N.H. Code Admin. R. 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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