62L.21 REINSURANCE PREMIUMS.
Subdivision 1. Monthly premium.
A health carrier ceding an individual to the reinsurance
association shall be assessed a monthly reinsurance coverage premium that is 5.0 times the
adjusted average market price. A health carrier ceding an entire group to the reinsurance
association shall be assessed a monthly reinsurance coverage premium that is 1.5 times the
adjusted average market price. The adjusted average market premium price must be established
by the board of directors in accordance with its plan of operation. The board may consider benefit
levels in establishing the reinsurance coverage premium.
Subd. 2. Adjustment of premium rates.
The board of directors shall establish operating
rules to allocate adjustments to the reinsurance premium charge of no more than minus 25 percent
of the monthly reinsurance premium for health carriers that can demonstrate administrative
efficiencies and cost-effective handling of equivalent risks. The adjustment must be made
monthly, unless the board provides for a different interval in its operating rules. The operating
rules must establish objective and measurable criteria which must be met by a health carrier in
order to be eligible for an adjustment. These criteria must include consideration of efficiency
attributable to case management, but not consideration of such factors as provider discounts.
Subd. 3. Liability for premium.
A health carrier is liable for the cost of the reinsurance
premium and may not directly charge the small employer for the costs. The reinsurance premium
may be reflected only in the rating factors permitted in section
, as provided in section
62L.08, subdivision 10
History: 1992 c 549 art 2 s 21; 1994 c 625 art 10 s 48