41-4105. APPLICATION FOR REGISTRATION. (1) Application for registration of a joint public agency self-funded plan for public agencies shall be made to the director, on forms furnished and designed by him. The application shall be signed and verified by at least two (2) of the board members.
(2) The application shall be accompanied by:
(a) A copy of the joint powers agreement under which the joint public agency self-funded plan will exist and operate;
(b) A copy of the proposed written statement of benefits referred to in section 41-4104(2), Idaho Code;
(c) A financial statement of the trust fund, if already in existence and operating on July 1, 2006. The statement shall be certified by an independent certified public accountant according to generally accepted accounting principles;
(d) If not already in existence, a written statement of reasonably projected income and disbursements of the trust fund for the twelve (12) month period commencing with date of application and showing also the amount projected as of the end of such period for claims incurred and not paid and incurred and not reported as certified by an actuary having experience in establishing rates for a self-funded plan and the health services being provided, and who is also a fellow of the society of actuaries, a member of the American academy of actuaries, or an enrolled actuary under the employment retirement income security act of 1974;
(e) If not already in existence, a copy of a business plan;
(f) A copy of an actuarial study determining adequate rates for the plan. The rates shall not be less than the sum of projected incurred claims for the year plus costs of operation plus a reasonable portion of any prior year deficiency less any excess surplus; and
(g) Such other relevant documentation and information as the director may reasonably require considering that these entities are public agency plans and not private insurance companies.
(3) At the time of filing the application the applicant shall pay to the director a nonrefundable filing fee as provided for by rule.
(4) The director shall transmit and account for all fees received by him hereunder as provided in section 41-406, Idaho Code.
History:
[41-4105, added 2006, ch. 415, sec. 1, p. 1274.]
Structure Idaho Code
Chapter 41 - JOINT PUBLIC AGENCY SELF-FUNDED HEALTH CARE PLANS
Section 41-4101 - DECLARATION OF PURPOSE.
Section 41-4102 - DEFINITIONS.
Section 41-4103 - REGISTRATION REQUIRED — EXEMPTIONS — NOT SUBJECT TO INSURANCE CODE.
Section 41-4104 - QUALIFICATIONS FOR REGISTRATION.
Section 41-4105 - APPLICATION FOR REGISTRATION.
Section 41-4106 - GRANT OR DENIAL OF APPLICATION.
Section 41-4107 - TRUST FUND — POWERS.
Section 41-4108 - TRUST FUND LIABILITY.
Section 41-4109 - INVESTMENT OF TRUST FUND.
Section 41-4111 - RECORDS AND ACCOUNTS — ANNUAL STATEMENT.
Section 41-4112 - TAXES — EXEMPTION.
Section 41-4113 - EXAMINATION OF BOOKS, RECORDS AND ACCOUNTS.
Section 41-4114 - BOARD OF TRUSTEES — ADMINISTRATORS.
Section 41-4115 - PROHIBITED PECUNIARY INTERESTS IN PLAN MANAGEMENT.
Section 41-4116 - POLITICAL CONTRIBUTIONS PROHIBITED.
Section 41-4117 - RECOVERY OF DEPLETED FUNDS.
Section 41-4118 - TERMINATION OF REGISTRATION.
Section 41-4119 - LIQUIDATION OF TRUST FUND.
Section 41-4121 - OTHER PROVISIONS APPLICABLE.
Section 41-4123 - COVERAGE FROM MOMENT OF BIRTH — COMPLICATIONS OF PREGNANCY.
Section 41-4124 - SERVICES PROVIDED BY GOVERNMENTAL ENTITIES.