2005 Idaho Code - 41-4105 — APPLICATION FOR REGISTRATION

                                  TITLE  41
                                  INSURANCE
                                  CHAPTER 41
              JOINT PUBLIC AGENCY SELF-FUNDED HEALTH CARE PLANS
    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.