Nebraska Statutes 13-1622. Plan sponsor; obtain excess insurance; when
(1) Except as provided in subsection (4) of this section, the plan sponsor shall obtain excess insurance which will limit the plan sponsor’s total claims liability for each plan year to not more than one hundred twenty-five percent of the expected claims liability as projected by an independent actuary or insurer.
Terms Used In Nebraska Statutes 13-1622
- Accruals: shall mean funds to cover all expected claims, reserves, and expenses to operate the self-funded portion of the employee benefit plan for a plan year. See Nebraska Statutes 13-1604
- Employee benefit plan: shall mean a plan provided pursuant to section Nebraska Statutes 13-1607
- Excess insurance: shall mean (1) aggregate insurance, (2) specific insurance, or (3) insurance in excess of a deductible, of which the plan sponsor assumes some or all of the risk for the deductible, purchased from an insurer. See Nebraska Statutes 13-1608
- Independent actuary: shall mean a member in good standing of the Society of Actuaries or the American Academy of Actuaries who is not an employee of the plan sponsor. See Nebraska Statutes 13-1609
- Insurer: shall mean an insurer as defined in section Nebraska Statutes 13-1610
- Plan sponsor: shall mean any political subdivision providing an employee benefit plan. See Nebraska Statutes 13-1611
- Year: shall mean calendar year. See Nebraska Statutes 49-801
(2) If the expected claims liability of the self-funded portion of the employee benefit plan is exceeded, the plan sponsor shall fund such additional liability by (a) allocating necessary funds from the operating fund of the general fund, (b) setting up an additional reserve in the operating fund of the general fund, or (c) setting up the monthly accruals at a level to fund claims in excess of the expected claims liability.
(3) An insurer shall pay claims for which it is obligated under excess insurance within three months of the time the claims are paid by the plan sponsor.
(4) A city of the metropolitan or primary class or a county with a population of more than two hundred thousand may provide an employee benefit plan without excess insurance if the city or county obtains a determination from an independent actuary or insurer that excess insurance is not necessary to preserve the safety and soundness of the employee benefit plan.