Missouri Health Insurance Pool Transitional Plan of Operations

PURPOSE: This rule prescribes the transitional plan of operations for the Missouri Health Insurance Pool. (1) The Missouri Health Insurance Pool has developed and adopted amendments to the plan of operation to allow for the transition of individuals covered under the pool to alternative health insurance coverage as it is available on or after January 1, 2014. (2) Such amendments to the plan of operations include but are not limited to the following provisions: (A) A detailed plan outlining the winding down of operations of the pool. Such plan shall be updated quarterly, until such time as the plan is dissolved. It may include, but is not limited to, provisions to ensure written notice will be provided to each enrollee prior to November 15, 2013, provisions for using non-written forms of communication to conduct outreach activities to current enrollees, notice to providers about the changes in the plan, and notice to third party payers of premiums for enrollees that the enrollee’s coverage under the plan will terminate on December 31, 2013; (B) A plan for completing review and making final determinations of all grievances submitted to the board; (C) Provisions for scheduling an audit for 2013 and a final audit for 2014; (D) A plan for terminating all administrative contracts, as appropriate; (E) Preparation of final grant fund reporting requirements; (F) Preparation of all required tax documents; (G) Procedures for closing of accounts and providing proper notification of all necessary entities of the close of operations; (H) Procedures for the transfer of records to the Department of Commerce and Insurance upon filing of dissolution with the secretary of state; and (I) Procedures for the transfer of any remaining funds to the state general revenue fund. AUTHORITY: sections 374.045 and 376.961 through 376.973, RSMo Supp. 2013.* Emergency rule filed Sept. 20, 2013, effective Sept. 30, 2013, expired March 28, 2014. Original rule filed Sept. 20, 2013, effective March 30, 2014. Non-substantive change filed Sept. 11, 2019, published Oct. 31, 2019. *Original authority: 374.045, RSMo 1967, amended 1993, 1995, 2008; 376.961, RSMo 1990, amended 2006, 2007, 2013; 376.962, RSMo 1990, amended 2013; 376.964, RSMo 1990, amended 2007, 2013; 376.965, RSMo 1991; 376.966, RSMo 1990, amended 2007, 2009, 2013; 376.968, RSMo 1990, amended 2013; 376.970, RSMo 1990, amended 2013; and 376.973, RSMo 1990.