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

Nebraska Statutes

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

Nebraska·Ch. 44 Insurance

(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

Free access — add to your briefcase to read the full text and ask questions with AI

(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.

Nebraska § 44-5807 (Insurer; third-party administrator; responsibilities) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.