Iowa Admin. Code r. 193E-19.4 - Administrative criteria-general
(1) It is the responsibility of the insurance
carrier or program manager to obtain approval from the Iowa division of
insurance for the group policy before inception of the program or policy
period.
(2) It is the
responsibility of the insurance carrier or program manager to handle
administrative duties relative to operation of the program selected by the
commission, including billing and premium collection, toll-free access for
questions, and claim processing and general informational mailings.
(3) It is the responsibility of the insurance
carrier or program manager to send a billing notice to each licensee .
(4) It is the responsibility of the insurance
carrier or program manager to collect all premiums due and verify proper
payment.
A schedule of licensees who have paid the proper premium and who have coverage in force is provided electronically to the commission at agreed time intervals.
(5)
It is the responsibility of the insurance carrier or program manager to issue
individual certificates to each licensee and a master policy to the
commission.
(6) It is the
responsibility of the insurance carrier or program manager to market its
program and to develop and distribute informational brochures about the
coverages provided, services available and criteria of Iowa Code section
543B.47.
a. The content of any brochures or other
literature provided is the responsibility of the insurance carrier or program
manager.
b. Advertising materials
may be reviewed by the executive officer for the commission or appropriate
staff person for content only and not for a legal determination of compliance
with Iowa law or division of insurance criteria.
(7) It is the responsibility of the insurance
carrier or program manager to provide educational seminars in the state of Iowa
at the request of the commission and subject to terms and conditions agreeable
to each party involved.
Notes
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