Effective – 28 Aug 1993 376.1000. Multiple employer self-insured health plan, defined. — 1. As used in sections 376.1000 to 376.1045, a “multiple employer self-insured health plan” is any plan or arrangement which is not fully insured and which is either: (1) Offered by a staff or employee leasing company; or (2) Established or maintained […]
Effective – 28 Aug 1993 376.1002. Certificate of authority required — penalty for noncompliance — law inapplicable, when — exempt organizations. — 1. It is unlawful for any multiple employer self-insured health plan to transact business in this state without a certificate of authority issued by the director of the department of commerce and insurance. […]
Effective – 28 Aug 1993 376.1005. Application for certificate of authority, form — fee — policy or other evidence of coverage provided to employees, form. — 1. Application for a certificate of authority shall be made on forms prescribed by the director of the department of commerce and insurance. No multiple employer self-insured health plan […]
Effective – 28 Aug 1993 376.1007. Plan to file copy of bylaws, coverage and agreements with director. — At the time application for a certificate of authority is made, the multiple employer self-insured health plan shall file with the director a copy of the plan’s bylaws, all schedules of benefits, and all management, administration, and […]
Effective – 28 Aug 1993 376.1010. Excess stop-loss coverage maintained by plan. — A multiple employer self-insured health plan shall maintain aggregate excess stop-loss coverage and individual excess stop-loss coverage provided by an insurer licensed by the state to write accident and health insurance on a direct basis. Aggregate excess stop-loss coverage shall include provisions […]
Effective – 28 Aug 2007 376.1012. Funds collected from employers held in trust — requirements — board of trustees, elected, duties — annual report, filed when. — Funds collected from the participating employers under multiple employer self-insured health plans shall be held in trust subject to the following requirements: (1) A board of trustees elected […]
Effective – 28 Aug 1993 376.1015. Department not to grant approval, when. — The department shall not grant or renew approval as to any plan if the department determines: (1) Any trustee is incompetent or untrustworthy; (2) That any trustee has been found guilty of, or has pled guilty or no contest to a felony, […]
Effective – 28 Aug 1993 376.1017. Plan to establish loss reserves — plan to establish surplus account, amount. — 1. A plan shall establish loss reserves for all incurred losses, both reported and unreported, and for unearned premiums. 2. A plan also shall establish a surplus account equal to the greater of the following: (1) […]
Effective – 28 Aug 1993 376.1020. Plan to maintain principal place of business in Missouri, exception. — Each multiple employer self-insured health plan shall have and maintain its principal place of business in this state or shall appoint the director of the department of commerce and insurance as its agent for service of process, and […]
Effective – 28 Aug 1993 376.1022. Dissolution of plan, application, procedure, granted when — distribution of assets, procedures. — 1. A plan that desires to cease existence shall apply to the director for authority to dissolve. Applications to dissolve shall be on forms prescribed by the director and shall be approved or disapproved by the […]
Effective – 28 Aug 1995 376.1025. Director may adopt rules. — The director may adopt regulations which are necessary to implement the provisions of sections 376.1000 to 376.1045 and to ensure the safe and proper operation of multiple employer self-insured health plans in this state. No rule or portion of a rule promulgated under the […]
Effective – 28 Aug 1993 376.1027. Plan in unsound condition, powers of director. — 1. If the director is of the opinion that a multiple employer self-insured health plan is in an unsound condition, that it has failed to comply with the law or any applicable regulations or orders issued by the director, or that […]
Effective – 28 Aug 1993 376.1030. Agreement of employer to pay benefits, requirements, form — copy filed with director — no excuse from liability. — 1. A multiple employer self-insured health plan shall require each employer, as a condition of participation in the plan, to execute an agreement by which the employer agrees personally to […]
Effective – 28 Aug 1993 376.1032. Plan considered insurer, when. — For the purposes of sections 375.930 to 375.948 and sections 375.1000 to 375.1018, a multiple employer self-insured health plan shall be considered an “insurer”. ——– (L. 1993 H.B. 709 § 35)
Effective – 28 Aug 1993 376.1035. Chapter 376 applicable to plan. — The provisions of this chapter relating to group health and group accident insurance, including policy approval provisions, shall apply to all multiple employer self-insured health plans licensed to do business in this state. ——– (L. 1993 H.B. 709 § 36)
Effective – 28 Aug 1993 376.1037. Plan subject to premium taxes. — Multiple employer self-insured health plans licensed in this state shall be subject to those taxes set out in sections 148.310 to 148.461. ——– (L. 1993 H.B. 709 § 37)
Effective – 28 Aug 2019, 2 histories 376.1040. Plan not to be offered to public — marketing restrictions — exemption — use of brokers authorized. — 1. No multiple employer self-insured health plan shall be offered or advertised to the public. No plan shall be sold, solicited, or marketed by persons or entities defined in […]
Effective – 28 Aug 2019, 2 histories 376.1042. Marketing by agent, agency or broker violation of law. — The sale, solicitation or marketing of any plan in violation of section 376.1040 by an agent, agency or broker shall constitute a violation of section 375.141. ——– (L. 1993 H.B. 709 § 39, A.L. 2019 S.B. 514)
Effective – 28 Aug 1993 376.1045. Injunctive relief, director may seek, when — procedures. — The director may, in addition to any other remedy or sanction authorized under the insurance laws of this state, seek injunctive relief against any unauthorized insurer under section 375.786 or any unauthorized multiple employer self-insured health plan under sections 376.1000 […]
