Effective – 01 Jan 2008 376.960. Definitions. — As used in sections 376.960 to 376.989, the following terms mean: (1) “Benefit plan”, the coverages to be offered by the pool to eligible persons pursuant to the provisions of section 376.986; (2) “Board”, the board of directors of the pool; (3) “Church plan”, a plan as […]
Effective – 28 Aug 2013, 3 histories 376.961. Missouri health insurance pool created — members to be all health insurers in state — board of directors, members, terms, qualifications — transitioning resources. — 1. There is hereby created a nonprofit entity to be known as the “Missouri Health Insurance Pool”. All insurers issuing health insurance […]
Effective – 28 Aug 2013 376.962. Plan of operation to be submitted by board — effective when — failure to submit, director’s duty to develop rules — plan content — amendments, procedure. — 1. The board of directors on behalf of the pool shall submit to the director a plan of operation for the pool […]
Effective – 28 Aug 2013, 2 histories 376.964. Board, powers and duties — including providing for issuing policies and reinsuring risks — staff appointment — rulemaking authority. — The board of directors and administering insurers of the pool shall have the general powers and authority granted under the laws of this state to insurance companies […]
Effective – 28 Aug 1991 376.965. Board members not civilly liable for performance of duties, exception. — No member of the board of directors of the Missouri health insurance pool shall be civilly liable, either jointly or separately, as a result of any act, omission or decision in performance of his duties as specifically required […]
Effective – 28 Aug 2013, 3 histories 376.966. No employee to lose coverage by enrolling in pool — eligibility for pool coverage, ineligibility — medical underwriting considerations, notification required, when — expiration date. — 1. No employee shall involuntarily lose his or her group coverage by decision of his or her employer on the grounds […]
Effective – 28 Aug 2013 376.968. Administration of pool by insurer or insurers by competitive bids — insurer’s qualifications — board to establish criteria for bid content. — The board shall select an insurer, insurers, or third-party administrators through a competitive bidding process to administer the pool. The board shall evaluate bids submitted based on […]
Effective – 28 Aug 2013 376.970. Administering insurer to serve for three years subject to removal for cause — duties — reports — bidding process. — 1. The administering insurer shall serve for a period of three years subject to removal for cause. At least one year prior to the expiration of each three-year period […]
Effective – 28 Aug 2013 376.973. Administering insurer at close of fiscal year to make accounting and assessment — how calculated — excess to be held at interest for future losses or to reduce premiums — future losses, defined — assessments, continuation of. — 1. Following the close of each fiscal year, the pool administrator […]
Effective – 01 Jan 1991 376.975. Member’s proportion of participation in pool to be determined annually — deficits to be recouped by proportioned assessment — amount of assessment to be offset against certain taxes. — Each member’s proportion of participation in the pool shall be determined annually by the board based on annual statements and […]
Effective – 01 Jan 1991 376.978. Director of revenue to determine reduced amount in county foreign insurance tax fund, state treasurer to reimburse fund by reducing amount to general revenue. — The director of revenue shall determine the difference between the amount of money the state treasurer, pursuant to sections 148.350 and 148.380, is required […]
Effective – 01 Jan 1991 376.980. Pool member exempt from taxation of financial institution, may be allowed to offset against sales or use tax, when — excess of assessment over sales or use tax payable in any one year a credit in succeeding years until excess is exhausted. — Each pool member exempt from chapter […]
Effective – 28 Aug 1995 376.982. Rulemaking procedure. — No rule or portion of a rule promulgated under the authority of this chapter shall become effective unless it has been promulgated pursuant to the provisions of section 536.024. ——– (L. 1990 H.B. 998 § 5 subsec. 5 subdiv. (2)(a)-(d), A.L. 1993 S.B. 52, A.L. 1995 […]
Effective – 01 Jan 1991 376.984. Abatement or deferring all or part of assessment of member, when — amount abated or deferred may be assessed against other members — deficiency liability. — The board may abate or defer, in whole or in part, the assessment of a member if, in the opinion of the board, […]
Effective – 01 Jan 2008 376.986. Pool to offer medical coverage — premiums, how established — standard risk rate, how calculated — director to approve rates — exclusions — benefits reduced by other insurance or workers’ compensation — medical expense to include prayer for spiritual healing. — 1. The pool shall offer major medical expense […]
Effective – 01 Jan 2008 376.987. High deductible health plans and establishment of health savings plans to be offered as options — definitions — rulemaking authority. — 1. The board shall offer to all eligible persons for pool coverage under section 376.966 the option of receiving health insurance coverage through a high-deductible health plan and […]
Effective – 01 Jan 2008 376.989. No liability, criminal or civil, for participation in pool by members. — Neither the participation in the pool as members, the establishment of rates, forms or procedures, nor any other joint or collective action required or permitted by the provisions of sections 376.960 to 376.989 shall be the basis […]
