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House Journal: Page 799: Tuesday, March 25, 1997

18   portion of the year that the business was reinsured.
19     Sec. ___.  Section 513B.13, subsection 7,
20   unnumbered paragraph 1, Code 1997, is amended to read
21   as follows:
22     The same general powers and authority granted under
23   the laws of this state to insurance companies and
24   health maintenance organizations licensed to transact
25   business in this state may be exercised by the board
26   under the program, except the power to issue health
27   benefit plans insurance coverages directly to either
28   groups or individuals.  Additionally, the board is
29   granted the specific authority to do all or any of the
30   following:
31     Sec. ___.  Section 513B.13, subsection 7, paragraph
32   d, Code 1997, is amended to read as follows:
33     d.  Define the health benefit plans insurance
34   coverages for which reinsurance will be provided, and
35   issue reinsurance policies, pursuant to this
36   subchapter.
37     Sec. ___.  Section 513B.13, subsection 8, paragraph
38   b, Code 1997, is amended to read as follows:
39     b.  A small employer carrier may reinsure an entire
40   employer group within sixty days of the commencement
41   of the group's coverage under a health benefit plan
42   health insurance coverage.
43     Sec. ___.  Section 513B.13, subsection 9, paragraph
44   a, Code 1997, is amended to read as follows:
45     a.  The board, as part of the plan of operation,
46   shall establish a methodology for determining premium
47   rates to be charged by the program for reinsuring
48   small employers and individuals pursuant to this
49   section.  The methodology shall include a system for
50   classification of small employers that reflects the

Page 8

 1   types of case characteristics commonly used by small
 2   employer carriers in the state.  The methodology shall
 3   provide for the development of base reinsurance
 4   premium rates, which shall be multiplied by the
 5   factors set forth in paragraph "b" to determine the
 6   premium rates for the program.  The base reinsurance
 7   premium rates shall be established by the board,
 8   subject to the approval of the commissioner, and shall
 9   be set at levels which reasonably approximate gross
10   premiums charged to small employers by small employer
11   carriers for health benefit plans insurance
coverages
12   with benefits similar to the standard health benefit
13   plan.
14     Sec. ___.  Section 513B.13, subsection 10, Code
15   1997, is amended to read as follows:
16     10.  If a health benefit plan health insurance
17   coverage for a small employer is entirely or partially

Iowa General Assembly

Index: House Journal (77th General Assembly: Session 1)

© 1997 Cornell College and League of Women Voters of Iowa

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