Missouri Revised Statutes Title XXIV. Business and Financial Institutions § 376.1002. Certificate of authority required--penalty for noncompliance--law inapplicable, when--exempt organizations

1. It is unlawful for any multiple employer self-insured health plan to transact business in this state without a certificate of authority issued by the director of the department of commerce and insurance. Any of the acts described in subsection 2 of section 375.786, effected by mail or otherwise, by or on behalf of a multiple employer self-insured health plan, constitutes the transaction of business in this state.

2. Any multiple employer self-insured health plan which transacts business in this state without the certificate of authority required by sections 376.1000 to 376.1045 is considered to be an unauthorized insurer within the meaning of section 375.786, and all remedies and penalties prescribed in section 375.786 shall be fully applicable.

3. Sections 376.1000 to 376.1045 do not apply to:

4. A multiple employer self-insured health plan which was in existence prior to August 28, 1993, and which is associated with or organized or sponsored by a homogenous association exempt from taxation under 26 U.S.C. 501(c)(6) and controlled by a board of directors a majority of whom are members of the association, is exempt from the requirements of sections 376.1000 to 376.1045 and the insurance laws of this state. To prove exemption from taxation under 26 U.S.C. 501(c)(6), the association shall provide to the director a certificate issued by the United States Internal Revenue Service demonstrating the association's tax exempt status.