Sec. 21.54.140. Renewability of coverage for a multiple employer welfare arrangement.

204 words·~1 min read·/ak/title-21/chapter-54/21-54-140

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

A health benefit plan that is a multiple employer welfare arrangement subject to this title may not deny an employer whose employees are covered under the plan continued access to the same or a different plan according to the terms of the plan, except

(1)for nonpayment of contributions;

(2)for fraud or other intentional misrepresentation of material fact by the employer;

(3)for noncompliance with material plan provisions;

(4)where the plan is ceasing to offer any coverage in a geographic area;

(5)for a health benefit plan that offers benefits through a network plan if

(A)there is no longer an individual enrolled through the employer who lives, resides, or works in the service area of the network plan; and

(B)the multiple employer welfare arrangement applies this paragraph without regard to the claims experience of the employer or a health status factor in relation to an individual or an individual's dependent; and

(6)for failure to meet the terms of an applicable collective bargaining agreement to renew a collective bargaining or other agreement requiring or authorizing contributions to the plan or to employ employees covered by a collective bargaining agreement.