58-50A-25. Solvency requirements.
No insurer shall deliver or issue for delivery a group health plan to a sponsoring association or an employer member of a sponsoring association unless the sponsoring association meets all of the following solvency requirements:
(1) Has been established and maintained in good faith for a period of at least three years.
(2) Has at the outset a minimum of 500 individuals eligible for coverage pursuant to G.S. 58-50A-15(a).
(3) Requires employer members to offer group health coverage to all individuals eligible for coverage under G.S. 58-50A-15(a) for a period of at least one year.
(4) Maintains a minimum net worth equal to at least one month's premium, which must be held in trust and separate from the sponsoring association's operating assets. This amount shall be adjusted at the beginning of each policy period.
(5) Maintains at all times an adequate plan for protection against insolvency that is acceptable to the Commissioner. (2019-202, s. 1.)
Structure North Carolina General Statutes
North Carolina General Statutes
Article 50A - Association Health Plans and Multiple Employer Welfare Arrangements.
§ 58-50A-5 - Compliance with requirements.
§ 58-50A-10 - Sponsoring association requirements.
§ 58-50A-15 - Membership requirements.
§ 58-50A-20 - Health plan requirements.
§ 58-50A-25 - Solvency requirements.
§ 58-50A-30 - Nondiscrimination.
§ 58-50A-35 - Premium contributions.
§ 58-50A-40 - Use of licensed insurance producers.
§ 58-50A-60 - Multiple employer welfare arrangements; administrators.
§ 58-50A-65 - Multiple employer welfare arrangements; license required; penalty.
§ 58-50A-70 - Qualifications for licensure.
§ 58-50A-75 - Certain words prohibited in name of MEWA.
§ 58-50A-80 - Filing of application.
§ 58-50A-85 - Examinations; deposits; solvency regulation.
§ 58-50A-90 - Annual reports; actuarial certifications; quarterly reports.