Senate File 2329 H-8250 Amend Senate File 2329, as passed by the Senate, as follows: 1 1. By striking everything after the enacting clause and 2 inserting: 3 < Section 1. NEW SECTION . 505.20 Certain organizations 4 exempt from regulation. 5 1. A health benefit plan, sponsored by an eligible 6 organization domiciled in this state that meets the 7 requirements set forth in subsection 2, shall be deemed to 8 not be insurance pursuant to this subtitle and shall not be 9 subject to the jurisdiction of the commissioner of insurance 10 to the extent such health benefit plan, after January 1, 2019, 11 provides health benefits under a self-funded arrangement that 12 is administered by an eligible third-party administrator that 13 meets the requirements set forth in subsection 3. 14 2. An eligible organization providing a health benefit 15 plan to its members under this section shall meet all of the 16 following requirements: 17 a. Provide membership opportunities for eligible 18 individuals. 19 b. Collect annual dues from members. 20 c. Hold regular meetings to further the purposes of the 21 members. 22 d. Provide members with representation on the organization’s 23 governing board and committees. 24 e. Provide education, mentoring, or financial assistance. 25 f. Contract with an eligible third-party administrator that 26 meets the requirements set forth in subsection 3 to administer 27 the health benefit plan. The contract with the eligible 28 third-party administrator shall provide that the eligible 29 third-party administrator shall not be responsible for paying 30 any claims under the health benefit plan that are not funded 31 by the eligible organization. 32 3. An eligible third-party administrator administering a 33 self-funded arrangement under this section shall meet all of 34 the following requirements: 35 -1- SF2329.4534 (1) 87 ko/rj 1/ 2 #1.
a. Register as a third-party administrator pursuant to 1 chapter 510. 2 b. Offer individual health insurance products either 3 directly or through an affiliate organization. 4 4. Prior to providing a health benefit plan to its 5 members under this section an eligible organization shall 6 file a certification with the commissioner that the eligible 7 organization meets all requirements of this section. 8 5. The commissioner shall ensure expedited processing of 9 a third-party administrator registration pursuant to chapter 10 510 for a third-party administrator administering a self-funded 11 arrangement under this section. > 12 2. Title page, line 2, by striking < agricultural > 13 ______________________________ VANDER LINDEN of Mahaska ______________________________ PETTENGILL of Benton -2- SF2329.4534 (1) 87 ko/rj 2/ 2 #2.