44-4223. Selection of pool administrator; procedure.
213 words·~1 min read·
/ne/chapter-44/44-4223A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
(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:
(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.