reglab/housing_qa huggingface dataset:
MO Rev Stat § 376.1010 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1010 - Excess stop-loss coverage maintained by plan.

Effective - 28 Aug 1993   376.1010. Excess stop-loss coverage maintained by plan. — A multiple employer self-insured health plan shall maintain aggregate excess stop-loss coverage and individual excess stop-loss coverage provided by an insurer licensed by the state to write accident and health insurance on a direct basis. Aggregate excess stop-loss coverage shall include provisions to cover incurred, unpaid claim liability in the event of plan termination. The excess or stop-loss insurer shall bear the risk of coverage for any member employer of the plan that becomes insolvent with outstanding contributions due. In addition, the plan shall have a participating employer's fund in an amount at least equal to the point at which the excess or stop-loss insurer shall assume one hundred percent of additional liability. A plan shall submit its proposed excess or stop-loss insurance contract to the director at least thirty days prior to the proposed plan's effective date and at least thirty days subsequent to any renewal date. The director shall review the contract to determine whether it meets the standards established by sections 376.1000 to 376.1045 and respond within a thirty-day period. Any excess or stop-loss insurance plan must be noncancelable for a minimum term of two years. ­­-------- (L. 1993 H.B. 709 § 26)
MO Rev Stat § 376.1012 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1012 - Funds collected from employers held in trust — requirements — board of trustees, elected, duties — annual report, filed when.

Effective - 28 Aug 2007   376.1012. Funds collected from employers held in trust — requirements — board of trustees, elected, duties — annual report, filed when. — Funds collected from the participating employers under multiple employer self-insured health plans shall be held in trust subject to the following requirements:  (1) A board of trustees elected by participating employers shall serve as fund managers on behalf of participants. Trustees shall be plan participants. No participating employer may be represented by more than one trustee. No trustee may represent more than one employer. A minimum of three and a maximum of seven trustees may be elected. Trustees may not receive remuneration but they may be reimbursed for actual and reasonable expenses incurred in connection with duties as trustee. A trustee may not be an agent, or broker for or an owner, officer or employee of any third-party administrator, insurance agency or insurer utilized by the plan. The trustees shall have the authority to approve applications of association members for participation in the arrangement and to contract with a licensed third-party administrator to administer the day-to-day affairs of the plan;  (2) Each trustee shall be bonded in an amount of not less than one hundred fifty thousand dollars by a licensed insurer;  (3) Investment of plan funds is subject to the same restrictions which are applicable to insurers pursuant to sections 376.291 to 376.307; provided, however, that no foreign plan shall be exempt under section 376.310 from the investment laws of this state unless such plan is subject to laws in its state of domicile which are substantially similar to sections 376.1032 to 376.1045. All investments shall be managed by a bank or other investment entity licensed to operate in Missouri;  (4) Trustees, on behalf of the plan, shall file an annual report with the director of the department of commerce and insurance by March first showing the condition and affairs of the plan as of the preceding thirty-first day of December. The report shall be made on forms prescribed by the director. The report shall summarize the financial condition of the fund, itemize collections from participating employers, detail all fund expenditures and provide any additional information which the director requires. More frequent reports may be required at the discretion of the director. ­­-------- (L. 1993 H.B. 709 § 27, A.L. 2007 S.B. 66)
MO Rev Stat § 376.1015 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1015 - Department not to grant approval, when.

Effective - 28 Aug 1993   376.1015. Department not to grant approval, when. — The department shall not grant or renew approval as to any plan if the department determines:  (1) Any trustee is incompetent or untrustworthy;  (2) That any trustee has been found guilty of, or has pled guilty or no contest to a felony, a crime involving moral turpitude, or a crime punishable by imprisonment of one year or more under the law of any state, territory, or country, whether or not a judgment of conviction has been entered;  (3) That any trustee has had any type of insurance license revoked, suspended, or disciplined in this or any other state; or  (4) That the business operations of the plan are or have been marked, to the detriment of the employers participating in the plan, of persons receiving benefits from the plan, or of creditors or the public, by the improper manipulation of assets, accounts, or specific or aggregate excess incurrence or by bad faith or if the number of covered employees in* any calendar quarter is found to be less than two hundred fifty. ­­-------- (L. 1993 H.B. 709 § 28)  *Word "in" does not appear in original rolls.
MO Rev Stat § 376.1017 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1017 - Plan to establish loss reserves — plan to establish surplus account, amount.

Effective - 28 Aug 1993   376.1017. Plan to establish loss reserves — plan to establish surplus account, amount. — 1. A plan shall establish loss reserves for all incurred losses, both reported and unreported, and for unearned premiums.  2. A plan also shall establish a surplus account equal to the greater of the following:  (1) Three times the average paid monthly premium during the plan's most recent fund year;  (2) For plans which do not yet have one fund year's experience, three times estimated monthly premium; or  (3) Six hundred thousand dollars. ­­-------- (L. 1993 H.B. 709 § 29)
MO Rev Stat § 376.1020 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1020 - Plan to maintain principal place of business in Missouri, exception.

Effective - 28 Aug 1993   376.1020. Plan to maintain principal place of business in Missouri, exception. — Each multiple employer self-insured health plan shall have and maintain its principal place of business in this state or shall appoint the director of the department of commerce and insurance as its agent for service of process, and shall thereby make available to the department complete records of its assets, transactions, and affairs with such methods and systems as are customary for, or suitable to, the kind or kinds of business transacted. The director or his representative shall inspect these records at least every three years. The information from these records shall be furnished to the director or his representatives on demand and the original books or records shall be open to examination by the director or his representatives when demanded. Examinations shall be conducted pursuant to sections 374.160, 374.162, 374.190, 374.202 to 374.207 and 374.220. ­­-------- (L. 1993 H.B. 709 § 30)
MO Rev Stat § 376.1022 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1022 - Dissolution of plan, application, procedure, granted when — distribution of assets, procedures.

Effective - 28 Aug 1993   376.1022. Dissolution of plan, application, procedure, granted when — distribution of assets, procedures. — 1. A plan that desires to cease existence shall apply to the director for authority to dissolve. Applications to dissolve shall be on forms prescribed by the director and shall be approved or disapproved by the director within sixty days of receipt. Dissolution without authorization is prohibited and does not absolve a plan or its participants from fulfilling the plan's continuing obligations. An application to dissolve shall be granted if either of the following conditions is met:  (1) The plan demonstrates that it has no outstanding liabilities, including incurred but not reported liabilities; or  (2) The plan has obtained an irrevocable commitment from a licensed insurer which provides for payment of all outstanding liabilities and for providing all related services, including payment of claims, preparation of reports and administration of transactions associated with the period when the plan provided coverage.  2. Upon dissolution, after payment of all outstanding liabilities and indebtedness, the assets of the plan shall be distributed to all employers participating in the plan during the last five years immediately preceding dissolution. The distributive share of each employer shall be in the proportion that all contributions made by the employer during such five-year period bear to the total contributions made by all participating employers during such five-year period. ­­-------- (L. 1993 H.B. 709 § 31)
MO Rev Stat § 376.1025 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1025 - Director may adopt rules.

Effective - 28 Aug 1995   376.1025. Director may adopt rules. — The director may adopt regulations which are necessary to implement the provisions of sections 376.1000 to 376.1045 and to ensure the safe and proper operation of multiple employer self-insured health plans in this state. No rule or portion of a rule promulgated under the authority of this section shall become effective unless it has been promulgated pursuant to the provisions of section 536.024. ­­-------- (L. 1993 H.B. 709 § 32, A.L. 1995 S.B. 3)
MO Rev Stat § 376.1027 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1027 - Plan in unsound condition, powers of director.

Effective - 28 Aug 1993   376.1027. Plan in unsound condition, powers of director. — 1. If the director is of the opinion that a multiple employer self-insured health plan is in an unsound condition, that it has failed to comply with the law or any applicable regulations or orders issued by the director, or that it is in a condition which renders its proceedings hazardous to the public or to persons covered under the plan, the director may, after notice and opportunity for a hearing, revoke or suspend the license of the plan or, in lieu thereof, bring a civil action in the county which has venue of an action against the multiple employer self-insured health plan under other provisions of law. The court may impose a fine not to exceed fifty thousand dollars for each violation or ground.  2. If the director is of the opinion that any of the grounds set forth in subsection 1 of this section exist regarding a plan domiciled in this state, he may commence delinquency proceedings against the plan and supervise, rehabilitate, or liquidate such plan in accordance with the procedures set forth in sections 375.1150 to 375.1246. ­­-------- (L. 1993 H.B. 709 § 33)
MO Rev Stat § 376.1030 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1030 - Agreement of employer to pay benefits, requirements, form — copy filed with director — no excuse from liability.

Effective - 28 Aug 1993   376.1030. Agreement of employer to pay benefits, requirements, form — copy filed with director — no excuse from liability. — 1. A multiple employer self-insured health plan shall require each employer, as a condition of participation in the plan, to execute an agreement by which the employer agrees personally to pay all claims for benefits covered under the plan which are incurred by his or its covered employees and their covered dependents, but which the plan or its stop-loss insurer has failed to pay. Such agreements shall be made on forms prescribed by the director and shall extend to all unpaid claims for benefits incurred by the employer's employees and their dependents during the time such employees and dependents were covered under the plan.  2. A clear and legible copy of each agreement executed by each participating employer shall be filed with the director by the plan as part of its application for a license. No license shall be issued unless copies of such agreements are filed. With respect to an employer who joins the plan after a license has been issued, the plan shall file a copy of the agreement executed by the employer within ten days after the employer joins the plan.  3. Neither failure of an employer to execute an agreement, nor failure of the plan to require such execution, shall excuse the employer from liability for unpaid claims incurred by covered employees and dependents. An employer shall be deemed to have notice of the requirements of this section, and upon joining the plan, the employer shall be deemed to have agreed to liability for unpaid claims of his covered employees and their dependents in the same manner as if an agreement had been executed. ­­-------- (L. 1993 H.B. 709 § 34)
MO Rev Stat § 376.1032 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1032 - Plan considered insurer, when.

Effective - 28 Aug 1993   376.1032. Plan considered insurer, when. — For the purposes of sections 375.930 to 375.948 and sections 375.1000 to 375.1018, a multiple employer self-insured health plan shall be considered an "insurer". ­­-------- (L. 1993 H.B. 709 § 35)
MO Rev Stat § 376.1035 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1035 - Chapter 376 applicable to plan.

Effective - 28 Aug 1993   376.1035. Chapter 376 applicable to plan. — The provisions of this chapter relating to group health and group accident insurance, including policy approval provisions, shall apply to all multiple employer self-insured health plans licensed to do business in this state. ­­-------- (L. 1993 H.B. 709 § 36)
MO Rev Stat § 376.1037 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1037 - Plan subject to premium taxes.

Effective - 28 Aug 1993   376.1037. Plan subject to premium taxes. — Multiple employer self-insured health plans licensed in this state shall be subject to those taxes set out in sections 148.310 to 148.461. ­­-------- (L. 1993 H.B. 709 § 37)
MO Rev Stat § 376.1040 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1040 - Plan not to be offered to public — marketing restrictions — exemption — use of brokers authorized.

Effective - 28 Aug 2019, 2 histories   376.1040. Plan not to be offered to public — marketing restrictions — exemption — use of brokers authorized. — 1. No multiple employer self-insured health plan shall be offered or advertised to the public. No plan shall be sold, solicited, or marketed by persons or entities defined in section 375.012 or sections 376.1075 to 376.1095. Multiple employer self-insured health plans with a certificate of authority approved by the director under section 376.1002 shall be exempt from the restrictions set forth in this section.  2. A health carrier acting as an administrator for a multiple employer self-insured health plan shall permit any willing licensed broker to quote, sell, solicit, or market such plan to the extent permitted by this section; provided that such broker is appointed and in good standing with the health carrier and completes all required training. ­­-------- (L. 1993 H.B. 709 § 38, A.L. 2019 S.B. 514)
MO Rev Stat § 376.1042 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1042 - Marketing by agent, agency or broker violation of law.

Effective - 28 Aug 2019, 2 histories   376.1042. Marketing by agent, agency or broker violation of law. — The sale, solicitation or marketing of any plan in violation of section 376.1040 by an agent, agency or broker shall constitute a violation of section 375.141. ­­-------- (L. 1993 H.B. 709 § 39, A.L. 2019 S.B. 514)
MO Rev Stat § 376.1045 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1045 - Injunctive relief, director may seek, when — procedures.

Effective - 28 Aug 1993   376.1045. Injunctive relief, director may seek, when — procedures. — The director may, in addition to any other remedy or sanction authorized under the insurance laws of this state, seek injunctive relief against any unauthorized insurer under section 375.786 or any unauthorized multiple employer self-insured health plan under sections 376.1000 to 376.1045. Pursuant to such injunctive relief, the court may order such unauthorized insurer or plan to pay money sufficient to pay for the outstanding claims of residents of this state against such insurer or plan and for the adjustment of such claims and the administration of such claims and adjustment. The money shall be payable to any fund established by the director for the purposes of this section. Such fund shall be controlled and administered by the director and his appointees, subject to the supervision of the court. The director and his appointees shall be subject to judicial immunity for any acts or omissions within the scope of establishing, controlling or administering such fund. ­­-------- (L. 1993 H.B. 709 § 40)
MO Rev Stat § 376.1065 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1065 - Official notification communications, contracting entity requirements.

Effective - 28 Aug 2018   376.1065. Official notification communications, contracting entity requirements. — 1. As used in this section, the following terms shall mean:  (1) "Contracting entity", any health carrier, as such term is defined in section 376.1350, subject to the jurisdiction of the department engaged in the act of contracting with providers for the delivery of dental services, or the selling or assigning of dental network plans to other entities under the jurisdiction of the department;  (2) "Department", the department of commerce and insurance;  (3) "Official notification", written communication by a provider or participating provider to a contracting entity describing such provider's or participating provider's change in contact information or participation status with the contracting entity;  (4) "Participating provider", a provider who has an agreement with a contracting entity to provide dental services with an expectation of receiving payment, other than coinsurance, co-payments, or deductibles, directly or indirectly from such contracting entity;  (5) "Provider", any person licensed under chapter 332.  2. A contracting entity shall, upon official notification, make changes contained in the official notification to their electronic provider material and their next edition of paper material made available to plan members or other potential plan members.  3. The department, when determining the result of a market conduct examination under sections 374.202 to 374.207, shall consider violations of this section by a contracting entity. ­­-------- (L. 2018 S.B. 982)
MO Rev Stat § 376.1077 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1077 - Administrator to have agreement with insurer, form, contents — termination, how.

Effective - 28 Aug 1993   376.1077. Administrator to have agreement with insurer, form, contents — termination, how. — 1. No administrator shall act as such without a written agreement between the administrator and the insurer, and such written agreement shall be retained as part of the official records of both the insurer and the administrator for the duration of the agreement and five years thereafter. The agreement shall contain all provisions required by sections 376.1075 to 376.1095, except insofar as those requirements do not apply to the functions performed by the administrator.  2. The written agreement shall include a statement of duties which the administrator is expected to perform on behalf of the insurer and the lines, classes or types of insurance for which the administrator is to be authorized to administer. The agreement shall make provision with respect to underwriting or other standards pertaining to the business underwritten by such insurer.  3. The insurer or administrator may, with written notice, terminate the written agreement for cause as provided in the agreement. The insurer may suspend the underwriting authority of the administrator during the pendency of any dispute regarding the cause for termination of the written agreement. The insurer shall fulfill any lawful obligations with respect to policies affected by the written agreement, regardless of any dispute between the insurer and the administrator. ­­-------- (L. 1993 H.B. 709 § 42)
MO Rev Stat § 376.1080 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.1080 - Payments of premiums and claims deemed paid, when.

Effective - 28 Aug 1993   376.1080. Payments of premiums and claims deemed paid, when. — If an insurer uses the services of an administrator, the payment to the administrator of any premiums or charges for insurance by or on behalf of the insured party shall be deemed to have been received by the insurer, and the payment of return premiums or claim payments forwarded by the insurer to the administrator shall not be deemed to have been paid to the insured party or claimant until such payments are received by the insured party or claimant. Nothing in this section limits any right of the insurer against the administrator resulting from the failure of the administrator to make payments to the insurer, insured parties or claimants. ­­-------- (L. 1993 H.B. 709 § 43)