Texas Statutes
Subchapter G. Reinsurance for Small Employer Health Benefit Plans
Section 1501.306. System Plan of Operation

Sec. 1501.306. SYSTEM PLAN OF OPERATION. (a) The board shall submit to the commissioner a plan of operation and any amendments to that plan necessary or suitable to ensure the fair, reasonable, and equitable administration of the system.
(b) The commissioner, after notice and hearing, may approve the plan of operation if the commissioner determines the plan:
(1) is suitable to ensure the fair, reasonable, and equitable administration of the system; and
(2) provides for the sharing of system gains or losses on an equitable and proportionate basis in accordance with this subchapter.
(c) The plan of operation is effective on the written approval of the commissioner.
(d) The plan of operation must:
(1) establish procedures for:
(A) handling and accounting for system assets and money;
(B) making an annual fiscal report to the commissioner;
(C) selecting an administering health benefit plan issuer or third-party administrator and establishing the powers and duties of the administering issuer or third-party administrator;
(D) reinsuring risks in accordance with this subchapter; and
(E) collecting assessments from reinsured health benefit plan issuers to fund claims and administrative expenses incurred or estimated to be incurred by the system, including the imposition of penalties for late payment of an assessment; and
(2) provide for any additional matter necessary to implement and administer the system.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.