A. A small employer carrier may establish a class of business only to reflect substantial differences in expected claims experience or administrative costs related to the following reasons:
- 1. The small employer carrier uses more than one type of system for the marketing and sale of health benefit plans to small employers;
- 2. The small employer carrier has acquired a class of business from another small employer carrier; or
- 3. The small employer carrier provides coverage to one or more association groups that meet the requirements of an association as set forth in Section 4501 of this title.
- B. A small employer carrier may establish up to nine separate classes of business under subsection A of this section.
- C. The Insurance Commissioner may establish rules to provide for a period of transition in order for a small employer carrier to come into compliance with subsection B of this section in the instance of acquisition of an additional class of business from another small employer carrier.
- D. The Commissioner may approve the establishment of additional classes of business upon application to the Commissioner and a finding by the Commissioner that such action would enhance the efficiency and fairness of the small employer marketplace.
Added by Laws 1992, HB 2154, c. 329, § 4, eff. September 1, 1992.