28 Tex. Admin. Code § 7.1913 - Examination of Multiple Employer Welfare Arrangements
(a) The commissioner or any person appointed
by the commissioner will have the power to examine the affairs and conduct of
any multiple employer welfare arrangement (MEWA) and for such purposes will
have free access to all the books, records, and documents that relate to the
business of the plan and may examine under oath its trustees or directors,
officers, agents, and employees in relation to the affairs, transactions, and
condition of the MEWA. Examinations of a MEWA will be made in the same manner
and with the same frequency that applies to domestic and foreign insurers
licensed to transact the business of insurance in this state, including as
provided in Insurance Code §
1301.0056, concerning
Examinations and Fees, for a MEWA that provides a comprehensive health benefit
plan that is determined by the commissioner to be structured in the manner of a
preferred provider benefit plan or an exclusive provider benefit plan as
defined in Insurance Code §
1301.001, concerning
Preferred Provider Benefit Plans.
(b) Expenses of examination must be paid by
each MEWA in the same manner and to the same extent as is provided for domestic
insurance companies in Insurance Code §§
401.151, concerning
Expenses of Examination of Domestic Insurer; 401.152, concerning Expenses of
Examination of Other Insurers; 401.155, concerning Additional Assessments;
401.156, concerning Deposit and Use of Assessment and Fee; and
1301.0056.
Notes
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