62L.16 ADMINISTRATION OF ASSOCIATION.
Subdivision 1. Administrator.
The association shall contract with a qualified entity to
operate and administer the association. If there is no available qualified entity, or in the event
of a termination under subdivision 2, the association may directly operate and administer the
reinsurance program. The administrator shall perform all administrative functions required by this
chapter. The board of directors shall develop administrative functions required by this chapter and
written criteria for the selection of an administrator. The administrator must be selected by the
board of directors, subject to approval by the commissioner.
Subd. 2. Term.
The administrator shall serve for a period of three years, unless the
administrator requests the termination of its contract and the termination is approved by the board
of directors. The board of directors shall approve or deny a request to terminate within 90 days
of its receipt after consultation with the commissioner. A failure to make a final decision on a
request to terminate within 90 days is considered an approval.
Subd. 3. Duties of administrator.
The association shall enter into a written contract with
the administrator to carry out its duties and responsibilities. The administrator shall perform all
administrative functions required by this chapter including the:
(1) preparation and submission of an annual report to the commissioner;
(2) preparation and submission of monthly reports to the board of directors;
(3) calculation of all assessments and the notification thereof of members;
(4) payment of claims to health carriers following the submission by health carriers of
acceptable claim documentation; and
(5) provision of claim reports to health carriers as determined by the board of directors.
Subd. 4. Bid process.
The association shall issue a request for proposal for administration
of the reinsurance association and shall solicit responses from health carriers participating in
the small employer market and from other qualified entities. Methods of compensation of the
administrator must be a part of the bid process. The administrator shall substantiate its cost
reports consistent with generally accepted accounting principles.
Subd. 5. Audits.
The board of directors may conduct periodic audits to verify the accuracy
of financial data and reports submitted by the administrator. The board may establish in the plan
of operation a uniform audit program. All costs of the uniform audit program and any additional
audits conducted by the board to verify the accuracy of claims submissions are the responsibility
of the health carrier. Failure of a health carrier to comply with the requirements of the audit
program, including the failure to pay the costs of an audit, may subject the health carrier to the
penalties described in section
Subd. 6. Records of association.
The association shall maintain appropriate records and
documentation relating to the activities of the association. All individual patient-identifying
claims data and information are confidential and not subject to disclosure of any kind, except
that a health carrier shall have access upon request to individual claims data relating to eligible
employees and dependents covered by a health benefit plan issued by the health carrier. All
records, documents, and work product prepared by the association or by the administrator for the
association are the property of the association. The commissioner shall have access to the data for
the purposes of carrying out the supervisory functions provided for in this chapter.
Subd. 7. Indemnification.
The association shall indemnify members, directors, officers,
employees, and agents to the same extent that persons may be indemnified by corporations under
History: 1992 c 549 art 2 s 16; 1993 c 47 s 10,11; 1993 c 247 art 2 s 22,23