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Current as of March 28, 2024 | Updated by Findlaw Staff
(a) As used in this subchapter, “employee benefit stop-loss insurance” means coverage that insures an employer or an employer-sponsored health plan against the risk that:
(1) One (1) claim will exceed a specific dollar amount; or
(2) The entire loss of a self-insurance plan will exceed a specific dollar amount.
(b) An insurer authorized to transact accident and health insurance business in this state may issue employee benefit stop-loss insurance in this state.
(c) An insurer shall not issue an employee benefit stop-loss insurance policy that:
(1) Has an annual attachment point for claims incurred per individual that is less than twenty thousand dollars ($20,000);
(2) Has an annual aggregate attachment point for groups of fifty (50) or less that is lower than one hundred twenty percent (120%) of expected claims;
(3) Has an annual aggregate attachment point for groups of fifty-one (51) or more that is lower than one hundred ten percent (110%) of expected claims; or
(4) Provides for direct coverage of healthcare expenses of an individual.
(d) The Insurance Commissioner may adopt rules that carry out the requirements of this section, including without limitation rules that require:
(1) Additional standards for employee benefit stop-loss insurance policies; and
(2) Disclosures to policyholders by an insurance carrier providing employee benefit stop-loss insurance.
Cite this article: FindLaw.com - Arkansas Code Title 23. Public Utilities and Regulated Industries § 23-62-111. Employee benefit stop-loss insurance - last updated March 28, 2024 | https://codes.findlaw.com/ar/title-23-public-utilities-and-regulated-industries/ar-code-sect-23-62-111/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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