premium rates for health benefit plans subject to this chapter shall be subject to the following provisions: The index rate for a rating period for any class of business shall not exceed the index rate for any other class of business by more than twenty percent (20%). For a class of business, the premium rates […]

§ 83-63-9. Disclosure requirements for solicitation and sales material for sale of health benefit plan; maintenance of description of rating practices and renewal underwriting practices; actuarial certification requirements; access to information and documentation by commissioner; confidentiality of information

In connection with the offering for sale of any health benefit plan to a small employer, a small employer carrier shall make a reasonable disclosure, as part of its solicitation and sales materials, of all of the following: The extent to which premium rates for a specified small employer are established or adjusted based upon […]