Nebraska Statutes 44-4224. Pool administrator; duties
The pool administrator shall:
Terms Used In Nebraska Statutes 44-4224
- Board: means the Board of Directors of the pool. See Nebraska Statutes 44-4206
- Department: means the Department of Insurance. See Nebraska Statutes 44-4207
- Director: means the Director of Insurance. See Nebraska Statutes 44-4208
- Plan of operation: means the plan of operation of the pool, including articles, bylaws, and operating rules, submitted by the board pursuant to section Nebraska Statutes 44-4214
- Pool: means the Comprehensive Health Insurance Pool. See Nebraska Statutes 44-4215
- Year: shall mean calendar year. See Nebraska Statutes 49-801
(1) Perform all eligibility verification functions relating to the pool;
(2) Establish a premium billing procedure for collection of premiums from covered individuals on a periodic basis as determined by the board;
(3) Perform all necessary functions to assure timely payment of benefits to covered individuals, including:
(a) Making available information relating to the proper manner of submitting a claim for benefits to the pool and distributing forms upon which submission shall be made; and
(b) Evaluating the eligibility of each claim for payment by the pool;
(4) Submit regular reports to the board regarding the operation of the pool. The frequency, content, and form of the reports shall be determined by the board;
(5) Following the close of each calendar year, report such income and expense items as directed by the board to the board and the department on a form prescribed by the director; and
(6) Be paid as provided in the plan of operation for its expenses incurred in the performance of its services to the pool.