Section 379.934

Title XXIV BUSINESS AND FINANCIAL INSTITUTIONS

Chapter 379

Effective - 28 Aug 2016, 2 histories   

  379.934.  Establishment of class of business, reasons — number of classes that may be established — promulgation of rules for period of transition — establishment of additional classes. — 1.  For health benefit plans purchased on or before March 23, 2010, 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:

  (1)  The small employer carrier uses more than one type of system for the marketing and sale of health benefit plans to small employers;

  (2)  The small employer carrier has acquired a class of business from another small employer carrier; or

  (3)  The small employer carrier provides coverage to one or more association groups that meet the requirements of subdivision (5) of subsection 1 of section 376.421.

  2.  A small employer carrier may establish up to nine separate classes of business under subsection 1 of this section.  A small employer carrier which immediately prior to July 1, 1993, had established more than nine separate classes of business may, on July 1, 1993, establish no more than twelve separate classes of business, and shall reduce the number of such classes to eleven within one year after July 1, 1993; ten within two years after such date; and nine within three years after such date.

  3.  The director may promulgate rules to provide for a period of transition in order for a small employer carrier to come into compliance with subsection 2 of this section in the instance of acquisition of an additional class of business from another small employer carrier.

  4.  The director may approve the establishment of additional classes of business upon application to the director and a finding by the director that such action would enhance the efficiency and fairness of the small employer marketplace.

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(L. 1992 S.B. 796 § 3, A.L. 2016 S.B. 865 & 866)