HAR §16-7-9
HAR §16-7-9. Servicing carrier(s)
Cite as Haw. Code R. § 16-7-9
(a) In selecting a servicing carrier or carriers
the board should satisfy itself that the servicing carrier possesses sufficiently
experienced and qualified personnel to properly underwrite medical malpractice
business in the State of Hawaii and to properly service claims that arise therefrom.
(b)
The servicing carrier must have the ability to collect the necessary
data to disburse commission payments to agents on behalf of the plan and have
the ability to store the data and report same to the Internal Revenue Service
annually, if required.
(c)
The servicing carrier must generate the statistical and accounting
information in report format required. The required content and format of these
reports are to be set out in the operating principles.
(d)
The board of directors, in its sole discretion, may offer or allow a
servicing carrier reimbursement in whole or in part for specific extraordinary
expense incurred in qualifying for, continuing as or ceasing to be a servicing
carrier. The expense must be explained and supported in detail as required by the
board of directors, must be in its judgment significantly in excess of the normal
additional expense expected to beincurred by the carrier, and must be actually
incurred before reimbursement.
(e)
The
board
of
directors
may
in
its
discretion
authorize
reimbursement of the servicing carrier for normal operating expenses incurred in
connection with plan business. The normal operating expenses shall be defined
and designated by the board but shall not include any loss or expense incurred as
a result of fraud or dishonesty on the part of the servicing carrier’s personnel
(including, but not limited to, independent adjusters and agents), and each
servicing carrier shall hold the plan harmless from and reimburse it for any loss
or expense arising out of fraud or dishonesty charged to the plan.
(f)
The designation of a servicing carrier may be withdrawn at the
option of the servicing carrier or the board of directors on the giving of four
months’ written notice to the other. Such arrangement may also be terminated at
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any time by mutual agreement of the servicing carrier and the board of directors
or terminated by the board of directors for just cause. [Eff 6/22/81] (Auth: HRS
§435C-2) (Imp: HRS §435C-3)