Idaho Code 41-5209 – Notice of Intent to Operate as a Risk-Assuming Carrier or a Reinsuring Carrier
Current as of: 2023 | Check for updates
|
Other versions
(1) (a) Each individual carrier shall notify the director within thirty (30) days of the effective date of this chapter of the carrier’s intention to operate as a risk-assuming carrier or a reinsuring carrier. An individual carrier seeking to operate as a risk-assuming carrier shall make an application pursuant to the provisions of section 41-5210, Idaho Code.
(b) The decision shall be binding for a five (5) year period except that the initial decision shall be binding for two (2) years. The director may permit a carrier to modify its decision at any time for good cause shown.
(c) The director shall establish an application process for individual carriers seeking to change their status under the provisions of this subsection.
(2) A reinsuring carrier that applies and is approved to operate as a risk-assuming carrier shall not be permitted to continue to reinsure any health benefit plan with the program. Such a carrier shall pay a prorated assessment based upon business issued as a reinsuring carrier for any portion of the year that the business was reinsured.
Terms Used In Idaho Code 41-5209
- Carrier: means any entity that provides health insurance in this state. See Idaho Code 41-5203
- Director: means the director of the department of insurance of the state of Idaho. See Idaho Code 41-5203
- Health benefit plan: means any hospital or medical policy or certificate, any subscriber contract provided by a hospital or professional service corporation, or health maintenance organization subscriber contract and includes enhanced short-term plans. See Idaho Code 41-5203
- Individual carrier: means a carrier that offers health benefit plans covering eligible individuals and their dependents. See Idaho Code 41-5203
- Reinsuring carrier: means a carrier participating in the Idaho individual high-risk reinsurance pool established in chapter 55, title 41, Idaho Code. See Idaho Code 41-5203
- Risk-assuming carrier: means a carrier whose application is approved by the director pursuant to section 41-5210, Idaho Code. See Idaho Code 41-5203