420-K:1 Definitions. – In this chapter: I. " Assessment " means the liability of the member insurer to the reinsurance pool. II. " Board " means the board of directors of the small employer health reinsurance pool. III. " Bona fide pathway II association coverage " means coverage, whether self-funded or fully insured, that […]
420-K:2 Establishment of the Risk Adjustment Program. – I. There is established a nonprofit entity to be known as the "New Hampshire small employer health risk adjustment program." All small employer health carriers issuing or maintaining health insurance in this state shall be members of the program. II. The commissioner shall give notice to […]
420-K:3 Powers of the Program. – The program may: I. Enter into contracts as are necessary or proper to carry out the provisions and purposes of this chapter, including the authority, with the approval of the commissioner, to enter into contracts with programs of other states for the joint performance of common functions, or […]
420-K:4 Risk Adjustment Program. – I. The board shall: (a) Develop and monitor a measure of risk to be used in comparing populations covered by small employer health insurance coverage and bona fide pathway II association coverage. The population covered by qualified association trust coverage or by bona fide pathway I association coverage, whether […]
420-K:5 Eligibility, Coverage, and Rates. – Beginning January 1, 2006 and ending June 30, 2008, members may reinsure with the pool health coverage provided to small employers as follows: I. The pool shall reinsure the level of coverage provided up to, but not exceeding, the level of coverage provided in the standard health benefit […]
420-K:6 Assessments. – I. Following the close of each fiscal year, the administrator shall determine the net premiums, the pool expenses of administration and the incurred losses for the year, taking into account investment income and other appropriate gains and losses. (a) Each member’s assessment for the reinsurance pool shall be based on its […]
420-K:7 Immunity and Indemnification. – I. Neither the participation in the program as members, the establishment of rates, forms, or procedures, nor any other joint or collective action required by this chapter shall be the basis of any legal action against the program or any of its members. II. Any person or member made […]
