Application for Certificate of Authority

PURPOSE: This rule prescribes the process and forms to be used by a multiple employer self-insured health plan in applying for a certificate of authority to transact business in Missouri. (1) An Application for Certificate of Authority form must be completed for a Multiple Employer Self-Insured Health Plan that does not meet the exemption standards of 376.1002, RSMo. Each application must be accompanied by a fee in the amount of one hundred sixty dollars ($160), along with all the documents requested on Section C of the application form, even if the Multiple Employer Self-Insured Health Plan had commenced operations prior to the effective date of this rule (June 6, 1994). (2) Each application must also be accompanied by the most recent audited financial report in accordance with sections 375.1025– 375.1062, RSMo, and which includes those items specified in 376.1012, RSMo showing the condition and affairs of the plan. (3) Each trustee of a Multiple Employer SelfInsured Health Plan shall obtain a fidelity bond from a licensed insurer in an amount of not less than one hundred fifty thousand dollars ($150,000). (4) A copy of a Contract between MultipleEmployee Self-Insured Health Plan and Participating Employer form must be completed and executed by each participating employer and filed with the director of the Department of Commerce and Insurance by the plan as part of its application for a certificate of authority. AUTHORITY: sections 374.045 and 375.786, RSMo 1986 and 376.1002, 376.1005, 376.1007, 376.1010, 376.1012, 376.1025 and 376.1030, RSMo Supp. 1993.* Original rule filed Oct. 15, 1993, effective June 6, 1994. Non-substantive change filed Sept. 11, 2019, published Oct. 31, 2019. *Original authority: 374.045, RSMo 1967; 375.786, RSMo 1972, amended 1977; and 376.1002, 376.1005, 376.1007, 376.1012, 376.1025, 376.1030, RSMo 1993.