- (a) A multiple employer welfare arrangement that holds an initial certificate of authority must apply for a final certificate of authority not later than the first anniversary of the date of issuance of the initial certificate.
(b) The multiple employer welfare arrangement must file an application for a final certificate of authority on a form prescribed by the commissioner and furnish the information required by the commissioner. The application for a final certificate of authority must include only:
(1) the names and addresses of:
- (A) the association or group of employers sponsoring the arrangement;
- (B) the board members of the arrangement; and
- (C) if the employers in the arrangement are not an association, at least five employers;
- (2) proof of compliance with the bonding requirements;
- (3) a copy of each plan document and each agreement with service providers; and
(4) a funding report containing:
- (A) a statement certified by the board and an actuarial opinion that all applicable requirements of Section 846.153 have been met;
(B) an actuarial opinion describing the extent to which contributions or premium rates:
- (i) are not excessive;
- (ii) are not unfairly discriminatory; and
- (iii) are adequate to provide for the payment of all obligations and the maintenance of required cash reserves and surplus by the arrangement;
- (C) a statement of the current value of the assets and liabilities accumulated by the arrangement and a projection of the assets, liabilities, income, and expenses of the arrangement for the next 12-month period; and
(D) a statement of the costs to be charged for coverage, including an itemization of amounts for:
- (i) administrative expenses;
- (ii) reserves; and
- (iii) other expenses associated with operation of the arrangement.
- (c) The reserves described in Section 846.154(a) must have been established or be established before the final certificate of authority is issued.
- (d) If, after examination and investigation, the commissioner is satisfied that the multiple employer welfare arrangement meets the requirements of this chapter, the commissioner shall issue a final certificate of authority to the arrangement.
- (e) The commissioner shall maintain the information required under Subsection (b)(1)(C) and Subsection (b)(3) as confidential information.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.