Nebraska Statutes 44-4223. Selection of pool administrator; procedure
(1) The board shall select a pool administrator through a competitive bidding process to administer the pool. The pool administrator may be an insurer or a third-party administrator authorized to transact business in this state. The board shall evaluate bids submitted on the basis of criteria established by the board which shall include:
Terms Used In Nebraska Statutes 44-4223
- Board: means the Board of Directors of the pool. See Nebraska Statutes 44-4206
- Insurer: means any insurance company as defined in section Nebraska Statutes 44-4210
- Pool: means the Comprehensive Health Insurance Pool. See Nebraska Statutes 44-4215
- Process: shall mean a summons, subpoena, or notice to appear issued out of a court in the course of judicial proceedings. See Nebraska Statutes 49-801
- State: when applied to different states of the United States shall be construed to extend to and include the District of Columbia and the several territories organized by Congress. See Nebraska Statutes 49-801
- Year: shall mean calendar year. See Nebraska Statutes 49-801
(a) The applicant’s proven ability to handle individual sickness and accident insurance;
(b) The efficiency of the applicant’s claim-paying procedures;
(c) The applicant’s estimate of total charges for administering the pool;
(d) The applicant’s ability to administer the pool in a cost-effective manner; and
(e) The applicant’s ability to negotiate reduced health care provider reimbursement rates for benefits payable under pool coverage for covered services.
(2) The pool administrator shall serve for a period of three years subject to removal for cause. At least one year prior to the expiration of each three-year period of service by a pool administrator, the board shall invite all insurers and third-party administrators authorized to transact business in this state, including the current pool administrator, to submit bids to serve as the pool administrator for the succeeding three-year period. Selection of the pool administrator for the succeeding period shall be made at least six months prior to the end of the current three-year period.