Section Ins 2301.15 - Responsibilities of the Insurer(a) The insurer shall be responsible for determining benefits, premium rates, underwriting criteria, and claims payment procedures applicable to the coverage and for securing reinsurance.(b) The standards pertaining to (a) above shall be provided in writing by the insurer to the administrator.(c) If the administrator has any responsibility for the development or formulation of the items in (a) above, they shall be set forth in the written agreement between the administrator and the person contracting for the services.(d) The insurer shall conduct semiannual reviews of the operations of the administrator if the administrator administers benefits for more than 100 certificate holders on behalf of the insurer. One such review shall consist of an on-site audit by the insurer.N.H. Admin. Code § Ins 2301.15
#5787, eff 2-14-94; ss by #7023, eff 7-1-99; ss by #7318, eff 8-1-00, EXPIRED: 8-1-08
New. #9510, eff 7-10-09
Amended by Volume XXXVII Number 28, Filed July 13, 2017, Proposed by #12228, Effective 7/10/2017, Expires 7/10/2027.