Sec. 21.85.070. Contribution rates.

274 words·~1 min read·/ak/title-21/chapter-85/21-85-070

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

(a)A self-funded multiple employer welfare arrangement shall establish and maintain contribution rates that

(1)fund the greater of

(A)the amount recommended and certified by a qualified actuary in order for the self-funded multiple employer welfare arrangement to remain financially solvent; or

(B)the sum of projected claims liability for the year, plus all projected costs of operation of the arrangement for the year, plus an amount equal to any deficiency in the reserves of the arrangement for the prior year, minus an amount equal to the reserves of the arrangement in excess of the minimum required level of reserves; and

(2)are not excessive, inadequate, or unfairly discriminatory.

(b)A self-funded multiple employer welfare arrangement shall, before use, file with the director

(1)a rate or fee of any kind to be charged a participating employer or employee;

(2)every rating manual, schedule, plan, rule, or formula; and

(3)any modification to the rating manual, schedule, plan, rule or formula.

(c)The director shall disapprove by order a contribution rate or fee submitted under

(b)of this section that does not meet the requirements of

(a)of this section or is in any respect not in compliance with or in violation of law.

(d)A filing under

(b)of this section must state the effective date and must provide a comprehensive description of the coverage. The director may withhold the information provided under (b)(2) and

(3)of this section from public inspection for as long as the director determines that withholding the information is necessary to protect the arrangement against unwarranted injury or is in the public interest.