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House Journal: Page 795: Tuesday, March 25, 1997

18   delivery to small employers in this state by such
19   carriers were issued by one carrier.
20     c.  Unless otherwise authorized by the
21   commissioner, a small employer carrier shall not enter
22   into one or more ceding arrangements with respect to
23   health benefit plans insurance coverages delivered
or
24   issued for delivery to small employers in this state
25   if the arrangements would result in less than fifty
26   percent of the insurance obligation or risk for such
27   health benefit plans insurance coverages being
28   retained by the ceding carrier.
29     Sec. ___.  Section 513B.4, subsection 1, paragraph
30   c, subparagraph (1), Code 1997, is amended to read as
31   follows:
32     (1)  The percentage change in the new business
33   premium rate measured from the first day of the prior
34   rating period to the first day of the new rating
35   period.  In the case of a class of business for which
36   the small employer carrier is not issuing new
37   policies, the small employer carrier shall use the
38   percentage change in the base premium rate, provided
39   that the change does not exceed, on a percentage
40   basis, the change in the new business premium rate for
41   the most similar health benefit plan insurance
42   coverage into which the small employer carrier is
43   actively enrolling new insureds who are small
44   employers.
45     Sec. ___.  Section 513B.4, subsection 1, paragraph
46   d, Code 1997, is amended to read as follows:
47     d.  In the case of health benefit plans insurance
48   coverages issued prior to July 1, 1991, a premium rate
49   for a rating period may exceed the ranges described in
50   subsection 1, paragraph "a" or "b", for a period of

Page 4

 1   three years following July 1, 1992.  In such case, the
 2   percentage increase in the premium rate charged to a
 3   small employer in such a class of business for a new
 4   rating period may not exceed the sum of the following:
 5     (1)  The percentage change in the new business
 6   premium rate measured from the first day of the prior
 7   rating period to the first day of the new rating
 8   period.  In the case of a class of business for which
 9   the small employer carrier is not issuing new
10   policies, the small employer carrier shall use the
11   percentage change in the base premium rate, provided
12   that the change does not exceed, on a percentage
13   basis, the change in the new business premium rate for
14   the most similar health benefit plan insurance
15   coverage into which the small employer carrier is
16   actively enrolling new insureds who are small
17   employers.

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