§ 83-9-222. Actions against association or members based upon joint or collective actions
Neither the participation in the association as member insurers, the establishment of rates, forms or procedures nor any other joint or collective action required by Sections 83-9-201 through 83-9-222 shall be the basis of any legal action, criminal or civil liability or penalty against the association or any member insurer.
§ 83-9-303. Basic group health insurance policy offered to employers of small numbers of employees
A basic group health insurance policy shall be offered to employers of fewer than twenty-five (25) employees. Such a basic group health policy shall provide coverage for hospital expenses and services rendered by a physician licensed by this state, but is not subject to the requirements of state mandated benefit for health insurance. Nothing in […]
§ 83-9-351. Health insurance plans in Mississippi to provide coverage for telemedicine services; definitions
As used in this section: “Employee benefit plan” means any plan, fund or program established or maintained by an employer or by an employee organization, or both, to the extent that such plan, fund or program was established or is maintained for the purpose of providing for its participants or their beneficiaries, through the purchase […]
§ 83-9-353. Coverage and reimbursement for store-and-forward telemedicine services and remote patient monitoring services; definitions
As used in this section: “Employee benefit plan” means any plan, fund or program established or maintained by an employer or by an employee organization, or both, to the extent that such plan, fund or program was established or is maintained for the purpose of providing for its participants or their beneficiaries, through the purchase […]
§ 83-9-213. General powers and duties of association; liability of Commissioner of Insurance, administrator, board of directors, etc.; powers and duties of Department of Insurance
The association shall: Establish administrative and accounting procedures for the operation of the association. Establish procedures under which applicants and participants in the plan may have grievances reviewed by an impartial body and reported to the board. Select an administering insurer in accordance with Section 83-9-215. Collect the assessments provided in Section 83-9-217 from insurers […]
§ 83-9-214. Distribution of funds held by Comprehensive Health Insurance Risk Pool Association upon cessation of operations
Upon the cessation of operations by the Comprehensive Health Insurance Risk Pool Association, the distribution of any funds held by the association, including the refund of assessments, shall require the prior approval of the Commissioner of Insurance.
§ 83-9-215. Selection of plan administrator; term, powers and duties, and compensation of administrator
The board shall select an insurer, 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, which criteria shall include: The insurer’s proven ability to handle large group accident and health insurance. The efficiency of the insurer’s claims-paying procedures. An […]
§ 83-9-217. Assessments against insurers
For the purpose of providing the funds necessary to carry out the powers and duties of the association, the board of directors shall assess the member insurers at such time and for such amounts as the board finds necessary. Assessments shall be due not less than thirty (30) days after prior written notice to the […]
§ 83-9-219. Insurance of plan coverage; issuance of policies
The coverage provided by the plan shall be directly insured by the association, and the policies shall be issued through the administering insurer. Subject to the approval of the commissioner, the association may close enrollment in, and/or cease to offer the coverage provided by, the plan at any time upon a determination by the board […]
§ 83-9-221. Coverage; rates; exclusion for preexisting conditions; certain individuals excepted from exclusion; other sources primary
Coverage offered. The plan shall offer the coverage specified in this section for each eligible person subject to the association’s discretion to close enrollment and/or cease offering coverage as authorized in Section 83-9-219. If an eligible person is also eligible for Medicare coverage, the plan shall not pay or reimburse any person for expenses paid […]