N.H. Admin. Code § Ins 2301.15 - Responsibilities of the Insurer
(a) The insurer
shall be responsible for determining benefits, premium rates, underwriting
criteria, and claims payment procedures applicable to the coverage and for
securing reinsurance.
(b) The
standards pertaining to (a) above shall be provided in writing by the insurer
to the administrator .
(c) If the
administrator has any responsibility for the development or formulation of the
items in (a) above, they shall be set forth in the written agreement between
the administrator and the person contracting for the services.
(d) The insurer shall conduct semiannual
reviews of the operations of the administrator if the administrator administers
benefits for more than 100 certificate holders on behalf of the insurer . One
such review shall consist of an on-site audit by the insurer .
Notes
#5787, eff 2-14-94; ss by #7023, eff 7-1-99; ss by #7318, eff 8-1-00, EXPIRED: 8-1-08
New. #9510, eff 7-10-09
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