Nebraska § 44-5807 Insurer; third-party administrator; responsibilities

Nebraska Statutes

§ 44-5807 — Insurer; third-party administrator; responsibilities

Nebraska § 44-5807

Ch. 44Insurance

This text of Nebraska § 44-5807 (Insurer; third-party administrator; responsibilities) is published on Counsel Stack Legal Research, covering Nebraska primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Neb. Rev. Stat. § 44-5807 (2026).

Text

(1)If an insurer utilizes the services of a third-party administrator, the insurer shall be responsible for determining the benefits, premium rates, underwriting criteria, and claims-payment procedures and for securing reinsurance, if any. The rules pertaining to these matters shall be provided, in writing, by the insurer to the third-party administrator. The responsibilities of the third-party administrator as to any of these matters shall be set forth in the written agreement between the third-party administrator and the insurer.

(2)It shall be the sole responsibility of the insurer to provide for competent administration of its programs.

(3)In cases when a third-party administrator administers benefits for more than one hundred certificate holders or subscribers on behalf of an insur

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(1) If an insurer utilizes the services of a third-party administrator, the insurer shall be responsible for determining the benefits, premium rates, underwriting criteria, and claims-payment procedures and for securing reinsurance, if any. The rules pertaining to these matters shall be provided, in writing, by the insurer to the third-party administrator. The responsibilities of the third-party administrator as to any of these matters shall be set forth in the written agreement between the third-party administrator and the insurer.
(2) It shall be the sole responsibility of the insurer to provide for competent administration of its programs.
(3) In cases when a third-party administrator administers benefits for more than one hundred certificate holders or subscribers on behalf of an insurer, the insurer shall, at least semiannually, conduct a review of the operations of the third-party administrator. The director may require the insurer to conduct an onsite audit of the operations of the third-party administrator.