2011 Missouri Revised Statutes
TITLE XXIV BUSINESS AND FINANCIAL INSTITUTIONS
Chapter 376 Life, Health and Accident Insurance
Section 376.1084. Insurer responsible for benefits and underwriting practices--insurer to conduct review of administrator, when.
Insurer responsible for benefits and underwriting practices--insurer to conduct review of administrator, when.
376.1084. 1. If an insurer uses the services of an administrator, the insurer shall be responsible for determining the benefits, premium rates, underwriting criteria and claims payment procedures applicable to such coverage and for securing reinsurance, if any. The rules pertaining to these matters shall be provided, in writing, by the insurer to the administrator. The responsibilities of the administrator as to any of these matters shall be set forth in the written agreement between the administrator and the insurer.
2. It is the sole responsibility of the insurer to provide for competent administration of its programs.
3. In cases where an administrator administers benefits for more than one hundred certificate holders on behalf of an insurer, the insurer shall, at least semiannually, conduct a review of the operations of the administrator. At least one such review shall be an on-site audit of the operations of the administrator.
(L. 1993 H.B. 709 46)
Annotation Copyright Missouri Joint Committee on Legislative Research
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