Key: (1) language to be deleted (2) new language
Laws of Minnesota 1983
CHAPTER 241--S.F.No. 892
An act relating to insurance; authorizing the
establishment of joint self-insurance employee health
plans; providing administrative, trust, bonding,
investment, and reporting requirements; establishing a
revenue fee; authorizing certain governmental
subdivisions to self-insure for long-term disability
coverage; amending Minnesota Statutes 1982, section
471.617, subdivisions 1, 2, and 3; proposing new law
coded as Minnesota Statutes, chapter 62H.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1. [62H.01] [JOINT SELF-INSURANCE EMPLOYEE HEALTH
PLAN.]
Any three or more employers, excluding the state and its
political subdivisions as described in 471.617, subdivision 1,
who are authorized to transact business in Minnesota may jointly
self-insure employee health, dental, or short-term disability
benefits. Joint plans must have a minimum of 250 covered
employees and meet all conditions and terms of sections 1 to 8.
Sec. 2. [62H.02] [REQUIRED PROVISIONS.]
A joint self-insurance plan must include aggregate excess
stop-loss coverage and individual excess stop-loss coverage
provided by an insurance company licensed by the state of
Minnesota. Aggregate excess stop-loss coverage must include
provisions to cover incurred, unpaid claim liability in the
event of plan termination. The excess or stop-loss insurer must
bear the risk of coverage for any member of the pool that
becomes insolvent with outstanding contribution due. In
addition, the plan of self-insurance must have participating
employers fund an amount at least equal to the point at which
the excess or stop-loss insurer must assume 100 percent of
additional liability. A joint self-insurance plan must submit
its proposed excess or stop-loss insurance contract to the
commissioner of insurance at least 30 days prior to the proposed
plan's effective date and at least 30 days subsequent to any
renewal date. The commissioner shall review the contract to
determine if they meet the standards established by sections 1
to 8 and respond within a 30-day period. Any excess or
stop-loss insurance plan must be noncancelable for a minimum
term of two years.
Sec. 3. [62H.03] [MARKETING, RISK MANAGEMENT, OR
ADMINISTRATIVE SERVICES.]
No joint self-insurance plan may offer marketing, risk
management, or administrative service unless these services are
provided by vendors duly licensed by the commissioner to provide
these services. No vendor of these services may be a trustee of
any joint self-insurance plan for which they provide marketing,
risk management, or administrative services.
Sec. 4. [62H.04] [COMPLIANCE WITH OTHER LAWS.]
A joint self-insurance plan is subject to the requirements
of chapter 62A and sections 72A.17 to 72A.32 unless otherwise
specifically exempt. A joint self-insurance plan must not offer
less than a number two qualified plan or its actuarial
equivalent.
Sec. 5. [62H.05] [MANAGEMENT OF FUNDS.]
Funds collected from the participating employers under
joint self-insurance plans must be held in trust subject to the
following requirements:
(a) A board of trustees elected by participating employers
shall serve as fund managers on behalf of participants.
Trustees must be plan participants. No participating employer
may be represented by more than one trustee. A minimum of three
and a maximum of seven trustees may be elected. Trustees shall
receive no remuneration, but they may be reimbursed for actual
and reasonable expenses incurred in connection with duties as
trustees.
(b) Trustees shall be bonded in an amount not less than
$100,000 or no more than $500,000 from a licensed bonding
company.
(c) Investment of plan funds is subject to the same
restrictions as are applicable to political subdivisions
pursuant to section 475.66. All investments must be managed by
a bank or other investment organization licensed to operate in
Minnesota.
(d) Trustees, on behalf of the fund, shall file annual
reports with the commissioner of insurance within 30 days
immediately following the end of each calendar year. The
reports must summarize the financial condition of the fund,
itemize collection from participating employers, and detail all
fund expenditures.
Sec. 6. [62H.06] [REGULATION OF PLANS BY COMMISSIONER.]
The commissioner of insurance shall promulgate rules,
including temporary rules, to insure the solvency and operation
of all self-insured plans subject to this chapter. The
commissioner may examine the joint self-insurance plans pursuant
to sections 60A.03 and 60A.31.
Sec. 7. [62H.07] [REVENUE FEE.]
A joint self-insurance plan shall pay a two percent revenue
fee. This revenue must be computed based on two percent of the
paid claims level for the most recently completed calendar
year. This revenue must be deposited in the general fund.
Sec. 8. [62H.08] [EXEMPTION.]
A homogenous joint employer plan providing group health
benefits, which was in existence prior to March 1, 1983, and
which is associated with, or organized or sponsored by, an
association exempt from taxation under United States Code, title
26, section 501(c)(6), and controlled by a board of trustees a
majority of whom are members of the association, is exempt from
the requirements of this act and the insurance laws of this
state.
Sec. 9. Minnesota Statutes 1982, section 471.617,
subdivision 1, is amended to read:
Subdivision 1. A statutory or home rule charter city or,
county or, school district, or instrumentality thereof which has
more than 100 employees, may by ordinance or resolution
self-insure for any employee health benefits except including
long-term disability and, but not for employee life benefits.
Any self-insurance plan shall provide all benefits which are
required by law to be provided by group health insurance
policies. Self-insurance plans shall be certified as provided
by section 62E.05. Employee wage deductions for the purpose of
funding a self-insured health benefit plan shall be are subject
to the licensing provisions of section 60A.23, subdivision 7.
Sec. 10. Minnesota Statutes 1982, section 471.617,
subdivision 2, is amended to read:
Subd. 2. Any two or more statutory or home rule charter
cities or, counties or, school districts, or instrumentalities
thereof which together have more than 100 employees may jointly
self-insure for any employee health benefits except including
long-term disability and, but not for employee life benefits,
subject to the same requirements as an individual self-insurer
under subdivision 1. The commissioner of insurance is
authorized to promulgate administrative may adopt rules,
including emergency rules, pursuant to sections 14.01 to 14.70,
providing standards or guidelines for the operation and
administration of self-insurance pools.
Sec. 11. Minnesota Statutes 1982, section 471.617,
subdivision 3, is amended to read:
Subd. 3. Any self-insurance plan covering fewer than 1,000
employees shall include excess or stop-loss coverage, provided
by a licensed insurance company or, an insurance company
approved pursuant to section 60A.20, or service plan corporation
, but excess or stop-loss coverage need not be obtained for
long-term disability.
This excess or stop-loss coverage shall cover all eligible
claims incurred during the term of the policy or contract. In
addition to excess or stop-loss coverage, the self-insurance
plan shall provide for reserving of an appropriate amount of
funds to cover the estimated cost of claims incurred, but
unpaid, during the term of the policy or contract which shall be
added to the expected claim level. These funds shall be in
addition to funds reserved to cover the claims paid during the
term of the policy or contract. The excess or stop-loss
coverage shall be provided at levels in excess of self-insured
retention which is appropriate, taking into account the number
of covered persons in the group.
Sec. 12. [EFFECTIVE DATE.]
Sections 6 and 9 to 11 are effective the day after final
enactment. Sections 1 to 5, 7, and 8 are effective January 1,
1984.
Approved June 1, 1983
Official Publication of the State of Minnesota
Revisor of Statutes