NDAC 45-06-14-15
Financial integrity
Cite as N.D. Admin. Code ยง 45-06-14-15
1.
Fidelity bond. All contractors and individuals who handle multiple employer welfare
arrangement funds or who will have access to multiple employer welfare arrangement funds,
including board members, must be covered by a fidelity bond providing standard fidelity
coverage, including coverage against dishonesty, theft, forgery, alteration, misplacement, or
mysterious and unexplainable disappearance. The amount of coverage for each occurrence
must be at least three hundred thousand dollars. The multiple employer welfare arrangement
must purchase a fidelity bond covering the required contractors and individuals, or submit
separate proof of coverage for all required contractors and individuals not covered under the
plan's bond.
2.
Integrity of assets. A multiple employer welfare arrangement's assets may not be:
a.
Commingled with the assets of any member;
b.
Loaned to anyone for any purpose or used as security for a loan, except as permitted
under subsection 5 for investments;
c.
Employed for any purpose other than for the purposes stated in the bylaws and in
compliance with this chapter and related statutes; or
d.
Considered the property or right of any member or covered person, except:
(1)
For benefits under the coverage documents;
(2)
For dividends declared in accordance with subsection 5 of section 45-06-14-11; and
(3)
For a portion of the assets remaining after the plan's dissolution, in accordance with
subsection 4 of section 45-06-14-07.
3.
Sources and uses of funds. A multiple employer welfare arrangement may expend funds for
payment of losses and expenses and for other costs similar to those incurred by insurers
under conventional insurance policies in North Dakota. Except as provided in subdivision b of
subsection 3 of section 45-06-14-11, a multiple employer welfare arrangement may not borrow
money or issue debt instruments. A multiple employer welfare arrangement may bring legal
suits to collect delinquent debts. A multiple employer welfare arrangement may not obtain
funds through subrogation of the rights of covered persons. A multiple employer welfare
arrangement may receive funds only from:
a.
Its members as premiums, assessments, or penalties;
b.
Its insurers or indemnitors pursuant to insurance or indemnification agreements;
c.
Dividends, interest, or the proceeds of sale of investments;
d.
Refunds of excess payments;
e.
Coordination of benefits with other insurance or group self-insurance coverages; or
f.
Collection of money owed to the multiple employer welfare arrangement.
4.
Separate accounts. A multiple employer welfare arrangement may establish separate
accounts for the payment of claims or certain types of expenses. These accounts must be
used only by the service company, its authorized subcontractors, or the financial administrator,
as appropriate to the account's purpose. The amount in a special account may not exceed an
amount reasonably sufficient to pay the claims or expenses for which it is established.
5.
Investments. A multiple employer welfare arrangement's investments are subject to North
Dakota Century Code chapter 26.1-05, as regards both permitted and prohibited investments,
maturities, and depositories. In addition, a multiple employer welfare arrangement may not
invest in securities or debt of a member, or a member's parent, subsidiary, or affiliate, or any
person or entity under contract with the multiple employer welfare arrangement.
6.
Monitoring financial condition. The board must monitor the multiple employer welfare
arrangement's revenues, expenses, and losses and evaluate its current and expected
financial condition. The board must maintain the multiple employer welfare arrangement's
sound financial condition at all times. The board may adjust premium rates, underwriting
standards, dividend rates, expulsion standards, and invoke other powers granted in this
chapter and the bylaws. If the commissioner determines that the board's actions are
inadequate to maintain the multiple employer welfare arrangement's sound financial condition,
the commissioner may order an increase in the premium rates, revoke the multiple employer
welfare arrangement's self-funding authority, order that an assessment be levied against the
members, or take other appropriate action.