23 CAR § 147-117. Participation and premium charges for self-funded MEWAs

(a) A multiple-employer welfare arrangement may charge premiums in accordance with this section to the group of employees or dependents who: (1) Meet the participation criteria; and (2) Do not decline coverage. (b)(1) A multiple-employer welfare arrangement may not charge an adjustment to premium rates for individual employees or dependents for health status-related factors or duration of coverage. (2) Any adjustment must be applied uniformly to the rates charged for all participating employees and dependents of participating employees of the employer. (c) Subsection (b) of this section does not restrict the amount that an employer may be charged for coverage. (d) A multiple-employer welfare arrangement may establish premium discounts, rebates, or a reduction in otherwise applicable copayments or deductibles in return for adherence to programs of health promotion and disease prevention.