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Code · Nebraska · Chapter 44 — Insurance

44-4224. Pool administrator; duties.

174 words·~1 min read·/ne/chapter-44/44-4224

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The pool administrator shall:
(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.
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